Going home around 5PM

Hissy_Fitz
Hissy_Fitz Member Posts: 1,834
in Ovarian Cancer #1
I am so POed. This nurse-who came on duty this AM at 7-does not approve of "excessive" pain meds. I just found out, when my dr made his rounds a few minutes ago, that this idiot has only been giving me HALF doses of Dilaudid and never mentioned that the dr wrote orders for Hydrocodone for breakthrough pain.

I did speak to the charge nurse. This guy is the worst nurse in the history of medicine.

Carlene

Comments

  • Tethys41
    Tethys41 Member Posts: 1,382 Member
    #2
    At least you're headed home
    That is ridiculous about the pain meds. I wonder whether you can report him to someone. On the flip side, I think I may actually have had a nurse who was worse.
  • carolenk
    carolenk Member Posts: 907 Member
    #3
    Tethys41 said:

    At least you're headed home
    That is ridiculous about the pain meds. I wonder whether you can report him to someone. On the flip side, I think I may actually have had a nurse who was worse.

    Depending on how the pain
    Depending on how the pain med order was written, that nurse may have been committing malpractice. Yikes!
  • antcat
    antcat Member Posts: 270
    #4
    Pain
    Hi Carlene, glad you're going home and everything worked out well. I didn't think nurses could change doctors orders. When I was in the hospital, I thought the dr. wrote the order for the pain med at least that's what they told me, that they had to check with him. It is sad when people are in the hospital and they have bad nurses, it makes everything so much worse.
  • azgrandma
    azgrandma Member Posts: 609 Member
    #5
    antcat said:

    Pain
    Hi Carlene, glad you're going home and everything worked out well. I didn't think nurses could change doctors orders. When I was in the hospital, I thought the dr. wrote the order for the pain med at least that's what they told me, that they had to check with him. It is sad when people are in the hospital and they have bad nurses, it makes everything so much worse.

    So sad
    HI Carlene
    I am sorry your going through this, i didn't know they could change the orders either.
    Hugs to you
    Lynda
  • Hissy_Fitz
    Hissy_Fitz Member Posts: 1,834
    #6
    carolenk said:

    Depending on how the pain
    Depending on how the pain med order was written, that nurse may have been committing malpractice. Yikes!

    I spoke to the doctor. He
    I spoke to the doctor. He wrote the order for Toridol as x dose every 6 hrs so I got that one. Toridol is just an NSAID though, not the best thing for relieving really bad pain.

    The order for the Dilaudid was "1-2ml every 4 hrs as needed" so the nurse was "allowed" to decide how much I should get, and evidently was not required to tell me I could have more, "if needed" and same with the Valium. He ordered "5mg every 12 hrs as needed."

    And the nurse did not tell me about the order for breakthrough pain "10-20 mg Hydrocodone every 4 hrs, as needed" until many hrs after the surgery- when I was literally in tears over the inadequacy of the pain meds. And even then, I was not advised I could have TWO pills. He never gave me more than one.

    All my doctor said was, "That makes no sense." He did ask if I indicated I was in severe pain or if he asked me to rate it (0-10). I said I had definitely indicated "severe pain" and when asked, which was seldom, rated it as 7.

    I cannot believe nurses can do this to people. And why??? Does this person have some kind of mean streak? A power trip issue?

    Back in 2009, when I had my debunking surgery, I had such excellent nursing care, I wrote letters to the hospital admin, the director of nurses and the State. Same hospital-different wing.

    Carlene
  • clamryn
    clamryn Member Posts: 508
    #7
    Hissy_Fitz said:

    I spoke to the doctor. He
    I spoke to the doctor. He wrote the order for Toridol as x dose every 6 hrs so I got that one. Toridol is just an NSAID though, not the best thing for relieving really bad pain.

    The order for the Dilaudid was "1-2ml every 4 hrs as needed" so the nurse was "allowed" to decide how much I should get, and evidently was not required to tell me I could have more, "if needed" and same with the Valium. He ordered "5mg every 12 hrs as needed."

    And the nurse did not tell me about the order for breakthrough pain "10-20 mg Hydrocodone every 4 hrs, as needed" until many hrs after the surgery- when I was literally in tears over the inadequacy of the pain meds. And even then, I was not advised I could have TWO pills. He never gave me more than one.

    All my doctor said was, "That makes no sense." He did ask if I indicated I was in severe pain or if he asked me to rate it (0-10). I said I had definitely indicated "severe pain" and when asked, which was seldom, rated it as 7.

    I cannot believe nurses can do this to people. And why??? Does this person have some kind of mean streak? A power trip issue?

    Back in 2009, when I had my debunking surgery, I had such excellent nursing care, I wrote letters to the hospital admin, the director of nurses and the State. Same hospital-different wing.

    Carlene

    That makes me so mad.
    Carlene, that just makes me so mad. I am so glad you will be going home and you can administer the pain meds that you need. How can a nurse see someone in pain, knowing all along that they could give meds to help them.

    Linda
  • Tethys41
    Tethys41 Member Posts: 1,382 Member
    #8
    Hissy_Fitz said:

    I spoke to the doctor. He
    I spoke to the doctor. He wrote the order for Toridol as x dose every 6 hrs so I got that one. Toridol is just an NSAID though, not the best thing for relieving really bad pain.

    The order for the Dilaudid was "1-2ml every 4 hrs as needed" so the nurse was "allowed" to decide how much I should get, and evidently was not required to tell me I could have more, "if needed" and same with the Valium. He ordered "5mg every 12 hrs as needed."

    And the nurse did not tell me about the order for breakthrough pain "10-20 mg Hydrocodone every 4 hrs, as needed" until many hrs after the surgery- when I was literally in tears over the inadequacy of the pain meds. And even then, I was not advised I could have TWO pills. He never gave me more than one.

    All my doctor said was, "That makes no sense." He did ask if I indicated I was in severe pain or if he asked me to rate it (0-10). I said I had definitely indicated "severe pain" and when asked, which was seldom, rated it as 7.

    I cannot believe nurses can do this to people. And why??? Does this person have some kind of mean streak? A power trip issue?

    Back in 2009, when I had my debunking surgery, I had such excellent nursing care, I wrote letters to the hospital admin, the director of nurses and the State. Same hospital-different wing.

    Carlene

    Pain meds
    I would be very interested to see if your chart indicates you received the higher dose or the lesser dose and whether it indicates you received all of the meds. That nurse could get some cash for those drugs if he pocketed the ones he did not administer to you.
  • AnneBehymer
    AnneBehymer Member Posts: 738 Member
    #9
    Hissy_Fitz said:

    I spoke to the doctor. He
    I spoke to the doctor. He wrote the order for Toridol as x dose every 6 hrs so I got that one. Toridol is just an NSAID though, not the best thing for relieving really bad pain.

    The order for the Dilaudid was "1-2ml every 4 hrs as needed" so the nurse was "allowed" to decide how much I should get, and evidently was not required to tell me I could have more, "if needed" and same with the Valium. He ordered "5mg every 12 hrs as needed."

    And the nurse did not tell me about the order for breakthrough pain "10-20 mg Hydrocodone every 4 hrs, as needed" until many hrs after the surgery- when I was literally in tears over the inadequacy of the pain meds. And even then, I was not advised I could have TWO pills. He never gave me more than one.

    All my doctor said was, "That makes no sense." He did ask if I indicated I was in severe pain or if he asked me to rate it (0-10). I said I had definitely indicated "severe pain" and when asked, which was seldom, rated it as 7.

    I cannot believe nurses can do this to people. And why??? Does this person have some kind of mean streak? A power trip issue?

    Back in 2009, when I had my debunking surgery, I had such excellent nursing care, I wrote letters to the hospital admin, the director of nurses and the State. Same hospital-different wing.

    Carlene

    that is soooooo wrong I am
    that is soooooo wrong I am sorry you had to go through it I would be complaining to every board I could hospital, nurse licensing, and anyone else that could pull the nurse licens I don't think it is right that they can deceide how much pain you are really in and change the dose the doctor said you should get


    Anne
  • LaundryQueen
    LaundryQueen Member Posts: 676
    #10
    azgrandma said:

    So sad
    HI Carlene
    I am sorry your going through this, i didn't know they could change the orders either.
    Hugs to you
    Lynda

    Thanks for sharing your experience
    Carlene: I am gonna learn from your experience. If I have to have surgery again, I will rate my pain as a "10" so there is no reason for a nurse to undermedicate me.

    (((hugs)))

    LQ
  • mopar
    mopar Member Posts: 1,972 Member
    #11
    Hissy_Fitz said:

    I spoke to the doctor. He
    I spoke to the doctor. He wrote the order for Toridol as x dose every 6 hrs so I got that one. Toridol is just an NSAID though, not the best thing for relieving really bad pain.

    The order for the Dilaudid was "1-2ml every 4 hrs as needed" so the nurse was "allowed" to decide how much I should get, and evidently was not required to tell me I could have more, "if needed" and same with the Valium. He ordered "5mg every 12 hrs as needed."

    And the nurse did not tell me about the order for breakthrough pain "10-20 mg Hydrocodone every 4 hrs, as needed" until many hrs after the surgery- when I was literally in tears over the inadequacy of the pain meds. And even then, I was not advised I could have TWO pills. He never gave me more than one.

    All my doctor said was, "That makes no sense." He did ask if I indicated I was in severe pain or if he asked me to rate it (0-10). I said I had definitely indicated "severe pain" and when asked, which was seldom, rated it as 7.

    I cannot believe nurses can do this to people. And why??? Does this person have some kind of mean streak? A power trip issue?

    Back in 2009, when I had my debunking surgery, I had such excellent nursing care, I wrote letters to the hospital admin, the director of nurses and the State. Same hospital-different wing.

    Carlene

    NO EXCUSE
    There's no excuse for this attitude and approach. Any good doctor AND NURSE know that one of the major keys to healing is pain control. When you're in pain the hormone cortisol goes up as well as other biological factors which inhibit proper healing. And 'as needed' is fine except that by the time you figure out you 'need' it you'll be chasing the pain - also not good. Our daughter has severe rhematoid arthritis/osteoarthritis/fibromyalgia, and she's been dealing with this mentality from doctors for about 2 years. It's horrible.

    Hang in there, Carlene. I agree that Toradol doesn't seem appropriate here, but hopefully by the time you read this they will have gotten their heads together and are treating you as they should.

    (((HUGS))) & Prayers!
    Monika
  • Cafewoman53
    Cafewoman53 Member Posts: 735 Member
    #12
    Bad Nurses
    I had the misfortune of getting a nurse like yours, one who doesn't believe in too much pain medicine, immediately after my right radical kidney removal. Omg I do not wish anything terrible on anyone but she happened to be pregnant and I did wish for her a healthy but painful labor !
    Sorry you had to suffer like that it really is horrible that with so many different meds out there that anyone should have to be in high pain especially in a place where they are supposed to be taking care of you
    Colleen
  • poopergirl14052
    poopergirl14052 Member Posts: 1,183 Member
    #13
    Cafewoman53 said:

    Bad Nurses
    I had the misfortune of getting a nurse like yours, one who doesn't believe in too much pain medicine, immediately after my right radical kidney removal. Omg I do not wish anything terrible on anyone but she happened to be pregnant and I did wish for her a healthy but painful labor !
    Sorry you had to suffer like that it really is horrible that with so many different meds out there that anyone should have to be in high pain especially in a place where they are supposed to be taking care of you
    Colleen

    that nurse should get fired
    I am sorry you had to go through this. I would report him to the state licensing board as this is a serious offence. No one should ever be in pain at all. Some nurses won't beieve you are inpain and think you are a druggie or something. I wonder if he was selling them on the street. ou never know who you can trust these days. Glad you are home and getting better care and pain relief than you were in the hosptial..val
  • kikz
    kikz Member Posts: 1,345 Member
    #14
    poopergirl14052 said:

    that nurse should get fired
    I am sorry you had to go through this. I would report him to the state licensing board as this is a serious offence. No one should ever be in pain at all. Some nurses won't beieve you are inpain and think you are a druggie or something. I wonder if he was selling them on the street. ou never know who you can trust these days. Glad you are home and getting better care and pain relief than you were in the hosptial..val

    Unfortunately nurses are no different
    than other people. Some good, some bad, some pains in the a**es. A patient should at least be informed of the medication that has been prescribed for them. I had a pip of a nurse when I was hospitalized for low electrolytes. I had leg pain and I can't remember what I was prescribed but when I told the nurse I was still having pain she said, with attitude, you can't have more of (whatever) that soon. I said my legs really hurt. She said I can give you tylenol or morphine. I told her I had a bad experience with morphine and was afraid to take it. She basically said take it or leave it so I took the tylenol. Another nurse would have checked with the doctor to see what could be done for my pain. But Miss Thing had a really sarcastic demeanor and thought she knew best. Thankfully those kind of nurses are far and few between. I am glad you are going home Carlene and so thrilled the doctor saw no signs of cancer. Whoo hoo!

    Karen

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