Walked in on a pt rolling a joint

Nurses Relations

Published

Where it happened:

Pt's room in an LTAC facility.

What I saw:

Pt sat on the edge of the bed with a menu on his lap in "roll-a-joint" position.". He quickly removed "something" from the menu and placed it into his cigarette packet, which he then tucked away under the pillow on his bed. He then placed the menu on his table and sat back in the bed.

What I did not see:

Marijuana. Rolling papers.

What I know about the Pt:

Active AIDS. Cancer. Goes outside to smoke in his WC a lot. Enjoys IV morphine, Ambien, Ativan, and Norcos a little too much. He's a clock-watcher. Once smoked a cigarette in the BR of his hospital room while under the care of another nurse.

What I said:

Hey, it's a shame your doc cannot write you a prescription for "that," as I pointed to his packet of cigarettes. I give "it" here in the hospital in a capsule-form called "dronabinol." We discussed legalization of marijuana. I stated that he must not smoke in his room due the risk of fire, the fact that smoking is obviously not allowed within the grounds of the hospital.

What I did not say:

Hey, I see that you are rolling a joint with marijuana there.

What he did not say:

Yes, I was rolling a joint with marijuana.

My reaction and action taken upon the above discovery:

Nothing further than the above description of my implied knowledge of what he was up to and a genuine discussion of my true feelings towards legalization.

I'm just curious as to whether anyone else has experienced such an occurrence, anyone else's feelings towards this incident, and anyone's opinions on whether I acted well having been faced with this "ethical dilemma."

Specializes in LTC,Hospice/palliative care,acute care.

[quote name=Maybe he was masterbating into the menu??

Otherwise, let it go. :blink:[/quote]

I don't walk to talk about masturbating any more today,please! It took me YEARS to get over that enema episode, I think I had mild PTSD and just remembering it today makes me feel all greasy...That happened years before the interwebs opened my eyes to the wild word of fetishes..I had NO idea..

"...Maybe he was masterbating into the menu?? You never really know what a cigarette pack can hold..the imagination of me! "

Thank you for the much needed levity, Ladyfree.

Now we can all have a good laugh (that means you too, OP), a group hug, and sing cumbaya.

You guys nit-pick people too much. One of you own kind was just coming here for support and you tore him down. WHY is that??

To the OP, you will need to take what some people (and the people can change on a day to day) on here say with a grain of salt. Just like in real life, some folks generally feel like crap and will practically trip over themselves when they sense someone else is feeling off kilter, just so that they may bring them down too. I can tell you are very insightful and intelligent. You needn't waste your time defending against a misunderstanding or, more aptly an excuse made up to chastise a newbie. Shame, shame on them!

1) Not everyone is going to hear what you say the way you want it heard.

2) Someone is going to be offended, opposed or misunderstand/misinterpret your thoughts.

3) Someone will find angles into the topic you never would have entertained.

4) Someone is going to yank your chain.

5) Once you start a thread/topic- it is not yours anymore.

6) Pick your battles.

7) It's the internet.

^^^This. This and this.^^^

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I was surprised to see a general consensus in favor of the guy smoking his weed and turning a blind eye. I was expecting far more responses along the lines of concern of overdosing the guy, as he is smoking weed and taking other meds together; the fact that he has an illegal drug in the hospital. You know?
Many of us see the benefits that medical marijuana can give a patient. Yes it is illegal and that may make us hypocrites...it is what it is.

For myself...I would have no concern of over dosing the patient because he smokes pot. Now...if he was using his IV access to jack Heroin...that is a different story. If he was showing signs of over sedation...that is a different story.

They are ethical and legal implications to what you are asking...What would we do if we were under those same circumstances. I have told you that if he was smoking in the room or he had a bag of marijuana on his bedside stand in plain sight my obligation reaction would be very different.

Every decision we make has implications. Searching a patients room on your suspicions also have implications...legal implications. There are laws that protect the patient's "privacy" as their rooms are "theirs" as there is an expectation of privacy. You cannot just go and search because you think you might have been rolling a joint. Now we ALL KNOW he was probably rolling a joint. We all know of patients that like their pain meds sometimes a little too much...but who are we to judge?

The way I would address this as a nurse depends on the patient. If this was a 20 something guy in rehab post femur fracture rolling a joint versus the terminal guy rolling a joint....these are two completely set of circumstances.

If a nurse reported this to me as a supervisor I would go to legal and senior admin as to how to best handle the situation. Let them get sued over privacy issues.

Members gave their opinions. You may or may not agree with them. But you (not necessarily you you but the collective you) have to take the good with the bad. Talking about a terminal patient and liking their pain meds clearly set off a sensitive subject.

Breathe...Getting annoyed and angry isn't going to help.

Specializes in Pediatrics, Emergency, Trauma.
I don't walk to talk about masturbating any more today,please! It took me YEARS to get over that enema episode, I think I had mild PTSD and just remembering it today makes me feel all greasy...That happened years before the interwebs opened my eyes to the wild word of fetishes..I had NO idea..

Eh, I've seen more people "friendly" in the past year where I've gotten a good resolve at it-a "repeat offender"...I think back to a very uh, "interesting" couple that had no shame of oral and intercourse with a foley during my rehab hospital days, let me just say it has prepared me...

Specializes in Pediatrics, Emergency, Trauma.
"...Maybe he was masterbating into the menu?? You never really know what a cigarette pack can hold..the imagination of me! "

Thank you for the much needed levity, Ladyfree.

Now we can all have a good laugh (that means you too, OP), a group hug, and sing cumbaya.

Brevity and levity is what I try to aim for, even when it gets misconstrued...ah, it is what it is... ;)

OP don't respond anymore to these people. Everything you say is going to be attacked.

What I would do if I saw what you saw, is just ignore it. From what you say he smokes outside. So no need on informing him that there's no smoking in the facility.

If it is weed, it probably helps a bit with his pain. I would just ignore it. I would be a bit nervous though if he got caught with marijuana and informed the higher ups that I knew about it and did nothing. Since it's not legal in your state, turning a blind eye may do more harm than good.

Still I wouldn't say anything.

Specializes in CDI Supervisor; Formerly NICU.
You guys nit-pick people too much. One of you own kind was just coming here for support and you tore him down. WHY is that??

To the OP, you will need to take what some people (and the people can change on a day to day) on here say with a grain of salt. Just like in real life, some folks generally feel like crap and will practically trip over themselves when they sense someone else is feeling off kilter, just so that they may bring them down too. I can tell you are very insightful and intelligent. You needn't waste your time defending against a misunderstanding or, more aptly an excuse made up to chastise a newbie. Shame, shame on them!

OMG, quit tearing us down, Nola009! We just come here to respond to posts.

Will somebody please shoot this thread and put us all out of our misery?

Too much time and energy placating the OP.

If we really going to continue this ******** and be this ******* pedantic about things, I actually said, "Enjoys IV morphine, Ambien, Ativan, and Norcos a little too much."

So please explain to us the proper amount he should enjoy them. Please point to the line in the sand that becomes enjoying them "too much."

Anonumous666, I think you should have listened to me. ;) maybe next time!

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