funny you should bring this up, recently we had a patient that drove 45 miles and passed up three closer hospitals to come and see us, red flag # 1 right there and despite being told several times no pain med until a ride is there (yes the Dr. did prescribe Dilaudid despite us obtaining a visit history from one of the other hospitals and ER records there raising the question of drug seeking -***?)spent a good hour trying to get every nurse that came by to medicate her and ultimately ended up leaving in a huff. She will be the one they call to get the press ganey score for this month.:angryfire
in the last year we had to have someone arrested in the parking lot because she snuck out and ran into another car in the parking lot. That makes for a lot of entertainment for the people in the waiting room. We had another guy swear his wife was driving (luckily it was documented several times that he had been duly instructed blah blah blah) and then left and dozed off and rear ended another car 4 miles away from the hospital and the icing on the cake was a disabled Highway patrol officer that told me his ride was waiting in the car - oh really sir? You want me to believe that you have someone waiting in the parking lot in a car when it is 117 degrees outside? Nice try.
Oh yeah, almost forgot about the one that drug in some stranger from the lobby who was too scared to say otherwise and declared that her ride was there - all for one vicodin. Pathetic.
Our policy now is no ride? No meds. If you need to have a ride you either have it with you or you get sent back out to the lobby to find one and then we will put you in the next available room. If two patients come together neither one gets narcotics (except in certain cases but we've been burned on this one before)
The sad thing is how little the doctors back us up on this