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!
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.
Last edit by gwenith on Dec 14, '03
Dec 14, '03
by MAGIK GIRL
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!
Last edit by MAGIK GIRL on Dec 14, '03
Dec 15, '03
by MAGIK GIRL
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]
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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