Crazy things pt's do for pain meds.

Nurses Relations

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I have two stories actually, not sure which is worse.

1. I was working the floor, doing crazy OT, switching between this and that shift to help out (doing all three shifts the same week) and I was dead on my feet. Short on patience for the booing and hooing.

Had a woman who was an obvious drug seeker. She couldn't get enough. She tried all the tricks........asking for it right at shift end, waiting for the next nurse to come on and asking for it again.........everything. She put her light on, and when I got there, she proceeded to explain to me that she had called her doctor in NY (I am in PA) and it was OK with him for her to get 4mg dilaudid instead of 2mg and that he ordered a "now" dose also. She then went on to let me know I did not need to call him, she would NEVER lie about such an important thing, and that he was on his way to surgery and would not be available for me to talk to.

I explained to her that I could not take a verbal order from a doctor who does not round at the facility. She got upset, insisted I could, she had seen it done a thousand times. She was convinced the doctor had given me an order, and the only reason I would not respect is was because I didn't believe her and I didn't like her (yes, I made sure I did not deny that I did not like her, I didn't confirm it, but I didn't deny it either). She told me to "Go to Hell."

2. Had a pt. sharing his semi-private room with an older gentleman who had Parkinson's. He was the type always asking for his med early. And yelled and screamed at his nurses to call the doctor and demand more for him. After one such incident with me, I informed him the doctors had left instructions that no calls for pain meds were to be made (and they had......wrote it as an order) and he had to discuss it with them when the rounded.

So, I'm preparing insulin for another pt, different room, and I hear a loud bang from his room. At first I think it is his roomate, who frequently drops his food try onto the floor. As I go towards the room, I see the seeker putting the clock back on the wall then running and laying back in bed.

I go in, ask if everyone is ok and what the bang was.

Pt: "I didn't hear anything, must have been another room. BTW, I have been due my pain meds for 15 min. now and I told you a long time ago I wanted them. So march out there and get them or I will be contacting your supervisor. NOW".

Now, I knew he was not due for awhile. So I look at the clock on the wall. :eek:According to it (I knew right away), he WAS 15 min. past due. Yep, you guessed it. He changed the clock on his wall to make himself due. It now also had a large crack on the face and......well, didn't work at all anymore. Problem for him was, these clocks didn't have the little knob on the outside for you to adjust the time with. You had to open them with a screwdriver to change the time. So, he had to crack it open to do this time change of his.

I gave the clock to my DON, and she was :angryfire. Had him D/C'd an hour later. I never saw her flex her muscles like that before. She even put the clock in his belongings bag. According to her, he had bought it.

Specializes in school nursing, ortho, trauma.

Had a patient who we swore the wife had an addiction problem. She looked so jealous the entire time that he was on the PCA - giving a dirty look to him every time he hit the button. When we d/c'd the PCA I could swear that he was hiding the percocets in his mouth then giving them to her as he never seemed to get relief unless she wasn't visiting at the time. Once when he was sleeping she tried to get me to bring him percocets and told me to "just leave them, he'll want them when he wakes." Yeah right. I said he could call me. She was totally annoyed by that response.

He changed the clock on his wall to make himself due. It now also had a large crack on the face and......well, didn't work at all anymore.

This is too funny!

Specializes in Cardiac Telemetry, ED.

Wow, some of these stories are crazy! I've had people ask me to leave the pain pills at the bedside, but that's about it. Nothing as crazy as any of these stories!

Specializes in Trauma/ED.
I knew a guy who used to dislocate his hip. Did it 3-5 times each week for several months and showed up at the ER by ambulance wanting Demerol ("75mg because 50mg didn't quite do it").

One of the orthopods got ****** off and reduced his hip without any meds at all and, miraculously, he never had anymore problems.

We have the same thing going on now with a pt who dislocates his own shoulder...29 visits this year...no narcotics but some of the docs still sedate him...ugh

The trick that disgusts me the most are parents who insist their kids (young and adolescents alike) need pain meds for whatever problem they have. I am sorry, but unless you have a peritonsillar abscess or 4+ swelling you do NOT need lortab for a sore throat. And a knee lac with 4 stitches- gimme a break. Sprained ankles- motrin and ice. now get outta my er.

I had the opposite experience of this. My daughter had a terrible case of swimmers ear. I took her to the pedi, got the drops, had been given her motrin, ect ect. She hadn't slept well in 2 days so I asked for something other than motrin. Pedi said no. Later that day she is bawling on the couch, laying on the heating pad, begging for me to "do something." The pain was radiating down her jaw....and this is a tough kid. It took me 3 calls to the doc's office before they would give me a script for tylenol with codiene. Finally I just had to say...."look we have been patients there for 11 years and I have NEVER asked for a narcotic before. NEVER....look at our records". I get that people have to deal with drug seekers and it's a hassle, but denying a child pain relief is just wrong! But I get what your saying....I think it is different in the ER.

How was he able to do this? Our PCA pumps require a key in order to make any changes (change the syringe, alter the dosing, lockout rates, etc)

our pumps had keys, and the machines had a shrill shreik when the door was opened

Specializes in thinking about being a PA instead, now.

I suppose everyone here would think I was crazy, too -- for not wanting to take pain meds (they upset my stomach and give me hives) YET still be made free of whatever pains were "killing me" at the time! :p

Hey, just wanted you guys to know that I'm enjoying this thread. I can't get warm today for some reason, so I'm sitting here drinking hot cocoa, and looking at allnurses. Can't believe some of these stories, simply outrageous!

Specializes in thinking about being a PA instead, now.
The trick that disgusts me the most are parents who insist their kids (young and adolescents alike) need pain meds for whatever problem they have. I am sorry, but unless you have a peritonsillar abscess or 4+ swelling you do NOT need lortab for a sore throat. And a knee lac with 4 stitches- gimme a break. Sprained ankles- motrin and ice. now get outta my er.

curious what a 4+ swelling is...

is that a grade of swelling or in inches?

i recently had an ankle incident that caused swelling from the size of a golf ball to a tennis ball to a small grapefruit. would i have been worthy of a visit to your ER? :chair:

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
how was he able to do this? our pca pumps require a key in order to make any changes (change the syringe, alter the dosing, lockout rates, etc)

ours just have a digital lock code, and if you know the code you can reprogram the pump.

Specializes in M/S, Travel Nursing, Pulmonary.
I had the opposite experience of this. My daughter had a terrible case of swimmers ear. I took her to the pedi, got the drops, had been given her motrin, ect ect. She hadn't slept well in 2 days so I asked for something other than motrin. Pedi said no. Later that day she is bawling on the couch, laying on the heating pad, begging for me to "do something." The pain was radiating down her jaw....and this is a tough kid. It took me 3 calls to the doc's office before they would give me a script for tylenol with codiene. Finally I just had to say...."look we have been patients there for 11 years and I have NEVER asked for a narcotic before. NEVER....look at our records". I get that people have to deal with drug seekers and it's a hassle, but denying a child pain relief is just wrong! But I get what your saying....I think it is different in the ER.

See, my stories are funny in a way, thats why I like to share them. At least they seem funny to me. Then you hear about stuff like this and.................:barf01:.

These drug seekers that we nurses are taught/trained to pretend are not there make things so hard on everyone. The nurses, the physicians and the honest patients all suffer one way or another, as you did, because of the atmosphere they have created in the healthcare field.

And for what? For what reason do we continue to cater to them. The majority of them do not contribute anything to their community or society as a whole, yet for some reason...........the powers that be always seem to think they need protection.:angryfire

I do understand the need for a non-judgmental approach to nursing care. I'll never forget, at my first job ever, a certain pt. She came in with no complaints other than "generalized pain". Couldn't really do much for herself, bad mood all the time, never happy with the pain management she was given. No one would admit it afterwards, but, pretty much all her nurses and physicians wrote it off as the ramblings of a drug seeker. Thank goodness, at the very least, she did get pain coverage and we all did what we should...............gave the medication as ordered.

She went away for a couple months. Came back and was placed under hospice care. Turns out, she had bone CA.......EVERYWHERE. IDK why she was on our unit, perhaps because we were the unit of choice for hospice care. A lot of us who questioned her complaints of pain found ourselves reassessing our way of nursing. I was one who....pretty much gave her the meds that were ordered, right on time.........but she said it didn't help enough. I made a couple calls about it, was turned down for a change in the meds. I could have pushed for it though and didn't.

So, I can see the benefit to being blind to the drug seekers so as not to risk mislabeling someone. But gosh darn, these seekers like the ones in the stories on this thread burn me up sometimes.

I had a patient who stole saline flush syringes out of the trash and drew blood out of their line and put it in a basin (i.e. vomiting blood) so they could seem more sick and get more meds. Of course I've also had lots of patients who really needed to be in rehab but generally speaking, drug abusers don't come to the hospital to detox they come because they are sick some other way. Its not my job to decide to detox them.

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