I went in the room, along side my nurse, to administer the injections, and the patient seemed to get very agitated and said “I am not getting any shots in my butt”! I explained to the patient that this is what the physician ordered and it will help her. She continued to get upset and stated “I am not getting no shots in my butt, so you guys need to give me something else”. At this moment I went and got the physician and explained to him the situation. The nurse and physician went into the patient’s room to find out what is going on. From here she repeated the same things she said to me. Patient still refused the medication, and so the nurse told her that they “don’t just give out pain meds around here”. The nurse told t...
... middle of paper ...
...f ethics was put in place partially for this reason, to make sure our patient’s have top of the line care. When a patient comes in and states they are in pain, they should be treated as if they are in pain. If a patient declines a medication due to the route and location, then the nurse and physician should work together to form another option. A patient should never be sent away without being treated first. One recommendation I would make is to form an algorithm for pain treatments, just as they do for cardiac arrest. That way when a patient comes in and declines the first option, there is a protocol in place that includes other options. I would also recommend transferring the patient to another unit to be treated if fast track does not have the resources. The patient should also be informed of the treatment right away before making them sit and wait for nothing.
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