pain in the ed

Specialties Pain

Published

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.

our er uses the pixis and computerized mar's. the doc orders a drug, you have to wait, wait, wait, and then go to the pixis, get a witness for a waste (if you don't need all of the pre measured dose), and then give the pain patient his dose. never mind the fact that on the way to the pixis you have 6 other things that suddenly need to be done and that pain patient has sent each of his 6 visitors individually at 5 minuet intervals to complain that the 2 hour er stay is rediculous and that he missed his dinner and wants you to fix him something to eat.

by the time you get to the patient, the award winning draumatic preformance is simply breath taking!

now i know that some pain is true. but if i have a kidney stone, an acute appendix, labor pains, or chest pain, the er nurse shouldn't have to come out to the smoking area, tell me to put out my cigarrette, put down my big mac and accompany her to a room where my vs are 120/80 - 70 - 16!

thanks for allowing a "newbw" to vent!

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.

:roll :rotfl:

hogan - you are killing me.....LMAO

sorry dave, but i was kinda funny....hehe

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!

Specializes in ICU.

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?

dave, i couldn't resist...come on, even YOU can see the humor in it...besides, it was in good fun (gwenith:p )...

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

:D

sean

congrats on the baby... i have 2 boys under 3 years old!

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)

Fab4 and Md Terminator are my favorites I am so glad you included them.

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.

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!!!:) :) :)

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!

Specializes in ER, ICU, L&D, OR.

Congrats on your second joy.

you can do it

I raised 7

Specializes in ER, ICU, L&D, OR.

Perception is the reality of the individual. :balloons: :balloons: :balloons: :balloons:

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