Narcotics administration - page 9

I work on a med-Surg floor where dilaudid is prescribed excessively. Especially to chronic drug seeking pts. We have joked that we think some of the pts are setting an alarm to wake themselves up so... Read More

  1. Visit  schoolmack profile page
    3
    Thank you! For everyone who had constructive advice and specific examples regarding this topic! I believe there was a lot to be learned here. Some should learn how to communicate civilly on a message board but that's another matter
    I think it is easier to know how others deal with frustrating situations at work, whether or not narcotics are involved!
    I think the main thing I gained from this is that pain is real to the pt whether it is physically present or imaginative.. If they think they're in pain and feel miserable then they are... Abusers or severe sufferers! It is our job and oath as nurses to help the pt be comfortable and feel well taken are of!
    The loss of control these pts receive upon admission is my worst nightmare.. I can't imagine being a pt under the circumstances that we put them in! We tell them when to eat, sleep, go to procedures when they can get meds etc... It is a complete loss of personal control!! I truly feel for them!!!
    Thanks again to those who took the time to constructively add to this thread.
    Poochiewoochie, Sun0408, and joanna73 like this.
  2. Visit  Poochiewoochie profile page
    0
    Quote from schoolmack
    Thank you! For everyone who had constructive advice and specific examples regarding this topic! I believe there was a lot to be learned here. Some should learn how to communicate civilly on a message board but that's another matter
    I think it is easier to know how others deal with frustrating situations at work, whether or not narcotics are involved!
    I think the main thing I gained from this is that pain is real to the pt whether it is physically present or imaginative.. If they think they're in pain and feel miserable then they are... Abusers or severe sufferers! It is our job and oath as nurses to help the pt be comfortable and feel well taken are of!
    The loss of control these pts receive upon admission is my worst nightmare.. I can't imagine being a pt under the circumstances that we put them in! We tell them when to eat, sleep, go to procedures when they can get meds etc... It is a complete loss of personal control!! I truly feel for them!!!
    Thanks again to those who took the time to constructively add to this thread.
    I'm glad that some of the comments helped you. I also think it's important for nurses who do struggle with this issue to hear from people who are or have been chronic pain sufferers and what they go through when they go to the ER or are admitted. If more people in the medical field weren't so prejudiced against people who have pain I think a lot of pain patients wouldn't arrive in the ER with a chip on their shoulders because of the way they have been treated in the past. It's not fun being a patient and like you said, we lose our personal control when we are admitted to the hospital whether it be for some illness or surgery.
  3. Visit  newhospicern profile page
    0
    Quote from Jory
    This is how I view drug seekers: I don't care about them. I don't care about their health. I don't care if they die an early death.

    That is not a popular opinion as a nurse, but drug addiction IS A CHOICE...bottom line....

    ....So, if they have loaded up on herion before they come in, lied about it, we can't see evidence of it and we give them something else and they drop dead? One less drug seeker as far as I'm concerned.

    These people generally don't work, they mostly live on state assistance and they neglect their children and give birth to drug addicted infants. They are the lowest of the low and IT IS A CHOICE.
    Wow. Does it make you feel good to be so superior to the subhuman drug addicts?
  4. Visit  BrandonLPN profile page
    1
    Quote from Jory
    This is how I view drug seekers: I don't care about them. I don't care about their health. I don't care if they die an early death.That is not a popular opinion as a nurse, but drug addiction IS A CHOICE...bottom line.If they get admitted to the hospital, it is my job to assess them. If I think they are drug seeking, I'll communicate that to the doctor. you can only ASK THEM what else they are taking, IF THEY LIE TO YOU, YOU ARE NOT LEGALLY RESPONSBILE for what happens to them if they have a drug interaction or if they have taken something before they come in...and anyone that tells you any different, I challenge them to produce an article proving otherwise. Nurses are supposed to ASK but we are not required to be mind readers, nor does the law.Now, after my assessment and report, if a doctor wants to prescribe them a narcotic, I don't care. My last responsibility is to make sure that GIVEN THE ASSESSMENT AND REPORT FROM THE PATIENT, if the dose is appropriate and if an injection, to give it appropriately.That is where my responsibility ends.Do you know why I don't care? I didn't create the system...doctors, lawmakers and hospital administrators did. It's not me that the DEA is going after for over-prescribing narcotics...it's going to be the doctor who wrote them out.Pain is what the patient says it is and until someone comes up with a pain test, I'm not putting my license or job at risk for a drug seeker.So, if they have loaded up on herion before they come in, lied about it, we can't see evidence of it and we give them something else and they drop dead? One less drug seeker as far as I'm concerned.These people generally don't work, they mostly live on state assistance and they neglect their children and give birth to drug addicted infants. They are the lowest of the low and IT IS A CHOICE.
    You don't know what kind of a life this addict has had to endure. I personally know crack addicts who have lived lives since childhood that I know I couldn't have survived. And I consider myself a strong person. when you consider the cards that many addicts have been dealt in the game of life, the very fact hay they're still alive and kicking is a testament to their *strength*.
    newhospicern likes this.

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