Patient going to complain against me?

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by Bella345 Bella345 (New) New Nurse

Specializes in Med-Surg. Has 3 years experience.

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On 12/5/2021 at 8:05 AM, subee said:

The doctor was called and refused more meds.

I know and if the family won't accept that, tell the family to call the doctor.

Or call the doc again.  Or get the Sup to come see the family. 

mnj7351

mnj7351

15 Posts

On 12/3/2021 at 8:57 AM, Orion81RN said:

There is nothing wrong with me putting myself in the pt’s shoes and advocating for that pt. It is 100% ridiculous to prioritize your feelings over narcotics and addiction over what the pt is exhibiting. So who is taking this more personally? You with your doubts as to the pt’s pain based off YOUR experiences prevents the pt from receiving proper treatment. YOUR biased opinions. Pt was clinically presenting with severe pain and verified kidney stone, but oh no, your mind has to jump right to drug seeking. The nurse did nothing wrong in this situation, but the doctor was being ridiculous, and everyone jumping on the bandwagon of yeah, we gotta be careful with these drug seekers, even though this pt definitely has a kidney stone and v/s indicate pain. 

Mrs....how long have you been doing this again??

Orion81RN

Has 7 years experience. 962 Posts

On 1/24/2022 at 12:23 PM, mnj7351 said:

Mrs....how long have you been doing this again??

10 years. Your point?

mnj7351

mnj7351

15 Posts

On 12/9/2021 at 5:21 PM, cgw5364 said:

I am a nurse with 30 years of experience. In that 30 years I have taken care of many patients with intractable pain due to cancer, chronic pain due to pinched nerves, Sickle Cell Crisis, intractable migraine, acute post-surgical pain and many more. I learned that every patient is different when it comes to what works for pain. People with chronic pain do know what medications work best. I always asked my patient's admitted with chronic conditions what medications work best for their pain.  I also learned that a patient can be asleep and still be in pain. This happened to me during childbirth. I was given Stadol during labor. This made me woozy/sleepy and did nothing for the pain. In the situation you were in I would have called the physician again after the Morphine did not work. If the physician refused to change the pain medication or come examine the patient I would have gotten the charge nurse and nursing supervisor involved. 

Yes! For the love of God....just because a patient has fallen asleep doesn't mean they're pain free. When I hear that I cringe because that small minded thinking can't possibly get any more ignorant or misunderstood....uninformed...whatever reason one has to make that make sense in their mind. It's STUPID thinking for a lack of a better description. Asinine actually. A nurse will say, "that pt just called out for pain meds saying their pain is 8/10 when they were sleeping 5 minutes ago." Shut up. 

mnj7351

mnj7351

15 Posts

On 12/10/2021 at 1:38 PM, nursej22 said:

I can attest to this. When I had a hysterectomy I had a Demerol PCA. It really didn't touch the pain, but it made me too goofy to express what I was feeling or complain. I later saw that nurses had charted that I rated my pain at 3/10, and frankly, I don't even think I was asked. 

Just out of curiosity and me being a smidge nosey I guess...how were you able to see it?

subee, MSN, CRNA

Specializes in CRNA, Finally retired. Has 50 years experience. 4,139 Posts

Narcotics do not "kill" pain; they merely adjust your attitude about it.  So, of course you can still be in pain and sedated at the same time.  NSAIDS actually prevent pain at it's source but the really strong NSAIDS like Toradol, can only be used for a couple of days.  Hence, we have to resort to narcotics.  The best pain relief after a hysterectomy is an epidural infusion.

nursej22, MSN, RN

Specializes in Public Health, TB. Has 37 years experience. 2,595 Posts

8 hours ago, mnj7351 said:

Just out of curiosity and me being a smidge nosey I guess...how were you able to see it?

No worries about nosiness. I was working at the same hospital. This was back before the hospital cracked down on looking at your own chart. 

mnj7351

mnj7351

15 Posts

On 1/27/2022 at 2:19 AM, Orion81RN said:

10 years. Your point?

Where do you want me to start?