Readers Comment on Vicodin, Percocet Ban

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In his July 6 post on the proposed Vicodin, Percocet ban, AJN editor Jacob Molyneux wrote, “A number of clinicians and patients have expressed alarm at the potential loss of Vicodin and Percocet, both of which are mainstays of pain management in the U.S.” He cited pain expert Carol Curtiss’s concern that such a ban could have “even more drastic implications than most people yet understand,” then asked readers, “Should we worry?”

Some commenters think so:  nester writes

If suddenly the combos become unavailable and pain relief is that much harder to come by, every Tom, Dick, and Harry with a sprain is going to flock to the ER for the good stuff… not once, but daily until the pain is gone or they are refused treatment.  If you can’t go to just any doc to get narcotic pain relievers, the pain relief specialists will have lines out the door also.

And Abigail Nobel says, “Educate before banning these affordable, essential components of pain control. Why should everyone suffer for the carelessness of a few?”

But Judy Newberger says that although she initially agreed with the ban, an interview with an elderly patient who was given Percocet and was already taking acetaminophen changed her mind.

Labels were not read, discharge papers were not thoroughly reviewed. Did no one review what meds he was on before they sent him home? I now am FOR removing Rx and OTC combination pain and other combination meds with acetaminophen.

Thanks to all for […]

2016-11-21T13:25:09-05:00July 17th, 2009|nursing perspective, pain management|0 Comments

What’s It Gonna Take to Improve Nurse Staffing?

From otisarchives4, via Flickr

It’s easy to forget that nurses are the ones who will continue to provide most of the care in whatever health care system we end up with in the coming years. Unfortunately, two recent announcements about how nurses rated staffing and workloads gave me a nasty sense of déjà vu.

On July 6, the American Nurses Association (ANA) announced the results of an online survey it conducted for several months last year: 70% of the 10,000 plus respondents say staffing is insufficient; 52% said they are considering leaving their job (of these, 42% say it’s because of inadequate staffing). Slightly more than 35% say they “rarely or never” are able to take full meal breaks. Over half say the quality of care has declined and almost half (49.5%) are unsure if they’d want someone they care about treated in the facility in which they work. […]

Nurse Ethicist Weighs in on Nurses Who May Have Helped Merck Hawk Vioxx

By wonker, via Flickr. By wonker, via Flickr.

According to a story in The Australian, the drug company Merck has been accused of paying nurses to sift through patient medical records in search of potential candidates for the drug Vioxx.  Here’s what nurse ethicist Douglas Olsen, who recently wrote a two-part article (here’s part one; part two is here) for AJN on nurses and the pharmaceutical industry, wrote to us about the story:

The news report demonstrates the public’s visceral sense that the Merck program in Australia was unethical. Nurses, as well as doctors and pharmacists, can anticipate righteous indignation whenever their clinical deliberations appear compromised by a company’s desire to sell a particular drug. […]

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