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 the can request more IV medication "when it is due" (actually when the time is up and they can get it again) Anyway, we have confirmed this as fact, and I have a problem administering pain medication to someone who is setting a clock to receive it, not because they are genuinely in pain.
What do you think? How would you handle it? These are frequent fliers and this is a very constant issue!
Aug 25, '12
by TheCommuter, BSN, RN Senior Moderator
In this day and age of healthcare where so-called 'customer service' overrules patient care, I've resigned myself to giving patients whatever they request to avoid having any petty complaints lodged against me.
As long as their respiratory rate is at or above a certain threshold and they are not overly sedated, I do not care if they are really in pain. They're getting their narcotics as long as it is time for the next PRN dose.
The nurse is in a no-win situation here. If a patient complains that the nurse did not give the Dilaudid promptly, management blames the nurse for creating a 'poor patient experience' and providing bad 'customer service.'
Last edit by TheCommuter on Aug 25, '12