Our facility has a "Corporate Medical Services" that treats facility employees when they are injured on the job. I screwed up my back last Monday pulling an airway box off the crash cart during a "mock" code. Filled out all the necessary paperwork and seen by the ER physician (because it was after corporate was closed) and then went in next day to see corporate physician. Told him what happened and how much pain I am in (an 8 at its worse). Gave me script for Flexeril at bedtime, 800mg ibuprofen TID with food, and Darvocet N100 every 8 hours as needed for pain. Well, these drugs are not touching my pain. Went back to corporate on Wednesday to be seen again, and told the doc I was in a lot of pain. He did script me 10 Vicoden. I told him I had to work 12 hour shifts Thursday and Friday and was put on a lift restriction. I definitely don't want to be taking the Vicoden and the Flexeril when I am suppose to be working, so that leaves the ibuprofen. I worked my 12 hours Thursday, but there was no way I could today. I called in. I just couldn't do another 12 hours. I even wore my husband's TENS unit yesterday which at least made my day bearable.
I don't think this doc in corporate wants to give out strong meds, and I am not one to usually ask for them. I have never been to corporate in the 7 years I worked at the hospital except for a needle-stick. I don't go to the ER either unless something dire is wrong. So, what's the deal with this guy not giving me adequate pain meds? I also want to know are divisions of hospitals such as this mandated by JCAHO regs requiring pain relief? Because I sure am not having my pain relieved. I know that when it comes to back pain it is really hard to discern whether the patient is truly hurting or are they trying to scam for drugs. But I thought you were suppose to treat the patient's reports of pain, not what you perceive it to be. The doc actually told me the 2nd time I was in there that he didn't know what else to do for me.
If anyone is well versed on JCAHO regs and such, I would love to hear from you (NRSKaren, hint hint :wink
. Anybody else is free to give an opinion too. Thanks.