If Jack had a script for pain meds and it has run out and he has to wait till the Facility Doctor is in to give him a new prescription they'd still would offer him Motrin or some other over the counter pain med to help.
To clarify: Jack would still need a prescription for OTC meds--this is the nature of being admitted to a facility--but nearly every SNF discharge gets sent out with PRN orders for Tylenol, Mylanta and bowel care, even if they weren't using them at the hospital. Nobody wants to make or to receive phone calls about poop meds.
The medication reconciliation process means that at discharge, the hospitalist goes over what the patient was taking at home and what they were taking in the hospital, and decides to stop or continue each medication. If Jack wasn't using opiates in the hospital, it's really unlikely they'd order any on discharge.
Nursing homes don't have pharmacies on-site like hospitals do, so if a doctor writes a new prescription, they still have to wait for it to get filled and delivered (same-day) to the facility. Some common (and cheap) medications are stocked in big-ass bulk bottles, but that's things like acetaminophen and docusate. Everything else is earmarked, usually blistercarded, for individual patients. Controlled meds especially; the nurses/med aides have to do a 2-man count each shift change. There isn't just a bulk bottle of oxycodone they can pull from, for Jack, even he gets a new prescription.
given his lack of movement and diet we could be getting a jack DVT mini-arc
If Jack "Par 4" Scalfani isn't pharmaceutically anticoagulated by now, I don't know what's going on. We can always hope for a miracle, though.
