I have been getting fed up with the number of people coming into my ED drug seeking. One of the PA's have access to a database of all providers, pharmacies and pt info related to schedule 2, 3 and 4 prescriptions written and filled. When we started looking up some of the frequent fliers, it was amazing. Amazing these people are still breathing, amazing the pharmacy isn't being investigated, amazing some doctors aren't being investigated.
One lady got 2 different percocet rx filled, one for 100 tabs, the other for 80 tabs, at the same pharmacy on the same day from the same doctor. Just an example, but we strated printing, and printing, and printing some more.
Now we are making up drug seeker/drug abuser/ doctor shopping packets. We have a list of names posted by the charge nurse desk. The ED docs are banding together to fight this crap, excuse the expletive.
You guys know what I am talking about. These people either 1) don't work 2) are on medicare/medicaid 3) are on welfare/food stamps 4) drag family members into their addiction or 5) all the above. I am getting sick and tired of busting my hump and having 25%+ of my check going to taxes to pay for these people abusing the system. It's not like they pay their bill, nor does medicare/medicaid most of the time because their survey score isn't high enough, because the patient didn't get high enough.
But what gets me is that administration does not care one bit. We called the SO on a patient last night because she lied straight to the doctor about seeking, after being warned at her last visit about seeking, and the SO did not care either. No arrest, just forwarding the info for 'investigation by the SIU' (special investigations unit).
So now my rant is over, what have you guys done to reduce recurrence and abusers? I am tired of seeing resources being wasted.