I had to give this one its own name. It is alive and well. We are not just debating this on SMYS, it is everywhere.
Narcan, Sold over the counter with education by the pharmacist. This is for people to purchase if they have opiate addicts in their lives who may be in danger of overdosing and dying. Only 27 pharmacies in Ohio are currently selling it because all Pharmacists must be signed off by a Physician to give the necessary administration education for narcan to the purchaser. Instructions have to be given because of the short half life and the absolutely DESPERATE need for the patient to seek medical attention immediately. This is, as I have said before, nothing but a second chance. It is a pause button, if you will. We have given them a single chance to live. The only thing they have to do is seek medical care.
So, you might say, “They won’t.”
Noncompliant patients are noncompliant patients. We deal with them every single day.
- Diabetics continue to eat badly and not take their meds.
- Hypertensives continue to not take their medications and eat too much salt.
- CHF patients sometimes don’t take their lasix.
- COPD patients continue to smoke with oxygen hanging out of their noses.
And we still help them. We give them insulin, we give them lisinopril, we diurese them, we counsel them about diet, exercise, smoking, and medication compliance.
But, because they are an addict, we do not feel like they need access to lifesaving medication? Do you realize that you are denying an obese type 2 diabetic insulin here?
It is the same thing. Their life choices may have caused their issue. The COPD patient who did not quit smoking should not DIE because you decided it was their fault.
When Hurricane Katrina happened, I watched a newsclip of a nurse at the superdome shouting at the crowd, while attending to a person slumped in a wheelchair. I was in tears. She was shouting “I need REGULAR INSULIN.”
There was an emergency, and she gave medication that did not even belong to that patient, without an order, to a patient in crisis. <I am not advocating giving medication without an order> Would you do anything different in an emergency?
So WHY are you so concerned about family members procuring narcan to save their family members who are at risk of opiate overdose?
We are so careful to make sure we control that blood glucose level, maintain optimal oxygenation, and keep track of those inputs and outputs. How about we also care whether addicts die in a dirty room with a needle hanging out of their arm, 3 minutes too far away from help for it to matter? When we can just hit them with narcan, since all the the side effects of narcan are less serious and less permanent than an anoxic brain injury.
So Care, Nurse. Keep caring. Keep saving lives. Keep wishing for your patients to take responsibility for their health. Keep educating.
Without your McNurseyJudgeyPants.
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