Reflection The Story of Josie King
Medical errors have contributed toa considerable number of deaths across the globe. In this regard,Josie King is one of the victims of wrong medication. She wasadmitted to Hopkins Hospital owing to severe burns from a faultywater heater, but some medical errors led to her death because ofdehydration complications (Gill,Leslie & Marshall, 2016).I believe that the root of the error was miscommunication. Failure ofstaff in the hospital to communicate the verbal commands intotranscribed notes led to confusion, which later contributed to JosieKing’s death. The nurse also ignored Sorrel King’s, Josie’smother, concern about her daughter’s increased desire for a drink.Additionally, the staff lacked diligence and professionalism in theirwork since it was their obligation to examine Josie King carefullyand realize that she was suffering from dehydration.
In my opinion, the nurse onlyneeded to consult her colleagues concerning the verbal orders so thatshe could be sure when injecting a narcotic drug to Josie King. Thenurse should have confirmed the directive because Sorrel Kingsignificantly emphasized on it. It was crucial for the nurse toassess the trend of Josie’s medication before deciding to use thedrug. Indeed, it is unacceptable for a nurse to offer treatment to apatient without observing orders while a parent or a patient hasraised a concern. Therefore, the nurse just needed to make afollow-up of the previous communication to avoid the occurrence ofthe error.
The most significant ethicaldilemma in my nursing practice is freedom versus control. There hasbeen a difficulty in setting nurses’ limits in fulfillment of theirobligation. Some experts claim it essential to empower nurses toperform their duty independently. Others argue that patients alsohave authority over their treatments. Therefore, there has been achallenge especially when the two parties contradict each other. Forinstance, a patient may emphasize that he or she does not want toeat, but the nurse understands the outcomes may harm him or her. Insuch a case, the question remains: Does a nurse have a right to forcea patient or not? Conclusively, there is a need for healthpractitioners to set limits for every stakeholder in the healthcaresector to avoid persistent repetition of medical errors.
Gill, F. J.,Leslie, G. D., & Marshall, A. P. (2016). Family initiatedescalation of care for the deteriorating patient in hospital: Familycentered care or just “box ticking”. AustralianCritical Care, 29(4),195-200.
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