ER RN's with anxiety disorders? - page 2

by Energizerhoney 5,180 Views | 21 Comments

I have worked 2 years in the PICU and current work in adolescent psych for the past 4 years. So it's been awhile since I've started an IV, but I think once I get back into the hang of things I'll be ok, I'm a fast learner. I know... Read More


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    Quote from livingthedream77
    Every nurse I've talked to is on an SSRI, benzo, sleep pill.
    Not this one. No disrespect meant towards those who suffer from anxiety.
  2. 0
    Quote from emtb2rn
    Not this one. No disrespect meant towards those who suffer from anxiety.
    I agree. And I think there is a big difference between benzo's/narcotics and SSRI's or insulin.
  3. 0
    Quote from SionainnRN

    I agree. And I think there is a big difference between benzo's/narcotics and SSRI's or insulin.
    Not if they're not abused. I had a CNA treat me like a drug addict one time when it came up in conversation that I was on Prozac. Health care professionals need to educate themselves.
  4. 0
    Quote from sapphire18
    Not if they're not abused. I had a CNA treat me like a drug addict one time when it came up in conversation that I was on Prozac. Health care professionals need to educate themselves.
    There's a big difference between taking an anti-depressant and taking narcotics while at work. If you are in so much pain or have such anxiety that you need to take narc while at work, then in my opinion you should be home not at work.
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    As someone else brought up, the issue could be passing the preemployment drug test. If you search AN, you will find stories of people who had their job offers rescinded after a positive test, even though they had a valid prescription. I also have to agree that there's a difference between working under the influence of an SSRI and a controlled substance. It might be worth seeing if there are any other medications that may help your anxiety and not be an issue on a drug test.
    SionainnRN likes this.
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    Quote from SionainnRN
    There's a big difference between taking an anti-depressant and taking narcotics while at work.
    Agreed. SSRIs are very slow-acting medications (they literally take MONTHS to reach full efficacy). Benzos are highly addictive medications to which a patient can develop high tolerance. (Needing Ativan on top of 3mg Klonopin and claiming no sedation/alteration could be a strong indicator of a high tolerance). That's kind of the problem with Benzos if used with that kind of frequency... eventually you need more and more for the same baseline effect, and coming down can cause extreme rebound anxiety that's worse than what you initially sought treatment for. The also have street value, and that with the drug-of-abuse issue is why ERs are so hesitant to prescribe them in more than minuscule amounts if at all. I would be very concerned that your performance could be compromised if you were to miss a dose. ERs can be busy places where people sometimes barely have time to pee or eat, much less attend to strict TID plus PRN med schedules. I was recently on a HUGE pill regimen that involved taking pills several times a day even at work. Fortunately, none of them would have affected my mood or job function or even had a significant impact on my immediate health had I been an hour or more late. I can't imagine if missing one would have sent me into a panic attack!
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    People who don't have panic disorder, no matter the amount of medical knowledge they may have, will never understand. I have a prescription for vaginal Valium suppositories for interstitial cystitis and pelvic floor dysfunction and I feel absolutely no systemic effect. Being a benzo, that shows up on a drug screen. For anyone who says if you are in that much pain where you have to take a controlled substance, stay home....well, I can't respond without violating TOS, other than to say, Sure, I'll stay home and let you and the rest of society pay my bills for me. I also take Xanax prn. Luckily with work, I only need it the first few days of a job until I feel comfortable in the place. After that, I still have anxiety, but I'm able to use coping techniques I have learned in counseling. There was a time when I could not take a science class with a lab component, because I would have a panic attack and walk out of the lab and drop the class. I could not bring myself to do it. I attempted 4 science classes, and withdrew each time, before being prescribed Xanax. I started Chemistry and took xanax two times for lab, then felt comfortable enough after 2 labs where I did not need to take it before class anymore. The same happened with my first nursing job. As a patient I would take a nurse who takes a benzo or narc any day over a nurse who will freeze up d/t anxiety or a nurse who is in so much pain (such as myself d/t chronic pain) who is distracted while working because of their pain
    Bullymom and livingthedream77 like this.
  8. 0
    Quote from Orion81
    People who don't have panic disorder, no matter the amount of medical knowledge they may have, will never understand. I have a prescription for vaginal Valium suppositories for interstitial cystitis and pelvic floor dysfunction and I feel absolutely no systemic effect. Being a benzo, that shows up on a drug screen. For anyone who says if you are in that much pain where you have to take a controlled substance, stay home....well, I can't respond without violating TOS, other than to say, Sure, I'll stay home and let you and the rest of society pay my bills for me. I also take Xanax prn. Luckily with work, I only need it the first few days of a job until I feel comfortable in the place. After that, I still have anxiety, but I'm able to use coping techniques I have learned in counseling. There was a time when I could not take a science class with a lab component, because I would have a panic attack and walk out of the lab and drop the class. I could not bring myself to do it. I attempted 4 science classes, and withdrew each time, before being prescribed Xanax. I started Chemistry and took xanax two times for lab, then felt comfortable enough after 2 labs where I did not need to take it before class anymore. The same happened with my first nursing job. As a patient I would take a nurse who takes a benzo or narc any day over a nurse who will freeze up d/t anxiety or a nurse who is in so much pain (such as myself d/t chronic pain) who is distracted while working because of their pain
    Hi! I completely agree with you on this one. I have depression and panic disorder. I have had moments where I literally blacked out due to extreme anxiety. Now I've been on lexapro for both depression and anxiety and it is working wonders. I do have Xanax prn but i can't even remember the last time I needed it. I used to also get anxious in a new environment. Nowadays I try to deal with anxiety by using the coping skills my psychiatrist taught me. :-)
  9. 1
    Quote from VeronikaRN
    Hi! I completely agree with you on this one. I have depression and panic disorder. I have had moments where I literally blacked out due to extreme anxiety. Now I've been on lexapro for both depression and anxiety and it is working wonders. I do have Xanax prn but i can't even remember the last time I needed it. I used to also get anxious in a new environment. Nowadays I try to deal with anxiety by using the coping skills my psychiatrist taught me. :-)
    I'm glad to hear your symptoms are under control. I'm waiting to be flamed for my post because I was pretty offended. To hear that someone wouldn't want me caring for them (although its honest) is hurtful. I too take Lexapro and it makes all the difference in the world. I agree that one should not perform nursing duties ONLY to the extent of not doing so until you know how benzos or narcs will affect you. it does not affect my judgement or care in any negative way. Anyone can rattle off side effects of these meds, but until someone's been in my shoes with pain and anxiety, don't dare judge me. I'm not going to let my medical problems keep me home and not live my dream I fought so hard for in nursing school. I resent anyone saying I should. End rant.
    livingthedream77 likes this.
  10. 0
    I have anxiety disorder and found that a few lifestyle changes helped me the most. One caffeinated drink between the hours of 1000 and 1800, limit sugar intake, sleep 8hrs. Im not a big med taker since I tend to have bad reactions.


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