I have been a nurse for about a year and half... so still pretty fresh! I am looking for some advice from more experienced nurses regarding pain management in patients you suspect are seeking.
I know pain is subjective and we have to treat everyone's pain as they say it is...BUT.
When a patient comes in with "abdominal pain" and there is no clinical evidence of pain AND they are always a 10/10 WHILE they eat their burger, fries, and shake AND they request IV Benedryl because the Toradol they tried in the ED gave them an "allergy" AND don't forget the IV Phenergan because they feel sick. Can't keep anything PO down, yet eating appropriately and talking normally. Oh yeah, and the neighbor next door was faking her vomit with bits of oatmeal, water, apple, and ginger-ale (another nurse smelled it!) -therefore she could only take IV meds. I mean, come on.....
I just get so discouraged. I know we aren't going to make any changes for these patients long term, but why are the docs ordering these meds? My philosophy so far has been that if the doctor orders it and it's on their MAR, I will give it in the allotted time... I don't always tell the patient exactly how often they can get it though.
How do you deal with this? It seems like some nurses are more pushy and some are too nice (I feel like I fit this category) but inside I am burning with anger because I'd much rather be taking care of really sick patients that need me. But instead, I'm pushing narcs q2h or more.
By the way, I work in the float pool. I mainly see this on our observation unit (