Hello all! I've got a question regarding pain management. Let me start by saying what I believe:
1. Pain is what the patient says it is.
2 My position is that patient's should medicated as ordered by MD and as requested by the patient. I am not an addiction specialist and it is not in my staff description to determine who is addicted and who isn't.
3. Yes, there are drug seekers out there. But they usually make themselves pretty obvious.
So here's the question. Client is 5 days post op AKA on one leg. The other AKA done previously is a gross infected mess that we are doing wound care on. He is ordered oral meds q4h and IV pain medication q1h. He also has a large dose of IV pain med prior to dressing changes. Client has woken up after 4 hrs of sleep with a 10/10 pain rating and is moaning and begging Jesus. Oral meds take 1-2 hrs to reach maximum effect. Is it appropriate to medicate with both meds at the same time--the oral pain med for the long-term control of pain and the IV pain med to get control over the pain while waiting for the pills to work?
I know this seems like a stupid question, but I was slammed at the time and asked my charge if she could medicate this patient. She claimed that he could only have his oral med and would have to wait a full hour before getting anything IV. She claimed it was hospital policy and I don't believe that.