I had my gallbladder removed yesterday and was kept overnight which I was glad b/c I was in a ton of pain and the Dr had dilaudid Q3 and vicodin Q 4.
I asked my nurse for pain meds this am she said she would give me the dilaudid that was at 10:30. At 1130 my aid walks in and says she gonna take out my IV b/c I'm d/c. I say well my nurse was gonna give me meds. So she leaves the room and comes back and says they won't do the IV push med b/c you're d/c. I was like umm ok. But I asked an hour ago. So I say can I get my pill at least and she says ok. Well the 2 of them (nurse and the aid) were walking out of my room and I heard the aid say " she ant in pain, she is just fine, she keeps changing her story she is just drug seeking" they were saying some other things but I couldn't hear it all. I'm so shocked and mad. How dare them talk about me like that. I'm not a piece of crap who is here to use drugs.I was in so much pain (still am on a scale of 0-10 I am about an 8).
I swear I wanted to run out there and go off on them. But I'm in too much pain. I just don't understand people. I got their names. If you were me what would you do??
Only IV. The rationale is ... q 30 minute VS and continuous pulse ox monitoring. The chole patient, as in the OP's example, would never have had IV Dilaudid as an order option where I work unless for some reason they were in the unit.
Yes, really.
As I said ... once upon a time in the ER I routinely gave 2mg Dilaudid IV and sometimes even 4mg. But after sentinel events ... everything changes.
Wow that is a lot of monitoring. We do a med check 30 minutes or so after giving but no monitoring at all. Our ER gives dilaudid iv like it's candy. In my opinion we probably do over use it but I've never heard of an issue with it. Granted we usually give 1mg at a time not 2 or 4.
What was your sentinel event, I'm just curious. I've not ever had a problem.
OP, I take it you are home. I hope your pain is manageable, PO medicated now?
So, I am understanding that you didn't get a chance to go PO prior to d/c? What if you got in the car and by the time you got home, were in so much pain that you had to get taken back in through the ER? There is a crappy readmit ding for them!
I would not deal with nursing staff. I would just call my surgeon. That is the way I roll. I called my mom's surgeon in his car to notify him of some really crappy nursing (long story that you just wouldn't believe). He was @!*^ as well, and that was that. I just don't care that I am a nurse. I just don't care for chain of command because SUPER crappy nurses = SUPER crappy nurse management. The corporate girl comes out and I get it the heck DONE!
Yes im home. They gave me rx for norco 5/325, 1 q4 and it isn't touching the pain. I took 2 to see if that would help but no. I'm miserable and I have a bad feeling I have an infection. I've had many lap surgeries for my endo and not one has ever looked like this. Mine is bright red approx 10xcm around my navel and very hot I'm keeping an eye on it. if I call my surgeon and need to go back I will tell him it better be a different hospital.
Only IV. The rationale is ... q 30 minute VS and continuous pulse ox monitoring. The chole patient, as in the OP's example, would never have had IV Dilaudid as an order option where I work unless for some reason they were in the unit.
Yes, really.
As I said ... once upon a time in the ER I routinely gave 2mg Dilaudid IV and sometimes even 4mg. But after sentinel events ... everything changes.
Is dilaudid contraindicated for a
Chole?? Just wondering? I never asked for dilaudid itwas what the surgeon ordered.
Chole?? Just wondering? I never asked for dilaudid itwas what the surgeon ordered.
No, it's not that it's contraindicated. However, IV Dilaudid is no longer an order option for patients on med-surg floors at several hospitals in my area, as I described in my posts above. It can only be given in a critical care environment.
( and I have a bad feeling I have an infection. I've had many lap surgeries for my endo and not one has ever looked like this. Mine is bright red approx 10xcm around my navel and very hot I'm keeping an eye on it. if I call my surgeon and need to go back I will tell him it better be a different hospital.
i strongly advise you to see either your pcp or surgeon asap.
it sounds like infection, and should trust your instincts.
No, it's not that it's contraindicated. However, IV Dilaudid is no longer an order option for patients on med-surg floors at several hospitals in my area, as I described in my posts above. It can only be given in a critical care environment.
I can understand. It is a very strong drug. I really didn't care what they gave me. I don't like feeling so drugged up I just didn't want to be in pain.
Btw my dose was only 0.5 so not much but it was enough to take the edge off.
I had a similar situation when I was in for a hip replacement.
I wasn't accused of being "drug seeking" but the meds the one nurse gave me when I first got to the floor weren't holding me and she refused to call for an increase in dose or alternate drug...I was crying so hard in agony that a visitor from another patient's room came into my room and asked if I was ok....anyway, I found out on the next shift that there was an order for "break thru" meds, and also, she called and got an anesthesia consult to increase the dose on my PCA...you better believe I reported that first RN to the 1.Charge nurse 2. Floor manager 3. Director of Nursing (in writing)....there is NO reason that I should have gone through 12 hours of agony and you should not have either......that nurse was cruel and sadistic and the aide had NO business even opening her mouth...and why was an aide even touching your IV????
I have always and will always listen to my patients...the patients pain is what they say it is....not what we percieve it to be...this is the 1. rule in pain management..anyone who doesn't appreciate this should not be practicing nursing.
I am sorry for your terrible experience...by all means report both of these incompent, sadistic, controlling unprofessional people!!!
diva
I had problems with staff after my hip replacement. They wouldn't even answer my call for help to the bathroom and took their time 1-2 hours after it was time for pain meds. I hurt so bad and come to find out the prothestic was coming out the back of my femur. I got an extended stay and a second surgery. I did find out my Dr. quit doing surgeries there due to the staff treatment of his patients.
Our PCT's (Patient Care Technicians) are allowed to remove IV's. They have around 8 months of training and only recently were restricted from placing/removing foleys as well as a history of placing even NG tubes!
and I have a bad feeling I have an infection. I've had many lap surgeries for my endo and not one has ever looked like this. Mine is bright red approx 10xcm around my navel and very hot 
bjaeram
229 Posts
Wow that is a lot of monitoring. We do a med check 30 minutes or so after giving but no monitoring at all. Our ER gives dilaudid iv like it's candy. In my opinion we probably do over use it but I've never heard of an issue with it. Granted we usually give 1mg at a time not 2 or 4.
What was your sentinel event, I'm just curious. I've not ever had a problem.