"When did we stop offering Tylenol first and start giving everyone a Norco?"

ERnursey wonders why narcotics are becoming first-line treatment for pain in some ERs:

And not just any old Norco, uh uh now we give a Norco 10mg all the time. For ankle sprain or lacerations. What about Motrin? It’s my drug of choice.

When did we stop titrating Morphine? In our ER the standard used to be Morphine 2mg IV every 5 minutes up to ten milligrams. Now the order is Dilaudid 1 mg every 10 minutes up to 4 milligrams which is almost three times the strength of the 10mg of Morphine.