Tennessee Executions Under Scrutiny After Warnings from Arizona’s Botched Lethal Injections Ignored

a sterile stainless steel medical tray holding plain glass vials and coiled intravenous tubing, sitting on a plain table inside an austere institutional room wi

AI-generated illustration; not a photograph of the reported event.

  • calendar_today October 10, 2026

Background: Botched Tennessee Execution Raises Alarms

Tennessee has not disclosed the specific failures that occurred during the attempted execution of Christa Pike on September 30. Despite two doses of a lethal injection being administered, Pike survived. This incident led Governor Bill Lee to pause all executions in the state and order an independent review of Tennessee’s execution protocols. Pike remains alive, and the investigation into what went wrong is ongoing.

Connections to Arizona’s Troubled Execution History

The problems seen in Tennessee have notable similarities to previous bungled executions in Arizona. Frank Strada, who recently resigned as Tennessee’s top prison commissioner on October 3, was previously the deputy director of the Arizona Department of Corrections, Rehabilitation & Reentry, during a series of botched executions in that state.

In 2023, Arizona Governor Katie Hobbs commissioned retired federal Judge David Duncan to thoroughly review three failed executions. Duncan’s examination uncovered significant protocol violations, poorly handled pentobarbital drug storage, and a culture of secrecy. For example, Duncan found that in Arizona, pentobarbital was kept in an unlabeled jar—raising concerns about federal law compliance and potential for mistakes.

Revelations from Arizona’s Execution Review

Duncan’s nearly two-year review revealed that before one execution, staff were instructed to research execution methods online, including using Wikipedia for dose information. He noted that the lack of labeling on lethal drugs was unacceptable: "That could be my mother’s minestrone soup," Duncan said of the unlabeled jar containing pentobarbital at the Florence prison.

Drug expiration documentation was also mishandled, with some records destroyed and officials unable to verify the safety or quality of the compounds. Because major U.S. pharmaceutical companies refuse to supply lethal injection drugs, states like Arizona and Tennessee resorted to compounding pharmacies, some of which have faced safety and cleanliness issues themselves.

Issues with IV Teams and Execution Secrecy

Duncan found that Arizona’s IV team—responsible for administering the lethal drug—was not composed of doctors, but of Department of Corrections employees without intravenous experience or independent vetting. In all five executions mishandled under Strada’s oversight (including those in Tennessee and Arizona), the IV team struggled to administer the injections, leaving prisoners injured and in pain. During Christa Pike’s failed execution, a witness described Pike expressing distress and pain, stating her vein felt as if it would burst.

The secrecy extended to other aspects, such as cash payments to doctors who participated in executions and a prohibition on discussing best practices or reviewing team training. Duncan stated, "It is so completely cloaked in secrecy that there is no opportunity for anybody who’s involved in the process to share the lessons learned." After raising concerns, Duncan was dismissed by Arizona’s governor; she later indicated she wanted to take the review in a different direction.

Tennessee’s Protocol Closely Mirrors Arizona’s

After an investigation into Tennessee’s previous execution protocol, which used three drugs, the state hired Strada and shifted to a single-drug protocol using pentobarbital—the same approach used in Arizona under Strada. According to the 2022 review, Tennessee had failed to properly test lethal injection drugs for potency or toxins, a requirement that was ignored. Tennessee's new execution protocol closely replicated Arizona's, especially regarding IV team procedures.

Like Arizona, Tennessee refuses to disclose qualifications or identities of IV team members, hindering transparency. A federal lawsuit filed by attorney Kit Thomas argues that Tennessee’s approach to lethal injection, and its lack of transparency, may violate the state Constitution. Lawyers have been unable to obtain information about pentobarbital sourcing, storage, and composition from officials.

Ongoing Calls for Execution Transparency and Reform

The lack of transparency and recurring procedural failures in lethal injection executions have triggered lawsuits and renewed scrutiny. According to Thomas, "Before the botched executions of Tony Carruthers and Christa Pike, we were saying there was a culture of noncompliance, secrecy and recklessness. And that is even more true today." The growing demands for review and reform reflect ongoing concerns about Tennessee’s reliance on procedures that echo Arizona’s troubled history.

Source: wpln.org.