http://www.kevinmd.com/blog/2007/09/when-did-we-stop-offering-tylenol-first.html Wed, 15 Feb 2012 00:05:00 +0000 hourly 1 http://www.kevinmd.com/blog/2007/09/when-did-we-stop-offering-tylenol-first.html#comment-80036 ERMurse Fri, 14 Sep 2007 20:10:00 +0000 http://clients.emmense.com/kevinmd/2007/09/when-did-we-stop-offering-tylenol-first-and-start-giving-everyone-a-norco.html#comment-80036 Agree with Annonomyous and have one to add. The colosual blunder by Healthcare in accecpting Pain as a Vital Sign and Pain is whatever the patient says it is regardless of how unaffected they appear by the reported pain. That along with the desire to produce high patient satisfaction scores. We'eve empowered the disfunctional. I worked with a midlevel provider recently that was near tears because a patient threatened to complain because she would not write him a Vicodin Rx for "back pain" that seemed to have little or no effect on his ability to walk, bend, move, ect. She wrote him for a muscle relaxer and a NSAID. Also, some ER groups are being offered bonuses for high scores which has many ED Physicians casting aside their principles and giving out pain meds like candy. Agree with Annonomyous and have one to add. The colosual blunder by Healthcare in accecpting Pain as a Vital Sign and Pain is whatever the patient says it is regardless of how unaffected they appear by the reported pain. That along with the desire to produce high patient satisfaction scores. We’eve empowered the disfunctional. I worked with a midlevel provider recently that was near tears because a patient threatened to complain because she would not write him a Vicodin Rx for “back pain” that seemed to have little or no effect on his ability to walk, bend, move, ect. She wrote him for a muscle relaxer and a NSAID. Also, some ER groups are being offered bonuses for high scores which has many ED Physicians casting aside their principles and giving out pain meds like candy.

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