Ethics part 2

This is going to be my favorite topic with you guys because I often think I work in a science lab.

I had a pt. the other night that perfed and was about 4 days post-op w/ostomy. Obviously in pain w/his belly the size of a basketball. Our fellow did not want to give any morphine and kept mumbling about his blood pressure (which was excellent, considering he had been screaming....) The resident finally got the ok for a small dose which appeared to do nothing for the kid. About 2 hours later, his ostomy bag was leaking and removed and I discovered his wound had dehisced about 3" long. Obviously infected and full of yuckies. Well NO WONDER he was upset. It was horrible. Finally got him another small dose of morphine. Surgery wouldn't come see him at night (and didn't do anything about it the next day) except to tell us to keep it wet w/saline and gauze (might that encourage the yuckies to continue to flourish in there?????) The NP in the am did double his morphine x1 dose but no scheduled order or anything--have to beg each time he starts screaming. So my question is: What would your unit have done for this??? Do I bash my head against the wall alone or are we all in the same boat when it comes to pain management????? If so, is JCAHO (who is so focused on pain control and documentation) just a figment of our imaginations?????