Hey guys, I know in time my judgment will get better at this but I would like your input. I worked with a nurse tonight that thought I was over scoring on my CIWAs. She thought one particular patient was med seeking and faking symptoms. I just scored him on the symptoms I saw present and what he told me.
I am still orienting but I float to all the units. When I'm on the detox unit, the nurse I work with on that unit told me its better to overscore so they get something. On other units, I sometimes get what I heard tonight, some patients are med seeking so under score them. I know I need to go with what I see and use my own judgment but I'm only a few weeks into my job so I have not yet picked up a "6th sense" for the med seekers and fakers. Any thoughts on this?