So many patients, so little time
Pt "X", who calls 3-4 times a day, complaining of severe pain, but refuses to see his own PCP ( because pcp has put a drug seeking alert on his electronic chart).
Pt. "X" thinks that if he gets a different nurse each time he calls, someone will get him his drugs. One night I got him 3 times out of the 4 times , he had called within a 2 hr period. Boy, did I suprise him, when I told him that I had just spoken to him 20 minutes ago, and that my instructions had not changed.
Pt. "Y", who called after recieving Morphine injection in the medical office, took both short acting and long acting oral Morphine, when "Y" got home. Two hours later, recieved phone call stating her pain med was not working. I got hold of the on call Dr., who told me that "Y" was crazy, and that if "Y" wanted more med, then "Y" would have to meet the Dr. in the ER. "Y" refused to meet the Dr. in the ER and stated she would take a Tylenol instead. So much for severe pain