Quote from mina123
Recently i have been noticing a great amount of IV dilaudid addict patients. Nurses what in your opinion we should do? Giving the pain medication for post-op and other acute pain issues, i understand very well that we have to manage pt's pain. But the frequent flyer to our hospitals just bacause they are addicts in my opinion is encouraging these pt's and making a dilaudid/morphine society out there. Yesterday, i refused to participate in this with one of our MD's and demanded that this particular pt be sent to rehab for narcotic problem. Most of these pt's have pyschological issues to begin with. I refuse to be manipulated with this pt group and support there addiction in name of pain and medicine!!!!!!!!!!!!!!!!!!!
I understand your frustration mina123, I really do. But, looking at it in a different light may help you:
Wisdom given to me by a close friend of the family who lived near us. He was a WW2 vet and I loved listening to his stories. I was moaning about my teacher and how she flipped on me about something and how "unfair" it was and how I was going to tell her "where to go."
He said "There are a lot of times in life where being right is useless."
Then went on to explain after seeing the perplexed look on my face:
"Imagine you are driving, stopped at a light. You sit, wait for it to turn green so you can go. The light turns green, has been green awhile, and it is your turn now to go. But, on your left, you see a car. Some young kid who always runs the lights, speeds all the time. You know he is going to run the light, and if you go, he will hit you. It just makes sense not to go, even though you are right and it is your turn. You would, I hope, decide waiting and just going with the flow is better than pulling out in front of him even though "you are right." What is more important to you, teaching him a lesson to take his turn or staying out of a wheelchair, or even ending up dead."
These patients fall into the same category. We are right, we know we are, they know we are, but to "go with the flow" we must catter to them. Whats more important to you...........keeping your job in this financial crisis or teaching Joe the dilaudid addict that he cant get away with it?
Best thing we can do is, be there, be non-judgemental and supportive if they ever do decide they dont want to live that way. In the mean time, I just give them whatever is ordered as long as it is safe for them (lol, with their tollerence, twice the dose they are getting would be safe) and concentrate on my other pts. I dont let them run me around calling doctors asking for more or anything like that, its not safe to the other patients. But, I dont waste my time letting them get to me either.