Dilaudid IV Push - page 2

Administration as started allowing physicians to order dilaudid IV push (& other opiates) in the Intake area of our Emergency Room. These patients are receiving this in a rapid treatment area with no... Read More

  1. by   hdreserve
    Thanks everyone for your responses. We have our first meeting tomorrow morning & It really helps having the input of so many great nurses with invaluable work expertise.
  2. by   azhiker96


    There should be some worthwhile information in these two links. Respiratory depression is a big thing. I would question giving it to anyone who uses home CPAP. I know of a case of a woman who went to the ER C/O neck pain. They examined her, gave her PO dilaudid and sent her home. She neglected to put on her CPAP and her husband found her dead in the morning.
  3. by   errn911susan
    Yikes! Which proves the point that Nursing is not to be taken lightly AND admin does not always have our backs! Our practice is completely on us!
  4. by   MassED
    I would probably operate under the personal code of "if I give it, I follow up on it." I don't feel comfortable giving Dilaudid and taking off - especially Dilaudid, I keep an eye on my patient's respiratory status and oxygen sats. I had a patient go south pretty quick after some Dilaudid IV - open tib/fib. Sats went into the 40's FAST even w/ slow administration. I don't think using IV Dilaudid is a good idea in a quick triage area - maybe IM or PO?
  5. by   MassED
    Quote from medic2033
    Also, once the seekers learn about this, they can get their shot, then just get up and leave.
    That's the best reason of all not to give it. No way!!!!! Give a med and have a person take off and drive away. Yikes.
  6. by   MassED
    Quote from iluvivt
    NO WAY would I ever do this. There are several problems here. It seems like an adequate assessment has not been completed,including an allergy history and complete pain assessment. The Joint commission (TJC) their new name, states there must also be an assessment after the administration to detemine effectiveness..are those policies in place...is there a nurse assigned to each of these patients????? How will the patient be monitored for drug hypersensitivity and/or side effects such as respiratory depression??? Is it even feasible to start an IV in a crowed intake area and keep the area clean and free from bodily fluids and exposure of these to other pts....YUCK. It seems to be another way to keep the customer "HAPPY" instead of fixing the problems of our overcrowded and improperly used EDs
    starting IV's prior to a complete evaluation? Unless a person comes in unable to ambulate or intractable back pain, who has the time to do that all in the name of expeditious care at the front end? Please! Providers and hospitals are so eager to please the drug seeking population, why not offer Motrin/Tylenol PO for all at the door?
  7. by   steelydanfan
    Quote from MassED
    That's the best reason of all not to give it. No way!!!!! Give a med and have a person take off and drive away. Yikes.
    I STILL don't know why we are giving out so much Dilaudid! This is a powerful opiate that should really be reserved for end stage pain. Why is every chronic pain pt. on it, and why is it so routinely ordered?