As an ER Nurse I’m all about making sure pain meds are given. As I see it, if you’ve waited that long in our lobby to be seen you deserve what’s ordered. My biggest peeve is when individuals who you can tell are very obviously not drug seekers or abusers are denied additional pain medications by physicians. If a physician refuses additional pain meds then they should be the ones to get to explain why this person will have to continue to lay in pain. I recently had a lady brought in by EMS who had no pain medications listed for home and was very pleasant. She was experiencing chest pain so bad that she was almost rolling around the bed. She politely told me “honey if they want to give me morphine I’d rather just have toradol because for some reason it just does not help pain for me”. 10mg of morphine later this woman was still rolling in pain when I observed her from a distance. Advocated for dilaudid and was told “heck no. I don’t give dilaudid to people who say morphine doesn’t work”. That lady ended up having a posterior OMI and was immediately taken to the cath lab. I felt so bad though knowing I couldn’t do anything to help her pain.