pain in the ed

  1. 0
    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!
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  3. Visit  MAGIK GIRL profile page

    About MAGIK GIRL

    From 'MY OWN LITTLE MAGIKAL WORLD'; Joined Dec '03; Posts: 314; Likes: 12.


    189 Comments so far...

  4. Visit  fab4fan profile page
    0


    Here we go again...
  5. Visit  Dave ARNP profile page
    2
    Definately a thread that the Pain Management NP is going to stay out of.

    On a side note to Nurse Complainer. Since you dislike pain so much, have you considered dermatology nursing?

    -Dave, who reminds people that PAIN is what the PATIENT says it is...not the Nurse/PA/NP/DO/MD says.
    sharpeimom and I love my cat! like this.
  6. Visit  fab4fan profile page
    1
    Bravo, Dave NP!

    To all you who gripe and kvetch about pts. who have pain...may you never find yourselves in the same unfortunate position, being cared for by people who are so short on empathy.
    sharpeimom likes this.
  7. Visit  unknown99 profile page
    1
    PAIN IS WHAT THE PATIENT PERCIEVES IT TO BE!!!
    Different people have different pain tolerance.
    Did you not learn that in Fundamentals of Nursing in school?
    sharpeimom likes this.
  8. Visit  ERKev profile page
    2
    Hey, Magik Girl, I can relate. While the patient's perception is what we need to focus on, it's frustrating to be busy and have a social butterfly or fast-food junky demanding meds while not missing a step in their quest for more fries, etc... Ya get used to it...

    To our other advanced practice folks and "old salts" - Lighten up! You guys descend like piranah! Why jump on her education??? Why jump on her compassion??? Geeze Louise!!! We're all in this together!!! Give her a chance! You can't teach compassion. And it takes a while for the true ED nurse to come through and bloom! :-)
    619! and canoehead like this.
  9. Visit  gwenith profile page
    2
    As you all know I have jumped on this particular bandwagon before so here goes.

    The problem with inadequate pain relief is not education - If the nurse does not know that pain is what a patient says it is then they will know 10 minutes after posting on this BB:chuckle

    The problem lies in us recieving conflicting information from the patient - hearing a report of X amount of pain while seeing no evidence. Part of this is an unconscious expectation that people in pain should display xyz symptoms and partly because of persistant myths about pain and partly this is an area that IS poorly addressed in texts. i.e. what are the myths, what are peoples expectations of pain and behaviour that is fueling this conflict.

    So, instead of us just coming out with the same old tired platitudes let us try to find out what that person believes and see if they are truly operating on myths.

    http://allnurses.com/forums/showthre...in+and+gwenith
    Last edit by gwenith on Dec 14, '03
    RN37 and canoehead like this.
  10. Visit  fab4fan profile page
    0
    It's one thing to ask because you don't know, quite another to come across with judgemental and sarcastic attitudes based on ignorance but offered as expertise.
  11. Visit  MAGIK GIRL profile page
    0

    slam! dunk! he scores!!!!!!!!!!!!!!!!!



    again, perception is 9/10th' of reality......
    ya'll should lighten up. i didn't realize that i was entering the twilight zone. i thought i left all of my uptight nursing instructors in college after i graduated 12 years ago!

    sit back,relax, and enjoy the ride. life is too short!

    :kiss
    Last edit by MAGIK GIRL on Dec 14, '03
  12. Visit  ERKev profile page
    0
    Nope! They're hiding here with assumed names! <grin>
  13. Visit  MAGIK GIRL profile page
    0
    Originally posted by ERKev
    Nope! They're hiding here with assumed names! <grin>
    [FONT=century gothic]BRAVO! :chuckle
  14. Visit  Rapheal profile page
    0
    I just have to say it. Sorry but I have to say it.

    I feel sorry for my patients who are in pain. Pain is subjective and I will administer the patients pain meds based on what they say it is.

    BUT-

    In healthcare their is an allocation of resources. My TIME is a scarce resource. So when a person who has chronic pain issues and has PRN narcotics ordered starts DEMANDING that they need their pain medication NOW, and will cause such a ruckus if it is not delivered within minutes of their request it may become a problem. The problem may be that the little old lady down the hall has developed a heart arythmia or pulmonary congestion. She may not be screaming for help- in fact she may just lay there getting worse until you the nurse intervene.

    That poor little old lady needs help now. She may not have the ability to call the NM and start screaming for help NOW. So then I have a decision to make. Sometimes my decision is not a popular one. Sometimes the person who can scream, can be demanding will do so at the expense of another, more fragile, more vulnerable patient. Hence- this nurse, or anothe nurse in the same position may feel frustrated. Resources should not be doled out based on the aggressiveness of a patients' demands.

    There I have said it. I hope to not appear unsympathetic to our patients who are in pain. And although pain is the 5th vital sign, it may cause a life altering condition and not a life threatening condition. And I as a nurse will put a life threatening concern first. So some patients may have to be in pain a little longer than we both would like. We both end up frustrated, but sometimes that is just the way it is.
  15. Visit  MAGIK GIRL profile page
    0
    Resources should not be doled out based on the aggressiveness of a patients' demands.

    There I have said it. I hope to not appear unsympathetic to our patients who are in pain. And although pain is the 5th vital sign, it may cause a life altering condition and not a life threatening condition. And I as a nurse will put a life threatening concern first. So some patients may have to be in pain a little longer than we both would like. We both end up frustrated, but sometimes that is just the way it is. [/B][/QUOTE]
    __________________________________________________ __________________________________________________ ____


    i agree with you 100%!
    unless that aggressive demanding pain pt has life threatening .....
    pain may be the 5th vital sign but where does it fit in our abc's?
    what about good old triage. or if you want to use the more "fab" term, prioritizing? don't let the sensationalism of the arguement let us forget er 101... constant re-assessment and prioritizing. every second you have to do that in the er. i agree with the above thread, the screamer will have to wait until the life threats are over! when is the last time that someone has actually died from his kidney stone pain? but i can remember lot's of pt's with arrthymias that died.

    guys, i am not heartless. i realize that pain hurts, but the moral of this is, put it into perspective. )
    Last edit by MAGIK GIRL on Dec 15, '03


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