Josie King Story Assignment-1 about pain PDF

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Pediatric simulation online zoom ticket using the Saunders textbook. For colorado college of nursing. Erickson's and Paiget's....

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Josie King Story Watch the following YouTube video and answer the following questions. Place your answers in the appropriate drop box by the due date, which is week 2 of class. https://www.youtube.com/watch?v=mfrL2TvSPY0

Description: In 2001, 18-month-old Josie King died of dehydration and a wrongly-administered narcotic at Johns Hopkins Hospital. How did this happen? Her mother, Sorrel King, tells the story and explains how Josie’s death spurred her to work on improving patient safety in hospitals everywhere.

Discussion Questions 1.

What factors contributed or may have contributed to Josie King’s death? 1. Factors that contributed Josie’s death were her burns, pain medication, lack of fluids and lack of documentation and knowledge. Josie’s burns could have increased her dehydration because fluid could have moved out of the vessels and into the interstitial space due to systemic vasodilation caused by the body’s system. Her thin vessels could not gain an IV so one was put through the bone marrow. This could have contributed to her lack of fluids necessary to keep her blood volume up. Next, her narcotics could have attributed to this as they usually keep vital signs low and could have masked her low blood volume resulting in low blood pressure. Lastly, it seems lack of knowledge and documentation occurred because it would seem unlikely that her vital signs would consistently to be in the normal range and another sign of dehydration is low output and dry mucous membranes. If these two were inspected and documented correctly, wouldn’t there be a trend showing dehydration?

2. With those contributing factors in mind, how could Josie’s death have been prevented, and what process changes would you recommend to prevent a similar tragedy from occurring? 1. With these contributing factors in mind, it seems retraining and education of fluid loss related to burns and properly assessing for signs and symptoms of dehydration. Another would be better collaboration between the entire health team as it seems this was overlooked by multiple people. It also seems that the use of Pyxis medication locking software would have aided in this as it is programed to alert staff about their doses and warns them if they are taking more than is appropriate. Also, most hospital software’s now have easy online drug information access where nurses can easily check appropriate doses for their

patients, catching doctor’s possible errors and can look up diseases processes which can educate them on the spot. 3. How could the hospital and its providers have given Sorrel King more power over how Josie was treated? 1. The hospital could have given its provided resources such as hospital child life specialists and patient advocates where they can help navigate Sorrel in the direction of information and when to speak up. The providers could have always updated her on Josie’s care plan explaining it in 8th grade comprehension and asking her if she had any questions. 4. Put yourself in the shoes of one of the clinicians who cared for Josie. How would you have reacted when Sorrel said, “You did this to her and now you must fix her”?...