It consists of a number of observations relating to physiology parameters like heart rate, blood pressure, and temperature and when using the PEW tool, these observations are documented on standard charts and cross-referenced against the PEW scoring criteria. The resulting PEW score directs the nurse to act in the early identification of the deteriorating child and notify an experienced physician (Naddy, 2012). Lewis’s case was compelling to me because of how easy it is a patient can be healthy one moment and fighting for his life the next. It is the nurses responsibility to check on the patient and although the nurses were missing every clinical sign, it was their responsibility to listen to Helen and follow up to what she was asking and saying to them. Advocating for the patient and the patient’s family is a core measure in nursing, and it was missed in this …show more content…
The five rights consists of make sure they have the right patient, the right drug, the right dose, the right route, and the right time and if there is any discrepancy, the nurse needs to stop and correct it. Documentation is also important because if it was not written, it did not occur. Medication errors can affect the nurses in positive way. For example, I had an experience with a medication error during simulation lab, where I had the wrong dosage of a medication. I did not catch it until one of my team members brought it to my attention and I was able to stop it before it occurred. If it was not for that, I would have never learned and improved on medication administration. Improvement is always needed because mistakes happen and improving on them can benefit patient outcomes and