JOSIE KING STORY
The effectiveimplementation of medical orders is crucial from the healing processand safety of patients. Medication errors are threats to the healthof patients (Tweedy J. T., 2014). They may even cause the death of apatient. Josie King, 18-month old girl, was a victim of a preventableerror. This paper discusses Josie’s story, the medication thatcaused her death, and provide an approach that could have been usedto prevent the event.
The Patient Safety Movement (2017) reported that she was admitted toJohns Hopkins Hospital after scalding in a bathtub. Narcoticswere prescribed to relieve the pain Josie experienced after the burn.Sorrel, Josie’s mother, noticed that her daughter’s condition wasworsening. She became inactive. Josie was not able to move her limbsand could not respond to commands. The doctors at Johns HopkinsHospital became worried that such symptoms could be a result of amethadone overdose. A shot of Narcan was ordered to reverse theoverdose. Josie’s condition started to improve 20 minutes later.The patient was thirsty and was given more than 20 ounces of juice.No one was certain about what caused her condition to worsen. Thedoctor in charge of Josie’s care, Paidas, ordered that no morenarcotics be given to her without being consulted. She became morealert. While Paidas was in the operating room, a pediatricanesthesiologist agreed with other surgeons to administer a lowerdose of methadone. This was contrary to what Paidas ordered. A nurseadministered the lower dose of methadone. This resulted in cardiacarrest. The doctors were unable to restart the heart.
It is painfulthat Josie’s death was caused by the mistakes of doctors who weretrusted by Sorrel to heal her. The hospital should be a place wherepatients find effective solutions to their health problems (Tweedy J.T., 2014). When ordering medication, nurses and other healthprofessionals in hospitals should ensure that the drugs do not causeharm to patients. If I was in the position of the pediatricanesthesiologist, I could have consulted other surgeons includingPaidas. The doctors thought that methadone was responsible for thedeteriorating condition of Josie. When this narcotic was stopped,Josie became more alert. This shows that methadone played a role inher death. The pediatric anesthesiologist and other surgeons mighthave avoided Josie’s death if they communicated with Paidas beforemaking their decision. Tweedy J. T. (2014) argues that thedecision-making process should engage every individual involved inpatient care. It could have led to an appropriate solution forJosie’s condition.
Patient safety isvery important to the healing processing. Protecting patients fromharm in hospitals prevents the complication of existing healthproblems. Additionally, promoting patient safety ensures that patientdoes not develop new health problems as in the case of Josie. Whenharm to a patient is eliminated or reduced, the healing process isenhanced. At such state, medication and other healthcare servicesbecome effective.
After the deathof Josie, Sorrel started to campaign for patient safety. She has beenworking to support patient safety initiatives to ensure that otherpatients do not experience what happened to her daughter. The mainaim of establishing the Josie King Foundation was to raise awarenessof patient safety.
The safety ofpatients is important for their well-being in hospitals. Nurses andother health professionals play a vital role in protecting patientsfrom harm. The decision-making process in hospitals should engageevery person affecting the health of a given patient. Awareness isimportant for promoting patient safety in a healthcare setting.
Josie King Foundation (2016), Raising awareness. Retrievedfrom http://josieking.org/programs/raising-awareness/.Accessed 17 January 2017
Patient Safety Movement (2017), Josie King. Retrieved fromhttp://patientsafetymovement.org/patient-story/josie-king/.Accessed 17 January 2017
Tweedy J. T. (2014), Healthcare Hazard Control and SafetyManagement, Third Edition, CRC Press