Is there a limit to the number of narcotic pills that a doctor can give a patient in one prescription? Apparently not.
A lot of states have a system in place that tracks prescriptions and is accessible by doctors and pharmacists. Enter patient who had never been to our ER before... Presents with story of chronic neck pain from an accident a year ago. Blah blah woof woof. SSDD. Okay?
Look this guy up and he had received a script for prescription narcs for a month ago in the amount of 350 tablets. I kid you not - 350 tablets. Oh but that's not all. In the following 3 weeks they recieved one script a week I assume from another doctor for more narcotics in the normal amount someone would get. So lets say he recieved only 20 tablets in each of the next 3 weeks because I can't remember the exact amount. So that is 410 narcotic tablets in a months time. So I wonder what this guy is doing with all these narcs? I'll give you three guesses and the first two don't count. Lets say the street value of the pill he got is $5, that a cool $2,050 in the pocket with no trouble at all. Then we wonder where the prescription drug problem comes from in this country.
Oh did I mention that despite all of this info, the patient got an injection of narcotics? Oh did I mention that they left as soon as they got the injection?
A lot of docs seem to have this philosphy that you give 'em narcs in ER and then don't give them a prescription and everything is copacetic.
Docs would say I have to relieve their pain, thats why they came in. I don't want a complaint. I don't want them to make a scene. There is toradol, ibuprofen. Why not go there? I just do not get it and I never will. I really want to understand a docs reasoning with all of this because this is the kind of stuff that makes you want to leave nursing. It feels really sleezy to be part of this. Every time you are part of this kind of stuff it takes away a piece of your soul.