Meds in lock up

Specialties Geriatric

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Specializes in hospital/physicians office/long term car.

What meds does your facility keep in the "narcotic lock up" and count at the beginning and end of every shift?:nurse:

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Specializes in LTC,Hospice/palliative care,acute care.
What meds does your facility keep in the "narcotic lock up" and count at the beginning and end of every shift?:nurse:
In LTC regs all scheduled narcotics are double locked and counted- do a search for the Controlled Substances Act for a complete listing.Many meds are included that we might not realize are controlled.We only started including schedule IV drugs a few years ago-I am not sure how we got around that because every other facility around here was locking and counting everything.A couple of nursesgot busted for drug diversion and we finally joined the crowd-after a slap from the DOH....
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Hi, there have been a couple of funny meds in different places that Ive worked that they want to lock up, 1 was lomotil and lyrica and phenobarbitol which I thought was weird, but back when I was an LPN in 2000, I worked at a nursing home that didn't lock up of all things VICODIN! That really blew my mind:)

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We're locking up and counting anything that has pseudoephedrine now, because that's what they use to make meth with.

We're locking up tramadol now, too.

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Specializes in hospital/physicians office/long term car.
Hi, there have been a couple of funny meds in different places that Ive worked that they want to lock up, 1 was lomotil and lyrica and phenobarbitol which I thought was weird, but back when I was an LPN in 2000, I worked at a nursing home that didn't lock up of all things VICODIN! That really blew my mind:)

We lock up lomotil and lyrica also, even injectable haldol!

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Specializes in Rehab, Infection, LTC.

lomotil can be mixed with morphine IV to make heroin. or something like that, i'm not sure i'm telling that right. i asked a pharmacist why we locked it up years ago so i might be wrong but it is something like that, lol. maybe i should just hushup, lol

i've been in facilites that even lock up antibiotics so every dose had to be signed out for because nurses werent giving their antibiotics. crazy, huh?

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Specializes in hospital/physicians office/long term car.
lomotil can be mixed with morphine IV to make heroin. or something like that, i'm not sure i'm telling that right. i asked a pharmacist why we locked it up years ago so i might be wrong but it is something like that, lol. maybe i should just hushup, lol

i've been in facilites that even lock up antibiotics so every dose had to be signed out for because nurses werent giving their antibiotics. crazy, huh?

we sign our initials by each dose of atb we pop out mostly to protect ourselves and show we are giving them!:rolleyes:

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narcs, ativan, phenobarb, lyrica

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Specializes in Gerontology, Med surg, Home Health.

Don't forget Ambien....we also count Ultram/Tramadol and Ativan, but not Haldol or pseudophedrine.

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Specializes in Hem/Onc, LTC, AL, Homecare, Mgmt, Psych.
lomotil can be mixed with morphine IV to make heroin. or something like that, i'm not sure i'm telling that right. i asked a pharmacist why we locked it up years ago so i might be wrong but it is something like that, lol. maybe i should just hushup, lol

i've been in facilites that even lock up antibiotics so every dose had to be signed out for because nurses werent giving their antibiotics. crazy, huh?

We lock up Lomotil but don't lock up Atropine gtts. Always stuck me as funny because Lomotil has atropine in it. I seem to recall a pharmacist stating that lomotil/atropine is related to oxycodone/opiods and that's why its controlled. We don't lock up pill Haldol, do lock up injectible Haldol. Lyrica, Ambien and the like are locked.

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Specializes in Geriatrics, ICU, OR, PACU.

All scheduled drugs, plus Lyrica and Phenergan. We also double lock our EDKs (Emergency Drug Kits), because they contain scheduled drugs.

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We don't lock up Tramadol and Phenergan but we do lock up Ambien, Lyrica and Lomotil. We do not lock up cough syrups with codeine because the amount of codeine is so negligeable.

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