The main Factors that could of contributed to Josie’s death were lack of reevaluation, lack of monitoring, poor medication administration/error, lack of communication between different health care providers and lack of consideration and communication for parents concerns. I identified these as contributing factors because as a nurse it is our job to independently assess whether patients should receive prescribed medications as well as explaining to the patient and there family why the order has changed or the reason they are giving the medication. The nurse in this situation did not do this and instead of revaluating the situation or calling the doctor, the nurse simply stated, “The orders have been changed,” (Kindle Locations 609-610). After
