I have a question. The other night I was taking to my house supervisor about a patient who is a frequent flyer. He is a chronic non compliant patient who always wants the narcs. This hospital doctor hands out the IV morphine and dilaudid like it is candy.
I told her this is not standard practice and she said it was standard. According to our pharmacy, we give more than national average. I told her if the doctors stop handing out the IV narcs then our drug seeking patients would go down to a minimum.
How does your hospital dispense the IV narcs and for what?
I had a patient who was admitted for toe pain (DM) and had a order for dilaudid 2mg q2.