Prompted by the recent botched execution attempt of Tony Carruthers, a former Tennessee execution official is pleading with Governor Bill Lee to pause executions in the state. In his detailed account, Ian Congleton described how his participation in executions left him with lasting post-traumatic stress disorder, anxiety, and depression. In his op-ed in The Tennessean, he ascribed his trauma to “the chaos surrounding how executions were handled and the feeling that, unless TDOC [Tennessee Department of Corrections] changed its approach, things would inevitably go wrong”. On May 21, 2026, Tony Carruthers’ execution team failed to establish secondary and central IV lines as required after over an hour of attempts and more than a dozen punctures.
“Over the two years when I worked on multiple executions, I only recall having one run-through of the protocol, where we practiced both a lethal injection execution and an electric chair execution. The protocol changed after that run-through, but I don’t remember having any training on how to follow the revised protocol or doing another run-through…every execution day was chaotic.”
After the attempt to execute Mr. Carruthers, the Federal Public Defender’s Office filed a lawsuit where they exposed that the physician selected by the state to perform the execution had not placed a central line in over a decade. Assistant Federal Defender Amy Harwell called on Governor Lee to “launch yet another investigation into TDOC’s execution practices to determine how the Department came to rely on such incompetent, unethical, and unqualified medical professionals”. These sentiments were later echoed by a group of nine Tennessee Republican senators who wrote a letter requesting an independent commission to verify the department’s “readiness”.
“From what I read in the news about Tony Carruthers’s failed execution, nothing has changed except there is a new protocol that staff probably haven’t been fully trained on. I worry about all the folks at TDOC who were traumatized by that day, and I have no doubt that unless something changes dramatically in Tennessee, the next execution and those that follow it will continue harming correctional staff.”
Tennessee defenders have been at the forefront of litigation focusing on execution protocols amidst ongoing concerns about the state’s execution process. In 2022, an independent 180-page report of Tennessee’s execution practices found the state repeatedly failed to follow its own protocols between 2018 and 2022. In response, Gov. Lee told reporters, “[W]e will take the time to fix the protocol and to make certain that we don’t move forward until everything’s in place.” Then, in 2025, it was witnesses who initially reported Byron Black’s execution complications, despite the state’s conflicting reports; his autopsy later confirmed the witnesses’ accounts. Following this, in January 2026, a coalition of news organizations were granted a temporary injunction to force wider transparency around the IV-insertion phase of the state’s execution process.
“Public access to executions plays a significant role in promoting transparency, accountability, and public confidence in the administration of capital punishment in the United States…meaningful and full observation of executions allows the public to assess whether the state carries out death sentences in a lawful and humane manner and ensures that the execution process remains subject to democratic oversight.”
Mr. Carruthers has been granted a one-year reprieve amidst his ongoing suit. Before the attempted execution, his case garnered wide-spread attention as there was no intervention despite his team’s motion for additional DNA testing which could prove his innocence. He has maintained his innocence for his alleged involvement in the kidnapping and murder of Marcellos Anderson, Delois Anderson, and Frederick Tucker in 1994. His conviction relied heavily on the testimony of a jailhouse informant, who Mr. Carruthers’ counsel later found was paid for his testimony. At his trial, Mr. Carruthers was forced to represent himself as a result of his trial judge’s frustration at his repeated dismissal of his court-appointed counsel. In later filings, his counsel outlined how this was a result of “his longstanding and well-documented mental illness” and that he has a “pervasive and all-consuming obsession that a cabal of corrupt judges, prosecutors, and defense attorneys have conspired to secure his conviction and death sentence.” Despite Supreme Court precedent that holds that the Eighth Amendment prohibits the execution of a person who cannot rationally understand the reason for their execution, his competency motion was denied.
Ian Congleton, “I worked Tennessee executions. The trauma nearly killed me | Opinion”, The Tennessean, July 22, 2026.