Rx drug abuse in your ED- steps you take? - page 3

by thelema13

4,885 Views | 25 Comments

I have been getting fed up with the number of people coming into my ED drug seeking. One of the PA's have access to a database of all providers, pharmacies and pt info related to schedule 2, 3 and 4 prescriptions written and... Read More


  1. 1
    The way the nationwide medication shortages are going, you may only be able to offer a couple of Tylenol to the seekers pretty soon anyway. You would literally have nothing else available...
    whichone'spink likes this.
  2. 0
    Yeah, what is up with that? It seems like more and more drugs are backordered, now that I think about it.
  3. 0
    I was just reading through some literature about malingering- very surprising, also very frustrating. According to one article, the cost of untruthful claims (relating to malingering) in the US in 1995 was 59 billion dollars, or for the average family, an extra $1050 per year on health insurance premiums. So, feigning illness really is BIG money. Makes me so, so angry.
  4. 0
    I am currently looking at a drug-seeking pt as I read this. The pt comes in a minimum of three times a week seeking pain meds. He comes in so often, I know his allergies and medical history by heart. At times the pt has come into the ED already high seeking narcotics. The pt always has a story on how he has a future appointment with a pain management doctor. In short I am just getting just plain tired of it. I am one of the nicest and most patient RN's in the ED and this pt ****** me off. We have some doctors that will not give him anything more then toradol, while another doctor would order 2mg dilaudid when the pt is already slurring and glazed over.

    There is no point to my comment. I guess I am just venting.
  5. 0
    thelma13, thankyou for being proactive and being a real change agent in nursing. as a formeraddict (i've been clean and sober for over 5 years now) and new rn working atan inner city hospital in philadelphia, i am very aware and conscious of thisproblem. our hospital is flooded with "patients" wanting their fix.the dispensing and over-prescribing of narcotics in and out of the hospitalsetting has turned patients into customers and dr.'s into drug dealers. i feelcaught in the crossfire. i know what we are doing is wrong and yet i amcompelled to administer pain medications and the like. shame on us! afterreading many of the posts on this issue, i believe that many of your detractorsare living in fairytaleland. "pain is what the patient says it is" isa dangerous adage, used to justify this harmful behavior and help naive nursestolerate the overuse of prescription narcotics and has contributed to ourcurrent national predicament.
    do you know when an addict gets clean? when the pain gets great enough. onlywhen the consequences of using cause enough emotional pain is change possible.anyone who stands in the way of those consequences is an enabler and is doingthat individual great harm and a huge disservice. i became a nurse to relievepain and suffering not to contribute to it. by participating in a personísactive addiction, you are robbing them of the joy of truly living. prescriptiondrug abuse has become an epidemic and is killing americans. recent statisticsshow that more people die in 1 year from prescription drugs than from motorvehicle accidents. if this was a class of letís say "statins," theiruse would be only in cases where the need was significant and the benefitsoutweighed the negatives. so why are drugs that only mask pain and not bringabout prevention or resolution to a health problem so readily available topatients?
    i was becoming so disenchanted with nursing because of this reason and thanksto your post thelma13, i now see that there are initiatives i can advocate forat my institution and a means to become part of the solution; to do what i knowto be right, and break the complacency and mindless acceptance of negativeinterventions nurses have been ordered to perform to the detriment of theirpatients. as i begin my nursing career, i hope that this problem doesn'tcontinue to grow even more out of control than it already is, and thatprescription narcotics will begin to be used conservatively and cautiously incases where they are necessary not just a casual order set for any complaint ofpain.

  6. 0
    Quote from thelema13
    When you have talked yourself blue in the face about rehab, dangers of addiction, extend referrals to pain management doctors, etc and the patients do not change, nor want to change, that is when I lose compassion.

    When you keep doing the same actions over and over again and expect different results each time- is that not the definition of insanity?!?!
    I have dealt with addictions both in my family personally and professionally, this is not what we call "insanity" it is was we call "the DISEASE of addiction" and although it can make us on the outside feel insane trying to treat/fix/help these people, we must remember that they are suffereing from a disease, and until they are ready to get better they just won't. I agree with the fact that not all docs/nurses/health care professionals are not all on the same page, but at the same time, who are we to judge, it is our job to provide care and compassion, even when we may disagree. I think all docs should be mandated to attend and become certified through ASAM and maybe this would help some.

    We are stuck between a rock and a hard place I hear ya


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