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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU or was midwife stealing my morphine?

340 replies

Morphinemidwife · 02/11/2019 12:05

Slightly longwinded background for context:
I gave birth to my DC around 6 weeks ago, ended up having a caesarian under GE so no spinal block, and a lot of complications that meant over 6 hours in surgery.
Came around in agony (spinal block apparently offers longer term pain relief), so put on a morphine pump at the request of the anesthetist from surgery and a registrar. All fine, lovely night changing and cuddling baby, some pain obviously but totally manageable and under control.

The same registrar and another Dr came later to remove the pump before ending their shift, and prescribed me 10-20ml of oramorph every 2-3 hours. Said to keep on top of the pain, as it was hard to get it gone but that it should be trivial to stop it coming back. Had first dose, few hours pass, all good still.

One midwife was responsible for me overnight, her shift starting soon after i came off the pump, she was administering my medication. She gave me 5ml of oramorph very infrequently - every 4-6 hours over the night, despite my frequent buzzing in absolute agony. By the morning I was in tears, groaning, high temperature and completely unable to move. She kept saying I should be mobile, when I couldn't move for pain. When my pain was being managed I was able to pick up my DC to change and feed etc, by this point I couldn't move to sip a drink despite being very thirsty. The midwife wrote in my notes saying I was failing to cope and look after my baby and my husband was having to take over instead. I just needed pain relief.

When the morning shift came, I asked whether I could have the full dose of oramorph as frequently as prescribed as my pain was completely unmanageable. I'd realised it had been a lost cause trying to get the correct dose overnight.
They said I couldn't, as my chart showed I'd had the maximum possible dose - 20ml every 2 hours. All signed off.

I insisted I'd had 5ml every 4-6 hours, nobody would believe me. I wasn't allowed any morphine, just paracetamol. I was in an astronomical amount of pain. This prompted a mental health referral. Overnight I had been given 15ml of oramorph, my chart said I'd had 120ml.

I had a mental health Dr come to pointedly ask me whether I had any drug problems as there was no way that dose would leave me in agony, I accused of having a mental breakdown and being "unable to cope" all day. I was accused of wanting extra morphine because I needed "an escape". I was fine, overjoyed other than the pain, just lacking any sleep and in need of pain relief. I didnt feel able to repeat my assertions that my chart was wrong to the mental health Dr, as it had prompted the referral and mutterings of SS involvement.

I ended up having to stay in hospital for 5 days, having been desperate to go home as they were concerned for my mental health because I was crying all day due to being in total pain. Being on the ward robbed me of any chance of sleep, my paracetamol wasn't even administered regularly so I only made it home when on day 5, the pain had naturally eased off a bit so I stopped crying and groaning.

Went home, giddy and happy with a new baby so thought no more of it and didn't want to focus on the negatives of the first few days.

But its just occurred to me, weeks later, how the midwife looked and was moving, her pinpoint pupils. She was taking my morphine and forging the chart wasn't she? It's bloody obvious to me looking back that it wasn't just an error like I'd initially thought.
WWYD? I could never prove it, could I?

OP posts:
HavelockVetinari · 02/11/2019 12:11

Oh wow, that's awful, you poor thing! I'd contact PALS.

Karwomannghia · 02/11/2019 12:12

How did you know it was just 5ml?

titnomatani · 02/11/2019 12:12

Omg, that's horrible. I'm so angry on your behalf. Please, please contact PALS and take further action.

titnomatani · 02/11/2019 12:13

Even if you could never prove it, a complaint made against that midwife would put her on the radar of her superiors and if anyone ever said/implied the same thing again, she'd be held to task and your complaint upheld. Don't ignore this.

mrssoap · 02/11/2019 12:14

Oh my, that sounds horrendous. How did you know it was 5 mls you were given?

Prawnofthepatriarchy · 02/11/2019 12:15

You may well be right. Abuse of prescription drugs is rife among HCP. A friend of mine developed an addiction to morphine while working as a nurse. It's a very high stress job.

However I think proving it might be very difficult. You could go to PALS, who deal with patient complaints and take it from there.

I'm really sorry this happened to you. If hospital staff believed you had a drug problem there are tests to show if you've been taking opiates over a prolonged period. Doing that test would have proved you don't/do take drugs. I can't help wondering why they didn't do it

Gynaegirl · 02/11/2019 12:16

I thought controlled drugs were checked and administered by two qualified staff?

EmrysAtticus · 02/11/2019 12:16

I would complain. If this is the first complaint against this nurse you will just get a response stating that your notes are clear that you had the correct dose but if there have been other complaints it will help to build a case against the nurse.

DidntLikeRugbyAnyway · 02/11/2019 12:16

Are you sure you’re not getting mls and Mgs confused? 10mgs of morphine is 5 mls.

EmmaGrundyForPM · 02/11/2019 12:16

You could contact the hospital. if she is actually doing this then you won't be the only one. The hospital will then keep an eye out.

However it is possible that you were given the correct dosage. If you have just had serious surgery and are on oramorph your judgement/recollection may not be accurate.

CuriousaboutSamphire · 02/11/2019 12:16

Contact your local PALS. If nothing else they can look at your treatment pathway. Whether that leads anywhere will depend on what they find, what response they get.

They can be very, very helpful. So, regardless of any potential outcome, do talk to them.

sharonelizabeth · 02/11/2019 12:17

Definitely complain, if she has a a problem with morphine addiction it needs to be investigated, sorry you had such a rough time.

skippythebushkangarootoo · 02/11/2019 12:17

Oramorph is single sign in most Trusts so doesn't need to be checked by anyone else so it's a definite possibility 😱

thatsmyumbrella · 02/11/2019 12:17

How did you know how much oramorph you were given? I was given this following a very difficult c-section and I remember still being in agony desperately waiting for next dose and I couldn't tell you how much I was given each time

Bluerussian · 02/11/2019 12:18

What titnomatani said.

unfathomablefathoms · 02/11/2019 12:18

Complain so it's on record, but don't expect a just outcome.

MrGsFancyNewVagina · 02/11/2019 12:18

I worked with a nurse that was stealing codeine for months, before she was caught, so I can we’ll bel it. I’d put in a formal complaint if I were you and I’d demand to see what was written on my medical notes, in case there is a suggestion that you e a drug problem.

MatildaTheCat · 02/11/2019 12:18

Write a factual statement and submit to PALs and the director of midwifery. Oromorph is often administered in a syring so the difference between 5 ml and 20 is very obvious. It’s also not a controlled drug so your suspicion could be correct.

Alicenwonderland · 02/11/2019 12:19

After my c-section I had a similar thing. I was convinced no one had come to my room the next day and I'd missed lots of pain relief. It was all denied too. Very odd, I'm not sure looking back if I was just really out of it, I sent some random messages in the days I was on morphine! I was in a private room so it may be possible I was missed out. Not saying at all that this is the case with you, yours sounds far more extreme, mine was just that one, strange day! So sorry you went through that and hoping you're better now. 💕💕

sharonelizabeth · 02/11/2019 12:19

They’re supposed to be administered by two members of staff but when it’s busy this doesn’t always happen.

sanmiguel · 02/11/2019 12:21

If you were there 5 days though, that same nurse wasn't working the whole of that time so how was you when that nurse went off shift?

WomensRightsAreContraversial · 02/11/2019 12:22

I thought controlled drugs were checked and administered by two qualified staff?

I'm confused about this too. I've had Oramorph in hospital twice - the first time ir was two staff, very clearly reading out loud the dose, telling me, checking my wrist band, getting me to confirm who I was etc. The second time really just the one on the normal drugs round.

SauvignonBlanche · 02/11/2019 12:22

Oramorph is prescribed in milligrams usually 10mgs but can be increased to 20mgs.
The strength is 10mgs in 5mls so a usual dose would be 5mls.

pastyballbag · 02/11/2019 12:22

Oramorph doesn’t need 2 staff members but it would have been prescribed in mgs not mls so you’re probably confusing the 2

DidntLikeRugbyAnyway · 02/11/2019 12:25

You wouldn’t have been prescribed 10-20mls as that’s 20-40mgs. The adult dose is 10mgs. There is no way that could have had 120mls overnight as that’s 240mgs. That’s over a bottle.