pain in the ed - page 14

i am wondering if a percocet or an oxycontin drive thru right in the waiting room would be the answer. then perhaps, we would have the time to give quality care to our patients who are really sick. ... Read More

  1. Visit  athomas91 profile page
    0
    :roll
    hogan - you are killing me.....LMAO
    sorry dave, but i was kinda funny....hehe
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  3. Visit  fab4fan profile page
    0
    I'm making an exception to my previous statement that I would not post further on this thread to say:

    Congratulations Dave and Mrs. Dave on your new baby!
  4. Visit  gwenith profile page
    0
    Let us put aside the attacks on each other and focus on the underlying issue.

    The frustration Emergency nurses feel when patients come in and abuse the system - I will not call them seekers because to do so is to confuse the term with those legitimately seeking drugs but I talk of those who use and abuse the system.

    This frustrates us in many ways

    1) We know that this is self-destructive behaviour and is not good for them
    2) It utilises scarce resources that could more legitimately be utilised for others
    3) It confuses the whole pain medication issue to the point where legitmate patients are mislabelled and mistreated
    4) Last but very much not least no-one likes to feel that they have been used.

    Now what are the answers???

    Let us imagine for one glorious minute that we have been given a magic wand that once we have found the answer, can be waved to cure the problem.

    Is the answer to have free drug clinics like some of the countries in Europe?

    Is the answer to medicate everyone blindly?

    Is the answer to educate the public?

    Is the answer to set up clinics in the Emergency room where these people can be referred so that thier underlying problem that causes them to abuse the system can be treated?
  5. Visit  hogan4736 profile page
    0
    dave, i couldn't resist...come on, even YOU can see the humor in it...besides, it was in good fun (gwenith )...

    (of course it was out of context...it was from ANOTHER THREAD!!!!)




    sean

    congrats on the baby... i have 2 boys under 3 years old!
  6. Visit  athomas91 profile page
    0
    i JUST WANT TO SAY THAT ALTHOUGH WE MAY ALL HAVE DISAGREEMENTS I WANT YOU ALL TO KNOW THAT I LOVE EVERYONE HERE. I AM SOOOOOO PROUD TO HAVE YOU ALL AS BROTHERS AND SISTERS IN OUR GREAT PROFESSION (EVEN FAB4 AND MDTERMINATOR)
  7. Visit  angelbear profile page
    0
    Fab4 and Md Terminator are my favorites I am so glad you included them.
  8. Visit  Dave ARNP profile page
    0
    Hogan,
    Two under Three.

    I retract every comment I have ever made (or thought). A six year old and a my newest will be equal the death of me. I don't know how on earth you're still alive.

    Dave, who realizes that... Well... Six hours of sleep wasn't enough after a 48hr depravation.
  9. Visit  MAGIK GIRL profile page
    0
    Originally posted by MD Terminator
    I have been gone for a couple of days as my wife just had our son... it would appear some people have been doing a little digging in my absence.

    I was going to respond and explain what I meant by this, but that would just be gratifying a over zealous urge for some of you to be right.

    Suffice it to say, this it was not meant in the context that you would like to think it was.

    Dave, who didn't realize that this had become the National Enquirer for Nurses.
    dave,
    business aside, congrats on your new bundle of joy!!!
  10. Visit  MAGIK GIRL profile page
    0
    Originally posted by MD Terminator
    Hogan,
    Two under Three.

    I retract every comment I have ever made (or thought). A six year old and a my newest will be equal the death of me. I don't know how on earth you're still alive.

    Dave, who realizes that... Well... Six hours of sleep wasn't enough after a 48hr depravation.
    you can do it dave! after all, who needs sleep? lol..... we are all pullin' for ya!
  11. Visit  teeituptom profile page
    0
    Congrats on your second joy.

    you can do it


    I raised 7
  12. Visit  teeituptom profile page
    0
    Perception is the reality of the individual.
  13. Visit  Uptoherern profile page
    1
    pain may be what the patiient SAYS, but pain is also what I SEE............ Yes I have a high tolerance for pain, but I am not going to be talking on the phone and eating fritos when I am in the er for abd pain. I am not going to have a HR of 78 with a pain of "10" I am not going to get a prescription for pain meds, and hide it in my bra, only to have my "boyfriend" try to wrestle it out of me in the parking lot. (He only got toradol)

    I have been an er nurse for a long time. but I will not give up the battle. Unlike Teeituptom, I will not "roll over". These people do not warrent my time or the time of truly sick people. Get Out Of My ER! ( go to teeituptoms )
    10MG-IV likes this.
  14. Visit  Dave ARNP profile page
    1
    Quote from erdiane
    pain may be what the patiient SAYS, but pain is also what I SEE............ Yes I have a high tolerance for pain, but I am not going to be talking on the phone and eating fritos when I am in the er for abd pain. I am not going to have a HR of 78 with a pain of "10" I am not going to get a prescription for pain meds, and hide it in my bra, only to have my "boyfriend" try to wrestle it out of me in the parking lot. (He only got toradol)

    I have been an er nurse for a long time. but I will not give up the battle. Unlike Teeituptom, I will not "roll over". These people do not warrent my time or the time of truly sick people. Get Out Of My ER! ( go to teeituptoms )
    When will the ED get it through their head?
    Pain is what the PATIENT says it is. Nothing more, nothing less.
    I dun't care what you SEE. I stand up to fast I see a few stars. But they're not real.
    I've just about decided that the ER forum has become a pissing contest. A virtual, I kept this patient in pain longer than you did. It's really quite sick.
    More sickening, is this mindset that as the nurse, there is some great ER NURSE in the sky who will rein their wrath onto you for giving an IVP of 2mg Dilaudid. The burden in this instance is going to be falling on the prescriber, and I hate to tell you, but it isn't you. Finally, no one is asking you to roll over. UNLESS, we're talking about an arm, so you can find the saline lock, so you can administer the medication that your SUPERVISING CLINICIAN ORDERED.

    I'm not backing down on this one.
    I understand that it's hard to change years of training and practice, but while you're deviating from proper standards, people are suffering.
    I do not understand though, why people are so resistant to change. Just because you've been intubating the anus for years, doesn't mean a change to the other end of the spectrum wouldn't do your patient a world more good.

    Dave, who's not attacking you, but is sick and tired of the whole troglodytic way of thinking.
    ktwlpn likes this.


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