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.