Jul 7, '04
Quote from JimmyMallo
I think one of the BIG problems I see is that we are nurses are so damn judgemental. If a patient has standing orders for narcs and states a specified pain level the nurse gives the drug, there is no judgement call orders are orders. If the person is an addict that is the DOCTORS fault! Why would we as nurses say something like a few addicts ruin it for everyone!!! We despense medication ordered by doctors, if a doctor orders narcs for an addict them I give the drug if I start looking for addicts I see one in every patient and quality of care suffers. Why would I give the addict the power to lower my overall nursing care? If he talks the doc into narcs then he has a problem, but it's not my problem. Pain is little understood and poorly treated in general and I feel nurses should be more open in general to pain management. If you serve a few addicts to help 1 patient in genuine pain who looks OK to you then I say good job. What is it that makes drug seekers soo important to nurses that we alter our care based on our perception of how patients like the meds? Bottom line, it is the person who is in pain that is important not the drug seeker. If everyone gets their ordered meds every time we would have happy patients and happy addicts and less stress on ourselves trying to find the difference.
I hope I wasn't sounding judgemental becaues I was merely relating. Yes, a patient says he is in pain and we do what we have to.
It's when you give them 125 mg of Demorol and they give the academy award winning performance of a lifetime and you wake up a doc at 2AM, get yelled at, go into to give them their new pain medicine and they are sound asleep, off the floor smoking, eating calmly, laughing at a TV show or yaking on the phone. Only to have the show repeat itself in another hour when they are in severe pain again. Judgement, no. Frustrating yes.
Do we need to be able to honestly vent our frustrations without being labeled judgemental? Absolutely.
Last edit by Tweety on Jul 8, '04