Reply to 400,000 overdose deaths in U.S. attributed to Sackler family

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[quote=Anonymous][quote=Anonymous]I'm a nurse at a hospital in a state hit very hard by the current epidemic.  Unfortunately we are one of the top.  After years, it still appalls me how narcotics are over prescribed for some patients. And it's not the stereotypical ones who are the worst.  They definitely get treated differently (even sometimes when their pain is legitimate).  It's the person who seems totally normal.  But they know how to manipulate the doctors to get drugs.  And hospitals are so concerned about the scores they drill into the providers head the need to get good scores. So some doctors cave and just give in to the patients.

I've lost count of how many times patients have rated their pain a 10/10 while they casually watch TV or flip through their phone.  I do extra documentation to show what I observe but I'd get in trouble if a patient complained that they said their pain was a 10 and I gave them nothing (because I thought their pain was a 2).  And most doctors don't read my documentation so patient says "my pain was uncontrolled all night.  The meds do nothing".  And so they get more more or different dosages.

I've started to see some positive changes due to a new addiction /pain Management group at the hospital, so hopefully things are heading in the right direction.

I think the whole "keep patients happy so they give us good scores" crap that's pushed at providers and nurses is so detrimental to patient care.  But the numbers are what matters [/quote]
Thank you for sharing your experiences.[/quote]

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