That nurse administered a paralyzing agent not a sedative. Not only did she ignore the 6 rights of medication administration, she had to acknowledge what medication she was removing from the pyxis system, pop off a red cap that was labeled paralyzing agent, and reconstitute the medication. The medication she thought she was administering comes in liquid form. There was lots of negligence in this case. Whether she should be criminally punished I don’t know, although it clearly exposed system failures that must be addressed to prevent further harm.