Accused of not giving dilaudid

[KMULL002]

I had the misfortune of taking care of a patient last weekend. This patient was a friend of mine that I have not associated with in years. This acquaintance is the type of person who called the cops on a restaurant due to they added the tip into her bill and she didn't want to pay. One of the reasons I stopped hanging out with her was due to she would ALWAYS complain about poor service when we went out to eat; the most memorable experience my birthday was ruined due to her complaining about the service at a restaurant that was fabulous. I met her at a salon and she had started doing my hair and we became acquaintances/friends. She brought me Thanksgiving dinner when I had to work a few years ago. So, she's my patient last weekend. She had her arm bent showing me pictures of the gas station where she fell and broke her arm meanwhile telling me she has a lawyer. I asked her to straighten her arm because the IV was in her AC so she did and I administered 1mg dilaudid. The MD that same day increased the dilaudid dosage from 1mg to 1.5mg but the day shift rn told me in bedside handover report that the patient did not want 1.5 md she only used/wanted 1mg. I asked her if she wanted 1mg or 1.5mg and she said she only wanted 1mg. I gave 1mg dilaudid and then flushed her. She continued telling me her story and the flush syringe fell off bed; patient's husband pointed that out. I found out after the fact that this patient put up a big stink the last time she was admitted for hip surgery posting two nurses names on Facebook saying they were not compassionate etc one of the nurses I was working with that night is one that the patient posted about on FB; she told me she would not ever take care of said patient and because of said patient she switched from full to part time she also told me that another nurse who is a day shift charge quit over that same patient but later came back. I said to myself I wish I had known this before I took this patient. Well back to my point, this patient stated after I gave her the 1mg dilaudid that she didn't feel it. I offered the extra 0.5 mg (which would be 1/2 of the 1mg syringe) and she agreed to take it; I gave it to her. After all this the patient calls my charge nurse to tell her she can't believe I did this to her accusing me of not giving it to her I guess. After I left the room I wasted the 0.5 mg left in the syringe. My question is, how do I prevent someone from accusing me of not giving them their medicine. My thought is that I tell them when I give it to them that I am giving them the 1mg of dilaudid right now. Do I always bring a witness? I wish we could wear cameras. Make a point of verbalizing what I'm doing. Any suggestions? This has bothered me. the patient posted on FB negative things about the hospital and my cohorts about her last stay and the hospital apologized to her. This experience is making me question my career choice. To this day I have thoroughly enjoyed nursing. I LOVE nursing. I love teaching nursing. I love my coworkers and the clients I serve. How do I not allow this experience to taint my satisfaction and love of the field? Can someone's claim be substantiated even if it's false and I lose my license?

Thank you.

P.s. It is my goal to further my education (current BSN want MSN in clinical nurse education) because I love nursing and education so much. I intend on always having hands on nursing care but want to teach too. Just and FYI.

[KMULL002, BSN]

she claimed I didn't give her her medication and has her husband was there to claim the same thing. Although it was just Celine flush not the medication. That was my point.

[KMULL002, BSN]

She refused the order 1.5 mg dose originally and only took 1 mg then changed her mind before I left the room I gave her the additional .5 mg as ordered. So no new order needed to be gotten.

[KMULL002, BSN]

Yes it comes in one and 2 mg syringes where I work. I was Lowden and won't open and when I went to pull it was 1 mg syringes.

[KMULL002, BSN]

Thank you. I always dilute it with normal saline as well.

[KMULL002, BSN]

No medication error was made. There were two one mg syringes of dilaudid and I had two saline flushes the saline flushes come in 10 mL and the policy is 5 to 10 mL saline flush before and after the administration of medication All policies were followed. My point is the patient accuse me of not giving her the medication that I gave her. She originally refused the 1.5 mg dose and wanted only 1 mg. Then she stated she didn't feel the medication after I gave it to her then I gave her the additional .5 mg as ordered.

[KMULL002, BSN]

The patient said she didn't feel like I gave her any medication

[KMULL002, BSN]

Thank you. We have both 1 and 2mg/ml syringes on the orthopedic surgical floor. What was loaded in the pyxis was 1mg/ml syringes.

[silverbat]

If you use the quote button it is easier to see who you are responding to.

[iluvivt, BSN, RN]

If you have not had a patient/and/or family complain you have not been a nurse long enough.You will have to provide nursing care to all types and you can not control the angry,bitter,manipulative,ignorant and just plain crazy patients and and their families.All you can do is control your response to them and that includes to not let them rattle you. I would never lessen my hours over a nutty patient because it's their problem,not mine.It's just part of the job and while it's annoying as hell to deal with it , anyone who has dealt with patients understands!

[empatheticRN]

I had a lady like that. She would lie on staff about not getting her Roxanol (Morphine) and so first time I met her I took a witness and every time after that. When she was in a rush to get it, I'd tell her that I am waiting for a witness. I was not taking any chances with her. She even said, you are the only one who does it like that. But thats how you treat liars. Thought to self: " you don't trust me, I don't trust you".

[Mr. Murse]

Like others have said, forget about it. This certainly won't be the last patient like this if you stay in the field.

I distinctly remember one patient a few years back that did this sort of thing, and would say things like, "I know how you nurses are" and what not so it got to the point that we would take the unopened vial into the room and draw it up and talk him through the process. It was annoying, but life went on.

There's a good chance too that if you diluted the med maybe one of your coworkers had not, so she didn't feel the rush of the pure drug going in and so thought she didn't get any.

Just make sure you're documenting everything, including her accusations. Then forget about it.

[love lilacs]

When I give iv pain meds I draw it up in front of the patient and say more than once I'm giving you your whatever pain med it is. Then I tell them again after I administered it and tell them it!ll start working shortly.