AMA: you're doing it right.

this one comes courtesy of cardiac nurse bff.

so they got this patient on the floor who was regular.  this guy is a classic manipulative patient in a 'sickle cell pain crisis' who required a PCA, yet spent the majority of his time off the floor out smoking or trying to scam people.  he apparently would get a few hits of dilaudid then disconnect himself from his pump and disappear for an hour, only to return to get some narcs and disappear again.  everyone was fed up with him and his alleged "pain crisis" and the doctors finally gave him an ultimatum.  if he took himself off of his PCA and left the floor one more time, it was going to be considered leaving AMA and he wouldn't get his prescriptions for all of his pain meds upon discharge.  they patient apparently agreed to this, and then went MIA from the floor again.

when he finally got back, the intern went to go talk to him and, wouldn't you know, the patient refused to go AMA.  after much bargaining, threatening, and the like, the intern finally caved and told the patient that he would write him a prescription, but he was still considered AMA as per the original agreement.

so at this point in the story, i'm pretty much livid.  THIS IS WHAT IS WRONG WITH THE WORLD.  entitled people making your life a living hell to the point that you just give them what they want so they will finally go away.  but still, not ok.  shame on that doctor for giving in, i thought.

so the patient signed the AMA papers and the intern handed over his prescription.

it was for tylenol.

and the intern for the win!!  it's about time that someone took it upon themselves to not give in to manipulative, drug seeking bs.

and THAT is how you do AMA.