I remember this exactly..
drs and hospitals were under the gun due to JACCO demanding that we treat pain until its gone and we had to be sure we documented it and no matter what...
and you could not use common sense or your medical knowledge you had to depend on the patient and what they "felt"....
so many especially the younger ones learned very quick to always say they were a "10" in pain , and wanted their Dilaudid, their Phenergan and their bendaryl all IV and all at the same time, and btw, push it fast....
JCHAO not “jacco”...but I have other words for them as well...