Pain management for substance abusers in acute/inpatient setting.

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    I live in an area where IV drug use is overwhelming. Chronic narc use is prevalent as well. The unit I work on is a hospitalist floor and we tend to take on more than our fair share of drug/pain management issues. Unfortunately, these issues have become overwhelming for staff and lack of education and biases have become in the way of excellent care.

    Our unit is looking into working on a quality improvement project.

    Anyone have any experience with this issue in the acute/inpatient setting? Any particular resources you use or pain management agreements used with patients?

    Thanks in advance!

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