Administering pain meds to a sleeping pt - page 4
by opossum | 11,990 Views | 49 Comments
I'm a new nurse and recently received my first "negative" comment on a patient survey. Pt was a young woman s/p lap appendectomy; she complained that I "must have forgotten" about her pain meds and claimed that I medicated... Read More
- 1Aug 29, '11 by rn/writer GuideQuote from MunoRNThey don't get labeled seekers by me. I tell my patients to call, even if they said earlier they were fine and were sure they wouldn't want anything until morning. I make it clear that they can change their mind at any time, and I'll get what's ordered, so long as we stay within the prescribed boundaries.And when they do call to ask then we label them as a "seeker"; either way they lose.
I don't believe I get bonus points for every PRN net administered.
- 1Aug 29, '11 by chevyvI would not want to be woken up for a pain med. It's hard enough to get sleep when your a pt in a hospital so I would not have woken them up to offer pain meds. If your in pain, you wake up. I like the comment about asking before they go to sleep to see if they would prefer being woken up. I'll do that from now on.
- 1Aug 29, '11 by Spritenurse1210I always educate the patient about which pain meds are scheduled and which ones they have to ask for. I wake patients up for scheduled pain medications. Depending on the reason the patient is on my floor is if I wake them up for prn pain meds. We get a LOT of cancer patients and patients that are not able to vocalize their discomfort. For these patients I give them prn pain medications when I can as ordered by the doc and as long as they're not sedate. Also if the patient is contracted and or has a feeding tune, you bet I'm giving them something for pain ( usually those I get can't talk or communicate at all) relax and realize that patients are fickle. Make sure to document and follow md's orders and you will be fine. Also if the pain meds that are ordered aren't working for the patient the md should be notified.
- 0Aug 29, '11 by linearthinkerQuote from MunoRNThe OP asked:It's never appropriate? Any particular rationale behind that?
"But would you wake a sleeping pt to give them a PO pain med?" She didn't ask is it ever apppropriate, she asked would you. I stand by my response. I have no idea what has transpired since the OP.
- 1Aug 29, '11 by carolmaccas66As Flo says, in many units I've worked in, u must wake people up.
The doctors who perform the ops also annoy me, cos they tell people 'you will have pain relief and will have NO pain', which is inaccurate. They should be saying we will control your pain the best we can, so that you are comfortable'. Some patients don't respond well to any pain meds, pumps or whatever.
I wouldn't wake them for a prn med either. I would wait for them to ring the call bell. If they couldn't (dementia or whatever), I would give all meds as charted.
If meds aren't prn, they get woken whether they like it or not and get given them medication.
Patients will always find something to complain about, especially when they have pain. She is just blaming u for having pain. Why didn't she ring her call bell for something - did u ask her - or couldn't she be bothered.
We are not mind readers, and generally, if people are sleeping comfortably, I do not wake them for prn meds.
Just say something like: My crystal ball wasn't working that night!
I reckon u did the right thing - she is just whingeing and whining (as usual with these types of patients), & just wants someone to blame.
- 0Aug 29, '11 by Mgrn123Happens to the best of us. Chart chart and chart. In this situation check her Bp pulse etc.... Tell her u do it at night while she is awake so u don't scare her. Check her hx of meds administered if she has been there a while and based on that judge if she needs pain meds. low Bp hr etc don't do it abnormal hr Bp etc she may be in pain. Hope this helps!
- 3Aug 29, '11 by LouisVRNI will ask the patient on my first round, if they are taking pain medication, if they want me to wake them up for it. If they say yes, I wake them up every time they are due for it, if they say no, I tell them to call me if they want anything. I document their response.