Quote from rn/writer
Many nurses and physicians are afraid of pain meds. They worry about addiction. They don't understand the difference in how people in pain metabolize opiates. And they don't get the concept that respiratory depression and, yes, even death can be a side effect of achieving comfort, although death should never be the goal.
The patient has a better chance of being properly medicated with someone who does understand these principles, as it appears you do. But if your peers and those above you don't get it, you may have a fight on your hands.
truer words never written.
you would be amazed at the number of nurses/md's who FEAR morphine.
no matter how much inservice they get, their minds are made up and they will NOT administer 'that' fatal dose.
even at the cost of pt suffering.
you'd be better off getting orders q shift, with a specific dosage for ea shift.
this way, the order wouldn't be left to the judgment of the nurse, and he/she would have to follow it.
so whatever dosage the pt is getting relief from, get orders for that dose.
make the order for only 8-12 hrs, so they would have to be renewed for either the same or increased dose.
i know it's a pain, but this will ensure the pt will be getting some
relief, as opposed to a tawdry 2 mg.
afterall, this should
be about the pt's needs and not
the nurse's fears.
thank God for you and nurses like you.