Drug Seeker Antics and Dramas - page 6

They are an everyday event in almost every ER around the country. What is the drug of choice in your area? I've noticed around here it is Vicodin. Our latest little treasure was an ex RN... Read More

  1. by   teeituptom
    Quote from Nurse Ratched
    Despite the black box warning, I miss droperidol - 5 mg plus 2 of Ativan used to be the wonder drugs that worked wonders on our most violent psych pts.
    so true

    but now we have geeodon
  2. by   bigfishsmallpond
    Vic-heads are definately the norm in Detroit. They always pretend not to know the name of the pill that helped before...lets' see, vic. ahh. veco, umm vicodan ?yeah.We ha :hatparty: d one woman that pulled so many scams.She would present with a good story,broke a tooth, horrible pain. Allergic to everything, could take Vs, tho. Then she would calll back and say,those made me sick. Can I have something milder, like darvocet? then she came in the next day,grabbed an ED doc in the hall, and claimed she couldn't take the tylenol(in vicodin) so vicoprophen would work. 3 scripts, 3 different docs, 3 days. We were able to track her pharmacy scripts for the last 3 months..you guessed it. Over 120 scripts filled, from 16 different docs and 12 pharmacies!Its' a full time job! And she still came back after a month or so, to try again!
    Last edit by bigfishsmallpond on Jun 21, '04 : Reason: miss spellings
  3. by   Nurse Ratched
    Quote from teeituptom
    so true

    but now we have geeodon
    I've been less than impressed with that one over time (and still the potential cardiac side effects.) You had to admire the "Drop" power of droperidol .
  4. by   z's playa
    Quote from gettingmymsn
    Vic-heads are definately the norm in Detroit. They always pretend not to know the name of the pill that helped before...lets' see, vic. ahh. veco, umm vicodan ?yeah.We ha :hatparty: d one woman that pulled so many scams.She would present with a good story,broke a tooth, horrible pain. Allergic to everything, could take Vs, tho. Then she would calll back and say,those made me sick. Can I have something milder, like darvocet? then she came in the next day,grabbed an ED doc in the hall, and claimed she couldn't take the tylenol(in vicodin) so vicoprophen would work. 3 scripts, 3 different docs, 3 days. We were able to track her pharmacy scripts for the last 3 months..you guessed it. Over 120 scripts filled, from 16 different docs and 12 pharmacies!Its' a full time job! And she still came back after a month or so, to try again!
    Seems to me if you know the name of a med that works for you WITH the dose after many years of "practice" due to a legit ailment, you still get treated like a drugseeker by most.
    So if you don't know it...if you do know it..... :uhoh21: A lot of time I've had to let the ER doc waste time and medication I know would do no good because I was too scared to tell him in case he looked at me like a druggie.
    Once in a while the hospital or whoever does the detective work should do some detective work on those they suspect are drugseekers and they'd be surprised that some pts really have only one doctor...one script and one pharmacy.

    Maybe an isolated case like that..(like me) would restore some faith.
  5. by   ayndim
    Quote from z's playa
    Seems to me if you know the name of a med that works for you WITH the dose after many years of "practice" due to a legit ailment, you still get treated like a drugseeker by most.
    So if you don't know it...if you do know it..... :uhoh21: A lot of time I've had to let the ER doc waste time and medication I know would do no good because I was too scared to tell him in case he looked at me like a druggie.
    Once in a while the hospital or whoever does the detective work should do some detective work on those they suspect are drugseekers and they'd be surprised that some pts really have only one doctor...one script and one pharmacy.

    Maybe an isolated case like that..(like me) would restore some faith.
    I wish I could remember the drug that helped my migraine. Not a narc but I think they paired it w/compazine or phenergan. It worked like magic and none of the nasty side affects of narcs. Wish I wasn't so out of it so I could have written it down. When I finally become a nurse I will find out as I usually get one or two really bad migraines per year, except when I am pg or nursing. Never get them then.

    Has anyone ever had a bad experience with Imitrex? The one time I used it my head felt like it was on fire. Then my NP told me I shouldn't be taking it due to my medical history. I actually find Exedrin Migraine the best for the "minor" migraines.
  6. by   fab4fan
    Let me see if I can keep "the rules" straight:

    1. Don't be too "familiar" with names of medications (esp. it it's a pain med).

    2. Make sure you know the name of the med that works for you; don't be coy and "pretend" not to know.

    3. Make sure you puke your head off.

    4. Don't puke...if you can puke, that means you were able to eat, so you couldn't have felt that bad.

    5. Make sure you wear sunglasses in the ED; you can't have a real migraine if the light doesn't bother you.

    6. Please skip the melodramatic stuff like wearing sunglasses in the ED.

    7. Please don't bother the ED with something like a migraine...there are people out there with "true" emergencies, and you just hold us up from taking care of them.

    8. Stop being so judgemental by assuming that all ED nurses think that migraine patients are a nuisance.

    9. It would help to expedite things if you bring in a letter from your primary care doc that outlines a plan for when you have a severe migraine.

    10. Please do not do something as lame as bringing in a plan for when you have severe headaches...it's probably bogus, and even if it isn't we still think you're a seeker.
  7. by   RNin92
    Can I just say OH MY GOD...one more time?

    For all you people who are taking offense to the term "drug seeker"...
    Are you in the ER more often then the staff?
    Are you utilizing narcotics as your FIRST line of treatment for your migraines?
    Are you using multiple docs to gain access to multiple narcotic prescriptions?
    Are you utilizing the ER as your primary care physician?
    Are you coming into the ER with multiple vague complaints of which you never seem to follow with one doctor?
    Are you taking your narcotics at doses that are outside the prescriptive ranges?
    Are you bringing in your children with vague complaints of pain...no definitive diagnoses...just to take their narcotics?

    No you say?
    Then you are NOT who this post is referring to...
    So please BACK OFF!!

    Those of us who ARE ER nurses, and are trying to provide compassionate care, recognize that by giving non-stop narcotics to patients is MIS-treating them.

    And if you are feeling threatened by this post, I would wonder exactly where you fit in?

    People in pain are given approrpiate meds and treatment.
    People with addictions are given appropriate meds and treatment.
    Where do YOU fit in?
  8. by   ZAHMAN
    I'm not an ER nurse, but in the ICU we have our fair share of addicts, ETOH patients. On one occasion we had a pt. who was on our unit for almost two weeks for DT's. Well, he would become beligerent, physically and verbally abusing the staff during his admission. On one occasion his abuse towards me become escalated (Seeking ativan). This particular day I called him on his bluff. I told him Mr..... I've charted that you were alert and oriented and acting appropriatly. If you decide to hit me or any of the other staff from now on I will notify the police and file charges against you. Well I got called a few choice words, but he became very cooperative with the staff and was discharged the next day. Makes me wonder if he had any warrants.

    ZAHMAN
  9. by   z's playa
    Quote from fab4fan
    Let me see if I can keep "the rules" straight:

    1. Don't be too "familiar" with names of medications (esp. it it's a pain med).

    2. Make sure you know the name of the med that works for you; don't be coy and "pretend" not to know.

    3. Make sure you puke your head off.

    4. Don't puke...if you can puke, that means you were able to eat, so you couldn't have felt that bad.

    5. Make sure you wear sunglasses in the ED; you can't have a real migraine if the light doesn't bother you.

    6. Please skip the melodramatic stuff like wearing sunglasses in the ED.

    7. Please don't bother the ED with something like a migraine...there are people out there with "true" emergencies, and you just hold us up from taking care of them.

    8. Stop being so judgemental by assuming that all ED nurses think that migraine patients are a nuisance.

    9. It would help to expedite things if you bring in a letter from your primary care doc that outlines a plan for when you have a severe migraine.

    10. Please do not do something as lame as bringing in a plan for when you have severe headaches...it's probably bogus, and even if it isn't we still think you're a seeker.

    I'm printing this!!!!

    RN92

    I know where I fit in..it's trying to get some other people to realize it that's the problem..... and fab4 just said why. Sad but true. Even if we don't match the criteria at your ER...no matter what we do... we match it at ours. :stone

    Why back off? You have your side and unfortunately we have ours.
    Last edit by z's playa on Jun 21, '04
  10. by   teeituptom
    Quote from Nurse Ratched
    I've been less than impressed with that one over time (and still the potential cardiac side effects.) You had to admire the "Drop" power of droperidol .

    I loved droperidol also

    but its been yanked
  11. by   canoehead
    Perhaps the patients and the nurses should go play seperately on different threads? Both sides have a need to vent- but not to each other.

    You know what they say- if you don't like what's being said on one thread, start your own, but hijacking someone else's thread is considered rude.
  12. by   stevierae
    What ever happened to Cafergot for migraines? I got migraines until my early 20s. Don't know if I outgrew them or pregancy somehow "cured" them, but my migraines vanished when I was pregnant with my first child at 24, and they have never come back. Cafergot worked great except when I was nauseous, then I got Compazine as well.
  13. by   Quickbeam
    I have a non-nurse colleague who suffers from awful migraines. For a while,it was the ED, all the time, every week, with the requisite feelings that no one liked her, was suspicious, etc. I told her to ask her MD to set up a plan to help her avoid the ED....scripts, standing orders, home supplies. It has taken some work but she hasn't been back to the ED more than once in 6 months.

    I'm sure EDs don't want to see headache sufferers any more than people with a raging migraine want to be there. What I don't understand is why MDs and insurers aren't more pro-active at avoiding it. I think it is very do-able.

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