Tips for dealing with crappy patients

[xaelia]

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I learned early this year you can discharge a patient AMA, document they refused to sign the AMA form, and have security escort them from the building.

 

[DadofDr2B]

When you have a drug user asking for drugs suggest the biggest needle you can find. Show him the needle and shoot him with saline somewhere it will give a lot of pain. Then prescribe all other medications to be administered rectally. This should weed out some of the drug users.

 

[kirurg]

Show him the needle and shoot him with saline somewhere it will give a lot of pain.

Wouldn't this put you at risk to be sued?

 

[SilleAngyl]

Kevin Trudeau is the only reliable source of medical information that I have found.

I did an extra credit report on him for a class in undergrad and got a few of his books from the local library. They really are a riot to look at. You really have to be an idiot to buy into that crap. The best part of one of his books (I forget exactly which one) is when he tells the reader how he has come to know all of the information he touts: he was a part of a worldwide secret society, which he has since left. Yes, thats right, Kevin Trudeau is a self-proclaimed international man of mystery. HOW DO PEOPLE BUY THIS CRAP?!?!

 

[deleted109597]

When you have a drug user asking for drugs suggest the biggest needle you can find. Show him the needle and shoot him with saline somewhere it will give a lot of pain. Then prescribe all other medications to be administered rectally. This should weed out some of the drug users.

Uh, ok.




Burnett's law....

 

[docB]

I assume these comments were jokes (and it's not like we've all thought of them) but just to clarify:

I learned early this year you can discharge a patient AMA, document they refused to sign the AMA form, and have security escort them from the building.

Be careful. You can't just toss people and claim they left AMA. This would clearly be fraudulent, unethical, malpractice and an EMTALA violation. It's also very likely to get noticed and documented by the nurses and you will get screwed.

When you have a drug user asking for drugs suggest the biggest needle you can find. Show him the needle and shoot him with saline somewhere it will give a lot of pain. Then prescribe all other medications to be administered rectally. This should weed out some of the drug users.

You can't give people placebos. Nursing practice norms preclude them from giving a "med" without telling the patient what it is. If it's obvious you're just trying to hurt the patient or give grossly ineffective therapy you will run afoul of EMTALA and the medical board.