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What kind of narcs do you keep on hand?



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  #1  
Old Jul 16, 2007, 07:31 PM
MadisonsMomRN (Female)
Registered User
Join Date: May 2005
Question What kind of narcs do you keep on hand?

I was just wondering what narcotics/or other meds your facility keeps on hand in your narc cabinet.

We have:

Nubain
Methadone
Dilaudid
Valium
Ativan
Percocet
Toradol
Phenobarb
Tylenol #3
Ultram


And Narcan (thank goodness :laugh)

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  #2  
Old Jul 18, 2007, 03:59 AM
Registered User
Join Date: Jul 2004
Re: What kind of narcs do you keep on hand?

Narcotics on hand at the state prison I work in are:

MS Contin
Morphine Sulfate (PO only)
Librium
Serax
Ativan
Klonopin
Phenobarb
T#3
Vicodin
Darvocet
Valium (PO & IM)

I think there's a few more, but that's all I can think of now. Interesting note, we don't have Narcan in the yard I work in, but you can always support ventilations until paramedics arrive. We also don't use Methadone. If an inmate returns to us from the streets and has been on Methadone (usually combined with Heroin, too ), the doctors will give them Clonidine or Robaxin or Serax and OTC drugs like Tylenol or Immodium just to control the withdrawal symptoms for about a week, but usually only if their VS are indicating distress (i.e. elevated BP and/or tachycardia). If they haven't yet started the withdrawal and don't have VS indicating distress, the doctors won't order anything, so the inmate's only options are to go mandown. Toradol and Ultram are not considered Narcotics at my facility, although Ultram is what we call a nurse administered medication and Toradol is only given usually as a one time dose IM.

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  #3  
Old Jul 18, 2007, 05:03 PM
Registered User
Join Date: Dec 2005
Re: What kind of narcs do you keep on hand?

T3
MS contin,
phenobarb,
vicodin,
norco,
methodone,
hydromorphone,
ativan,
valium,
klonopin,

Narcan

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  #4  
Old Jul 19, 2007, 05:14 PM
JailRN's Avatar
JailRN (Female)
Doug's Widow
Join Date: Jun 2002
Re: What kind of narcs do you keep on hand?

Librium, klonopin, ativan, and phenobarb are the only things we have that we count. We are a level 1 facility and the only one in the state that has RNs 24/7. THat's only been within the last 9 years. Prior to that, the jailers used to pour and pass meds. Unfortunately, some of them helped themselves to the stronger stuff. The strongest pain med we have is Motrin 800, and for heroin w/d we give (depending on the doc) motrin, flexaril, clonidine, tagamet, thorazine, immodium, and compazine, all p.o.

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  #5  
Old Jul 20, 2007, 11:46 AM
MadisonsMomRN (Female)
Registered User
Join Date: May 2005
Re: What kind of narcs do you keep on hand?

I am not sure why we have Nubain.

I think we should have Serax on hand too.

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