Is Tramadol part of your Narc count? - Page 3Register Today!
- Oct 20, '09 by talaxandraWe have pre-printed count books for schedule 8 (narcotics/drugs of addiction) and schedule 11 (non-narcotic/drugs of dependency) meds. Although tramadol's pre-printed in the schedule 11 book it isn't locked up, perhaps because we use it so rarely that a sudden drop in stock would be obvious.
After a drug-dependent former staff member stole a PCA key and syringe from a post-op patient (when confronted she said she was the anaesthetist and ceased the infusion on the chart!) we now include PCA keys in the count, which is done TDS at shift change with one person from each shift doing the count.
- Oct 20, '09 by NurseKatie08Nope, not counted at my facility. I have two patients on it right now, and it's right in with their routine meds.
- Oct 21, '09 by YngAnabaptistRadicalWe use an AccuDose where I work, and the meds kept in their are either the controlled substances (those ones will come up as a narc discrepency), emergency meds like Nitro (no count discrepencies, but you have to count how many are left when you take one out just to make sure we don't run out) and commonly given PRN meds like Senna and Phenergen. That we we don't have to wait for pharmacy to send the meds to us to deliver them tot he patients.
We don't have a "narc count." Narc discrepencies show up on the AccuDose screen.
Ultram is not in the AccuDose. That is sent from pharmacy and we keep it with a patient's other meds.
- Oct 21, '09 by necc2008I work in a LTC and tramadol was not in the narc count for a while, but then they found a nurse was taking them, so they have since put them in our narc count.
- Oct 22, '09 by AlibabaInteresting replies. I hadn't given tramadol very much until I started working this one LTC. Seems like everyone is on it scheduled and prn. (the other biggie there is darvocet.) I think it's just the doctor's way of getting away with not prescribing narcotics. Then again, their pain seems pretty well controlled on the tramadol.
- Oct 22, '09 by husker_rnI agree with the poster who mentioned missed meds. We sometimes count Tylenol and oral antibiotics when accessing the pyxis for them.
- Oct 22, '09 by NurseLoveJoy88Not at mine.
- Oct 22, '09 by snuffyRNNope we don't count it!
- Oct 23, '09 by ReemBZNWow..I never knew that Ultram can be addictive. I was even being skeptical about the effectiveness of the med. Hmm...we really do live and learn.