ER pain treatment after accident without ID on the person?

Specialties Emergency

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A nurse practitioner told me that if someone was to be in a bad car accident and is rushed to the ER in critical condition and doesn't have their photo ID on them, that the patient will be denied pain medicine as it's a "federally controlled substance" and they have no photo ID on their person.

This is a hypothetical question, but doesn't sound correct.

Surely if a patient is a serious accident, say, as a passenger, and is rushed in the ambulance with serious enough injuries to place them in the ER to begin with and simply lacks their govt photo ID, that they will not receive pain medicine/pain relief while in the ER. Surely sometimes accidents happen that justify pain medicine or pain IVs while someone is n an ER-- camping trips come to mind where someone might be lacking their wallet/photo ID. They are a USA legal citizen with an SSN, employed, and health insurance, just don't have their photo ID on their person.

Is that true? No pain relief in an ER with a serious injury if you don't have your photo on you? What if the patient doesn't have local family unable to go find the photo ID or the photo ID is unrecoverable after a bad car crash-- they have to suffer in pain in serious condition or critical condition all because pain relief is a federally controlled substance, even in an ER, just because they don't have a photo ID on them?

We never check ID before giving scripts for controlled substances. They will need their ID when they get to the pharmacy to pick up the meds. If the name on the script doesn't match the name on the ID they present, then no meds will be dispensed

Really? I've picked up narcotics for my husband and daughters many times. And my name certainly doesn't match the name on the prescription.

I've treated a few John and Jane Does, with benzos and narcs.

Usually they don't leave with a script until they've recovered enough to tell us their ID info.

I had to show ID for frigging seroquel, I'm sure they ask for ID for narcs in most places. I've had to show ID to pick up my husband's Fioricet and they checked it against the computer.

I don't remember which states required what, though.

I've recovered trauma patients that were John/Jane Doe, and still gave pain medications. These same John and Jane Does also got pain medications in the OR as well. I want to know what this NP is smoking so I can have some.

Specializes in Emergency/Cath Lab.

Im Oprah when it comes to pain meds. Pain meds for you! And for you! and look under your seat, what do you get PAIN MEDS!!!!!

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

This thread has been moved to our Emergency Nursing forum with the goal of amassing some replies from our ED nurses who can answer the question at hand.

Specializes in ED, School Nurse.

I never needed to see ID at all when medicating patients or sending pain med scripts with patients. Like a PP wrote, pretty sure that would be an EMTALA violation.

My daughter is home from college today to have a diagnostic procedure to address severe pain she has been having. The doc wrote her a prescription for narcotic pain relief. I observed that they have much more documentation to do related to this prescription. Also, she was told that SHE must physically walk her Rx into the pharmacy (no call in prescriptions, must be hand written by doc, and NO refills allowed on the original prescription).

When we took the Rx in, they said it would be at least 30 minutes for it to be ready. My D was exhausted by her ordeal, and wanted to get home to lay down. I was allowed to come back and pick it up for her, but I did have to provide ID (I guess it's recorded somewhere that I was the one to pick it up). I have never had to do that before, but it's probably been a few years since any of us in the family have needed a narcotic.

So there definitely are many more hoops to jump through, both from the perspective of prescribing physician, and the patient.

This doesn't address the OP, I realize.

What you were told is false. Are you sure she wasn't referring to prescriptions for controlled substances?

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