Tips on how NOT to appear like a Drug seeker - pg.7 | allnurses

Tips on how NOT to appear like a Drug seeker - page 7

Having read through some of the threads regarding Drug seekers in the Emergency Department I must admit I now feel quite nervous of being misperceived in this way. I take medication which causes some... Read More

  1. Visit  ERNP profile page
    0
    [quote=fleur-de-lis]

    That said, isn't pain control a right, and mandated by JCAHO? We were taught that even the people who ARE drug addicts have a right to pain relief, and that nurses are obligated to take the patient's word for it. "Pain is whatever the pt. says it is" was preached to us ad nauseum!

    quote]

    A right?? Healthcare in itself isn't even a right!! It isn't in the bill of rights or the constitution. Is providing care morally and ethically responsible for a civilized society, yes. But not a one of those "inalienable rights" with which man was "endowed by his creator".

    Imagine this.... We hold these truths to be self evident, that all men are created equal... endowed by their creator with certain inalienable rights to include life, liberty, the pursuit of happiness, a prescription for Percocet, and a shot of dilaudid".

    I have often thought of JCAHO's role in the demise of healthcare in general. They have created more havoc and more paperwork than any one organization has a right to create. But they still can't dictate provider practice. Maybe that is in the works for next year.
  2. Visit  JessicRN profile page
    2
    I have to admit it but I feel for the people with mental illnesses coming in with pain. They automatically are deemed either neurotic or drug seeking. 10 years ago I was misdiagnosed with a mental illness and put on a whole slew of drugs. I developed severe abdominal pan while at work (I was and still am an RN) The pain was a 50/10 when I moved. As long as I stayed still I was fine with no pain. I had to be picked up from a chair and put on a stretcher taken by ambulance then placed on an ER stretcher. Needless to say I was not handled gently and I screamed in pain. A resident came in told me to stop sreaming then proceeded to ask me what illegal drugs I take and how much alcohol I drink. I told him I work in a jail get random drug tested and I do not drink. He drew blood and refused to give me anything for pain. He then sent me to xray for a sitting and standing KUB. needless to say I could not do it so the Xray tech "helped" and spun me into a dangling position (I was only 85lb) She recieved a reflexive punch in the arm. I was so embarrassed but the tech told me I had nothing to be sorry for it was her fault the resident told her to do it because he thought I was faking. I was diagnosed with pancreatitis with a lipase level off the charts. The resident came into my room and said "now tell the truth how much do you drink" I told him I do not drink he then said well you have severe pancreatitis I said nice how else do you get it he said gallstones. I was admitted to the ICU and almost died. I recovered and had 2 surgeries to remove all the stones (they filled 2 urine cups. When I recuperated I made a date with the medical director and had a meeting with the resident and presented him with the stones. He humbled and said when he saw al the meds I was on he immediately felt I was faking and a drug seeler. Sad to say but I got that whereever I went. Thankful to say I stopped the meds on my own 8 years ago and have had no problem and continue to work as an RN. No one has since ever labled me a drugseeker or neurotic. Go figure
    Jonecour3096 and tsalagicara like this.
  3. Visit  WillowBrook profile page
    0
    Quote from onlyanrn
    I agree that only someone who is seeking would worry about how not to look like she is seeking. If you are truly in pain, you are not going to care what others think of you or how you apepar.
    Well you'd think so wouldn't you (about not caring how you appear) and yes if I am ever in severe pain and need to present to the ER the foremost thing on my mind isn't going to be "do I look like a drugseeker", it's going to be "help me stop this pain please". I did not pose the original questiont o get "tips" on how to scam drugs from a hospital, I have absolutely no need to do this seeing as a) I am a former Drug Addict who has been completely clean for 4 years b) even if I was still an addict I already know which local Doctors I can go to for "help" c) If I was still an addict it is far easier for me to just call up a local dealer to get a fix.

    As for why I did pose the original question, well I think anybody who reads these boards and hears how people are so quick to pass judgement on who is a drug seeker and who is legit (not saying everybody but there is a certain element here) and then read about other peoples bad experiences as being mistaken for a drug seeker, would be extremely naive to think that they don't have to worry about being perceived as a drug seeker.
  4. Visit  gauge14iv profile page
    0
    I am just a little concerned that this is all available for anyone who is not a nurse who stumbles across this board to read however...
  5. Visit  jerseyboy profile page
    0
  6. Visit  Marie_LPN, RN profile page
    1
    By doing a search on Google, about "tips" for getting a fix, this thread wasn't showing up on the first 25 pages of results. Actually nothing allnurses related, either.

    And, let's see here, how many threads are on here that contain posts that reference people/pts. who were drug seekers, in detail???

    In that 5 minutes search, there were sites listed, NON-NURSING, that gave tips on how to "get what you want". In other words, if someone wants it bad enough, they'll find a way to get it.
    DeLanaHarvickWannabe likes this.
  7. Visit  Marie_LPN, RN profile page
    0
    As for why I did pose the original question, well I think anybody who reads these boards and hears how people are so quick to pass judgement on who is a drug seeker and who is legit (not saying everybody but there is a certain element here) and then read about other peoples bad experiences as being mistaken for a drug seeker, would be extremely naive to think that they don't have to worry about being perceived as a drug seeker.
    Understandable.
  8. Visit  Marie_LPN, RN profile page
    0
    I agree that only someone who is seeking would worry about how not to look like she is seeking.
    Guess i'll be a seeker the next time i'm in severe pain.
  9. Visit  gauge14iv profile page
    0
    Judgement as to whether someone is drug seeking or not should be reserved for AFTER the appropriate assessment and workup is done. That way people who are in real pain wouldnt have to worry about being taken seriously. the largest part of the problem occurs when a patient comes in in pain and the provider makes a snap judgement before actually assessing the patient. THAT is a problem.

    As for the searches - they take a few days to show up - but I suppose you are right - there are plenty of other places and threads that have lots of the same info.
  10. Visit  Marie_LPN, RN profile page
    0
    the largest part of the problem occurs when a patient comes in in pain and the provider makes a snap judgement before actually assessing the patient. THAT is a problem.
    And it sounds like that's what the OP is trying to avoid.
  11. Visit  fleur-de-lis profile page
    0
    [/quote]A right?? Healthcare in itself isn't even a right!! It isn't in the bill of rights or the constitution. Is providing care morally and ethically responsible for a civilized society, yes. But not a one of those "inalienable rights" with which man was "endowed by his creator".

    Imagine this.... We hold these truths to be self evident, that all men are created equal... endowed by their creator with certain inalienable rights to include life, liberty, the pursuit of happiness, a prescription for Percocet, and a shot of dilaudid".

    I have often thought of JCAHO's role in the demise of healthcare in general. They have created more havoc and more paperwork than any one organization has a right to create. But they still can't dictate provider practice. Maybe that is in the works for next year.[/quote]

    As a comsumer of healthcare, I am glad there is an organization that is focused on quality and safety outcomes. As a furure nurse, if that causes me a little more paperwork (or a lot more), so be it.

    My first trip to the ER was recently and was for pain control. I had N/V/D with severe upper abdominal pain. The guesses were gallbladder or kidney stones, but thankfully it was neither. I am pretty stoic when it comes to pain, and I have a feeling the nurse felt much like you do about pain control. Thankfully the MD did not and I was given toradol IV which helped alot. Had the nurse taken the time to talk to myself or my husband, she might have found that I do not like to take meds of any kind and it is a testament to the severity of my pain that I was in that I was in the ER at all! I pray that if I am ever in that situation again, I will not be faced with providers who do not feel that I have a right to have my pain relieved.
  12. Visit  JessicRN profile page
    0
    Question for people out of interest....would you have slightly more respect for a drug seeker if they just came out and honestly said that they were in withdrawal and needed something to help them out?[/QUOTE]

    We treat withdrawal differently with clonidine patches and such, we have given ativan depending on your symptooms, no other narcotics. Someone withdrawing shows signs (nausea vomitting,shakes,shivers and diaphoresis Elevated BP and heart reate and temp to name some). No it is not a good idea to give someone who can't get a fix on the outside narcotics.That makes us his pusher.
  13. Visit  jojotoo profile page
    0
    The nurse that didn't have time to talk to you or your husband about your "pain" was probably doing the documentation and paperwork from her last 10-15 patients that was required by JCAHO. This paperwork had also probably prevented her from getting a meal break or a bathroom break for the last six hours. I'd like to see if you are of the same opinion after you have been a nurse for several years and you see how in the real world doing all that REDUNDANT paperwork prevents you from giving the quality of patient care that you would like to be able to give.


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