Denied employment at agency due to ordered prescriptions

Nurses Relations

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Hello everybody. First of all I would like to say I think this website is great. I've been using it throughout RN school, and recently I decided to make an account after getting my RN License.

So, here is some back ground...

a) When I applied to RN school, I fully disclosed all medication that I was taking, which is also by order of a providers prescription. (Vicodin, on rare occasion if needed for breathrough pain, valium 5mg prn, and ambien 10mg prn insomnia)

b) In light of this information, RN school accepted me nevertheless. Throughout RN school I excelled. I maintained a 3.7 GPA, worked an average of 20 hours per week (in pharmacy), and I excelled in safe patient care, getting several recommendations from my instructors and preceptor.

The situation is this...

My final semester ended in December. I was literally sought out by the Director of the acute-care floor where I did my preceptorship to start working as soon as I had my RN License. I completed all the paperwork for hire, took the NCLEX in January & passed in 75 questions, and informed my other job, of 8 continuous years, that I would be moving on to be a newly employed RN.

a) As part of the conditions of starting, like everyone else, I had to pass the pre-employment physical, etc. Within the process of filling out this paperwork, I honestly completed it the same way that I did my paperwork for RN School.

(in other words: I was forthright about my legally prescribed medications, before I took my drug test)

The drug test showed positive for benzodiazepines,

but the test was deemed negative because I have a prescription for them.

b) The offer was withdrawn.........

c) I stated to the Doctor denying me clearance, "How is it possible that I have done approximately 500/1,000 hours of the BRN prescribed clinical hours, at this hospital, and there was never an issue when I wasn't being paid?"

The doctor responded "they probably didn't know you where on these medications".

I told him my RN program was well aware of it, and furthermore, I was one of the minority of students in my school that never got written up for making ANY minor or major errors: throughout my entire program, and I had practically almost all straight A's.

*Nevertheless, the job where I was going to be doing what I love, & make appx 35/hr, was pulled from me just a few weeks ago,

and I have been left stunned.*

If I were a threat to myself or others, i could understand the offer being pulled.

But come on, the Doctor actually just simply told me "if you were off the medications, you probably would have gotten the job".

Now I ask for your help my fellow RNs...

My question is: do you or anybody you know, who takes occasional AND LEGALLY prescribed controlled substances have a job as an RN?

If so, did you disclose this in your pre-employment physical?

Your input will be greatly appreciated...

However, I do ask for those of you who may want to say something presumptuous or rude, please keep it to yourself.

Sincerely,

RNwithHonors

(p.s., for those of you who may wonder: I NEVER have ingested ANY controlled substance at while at clinical or while working in the pharmacy in 8 years)

Specializes in Oncology; medical specialty website.
why not stop taking them? i wouldn't hire someone on benzos either. jus sayin.

hmmm...i guess we shouldn't hire diabetics either. if their blood sugar spikes or bottoms out, their judgement could be impaired. wouldn't want to hire epileptics; if they seize they could inadvertently harm a patient. asthmatics/copders would be a bad bet too; they could get too sob to function...and what if they coughed all over a patient? yuck! someone with a cancer history could have a recurrence, and that would be too expensive for the hospital.

really, we should just hire perfect people who have no physical or emotional issues. and if an employee does develop a problem, we should just kick him/her to the curb. there are plenty of young new grads to take their place.

Specializes in FNP, ONP.

I'm not sure I'd go that far, lol. That said, it wouldn't surprise me if things continue to trend in that direction.

It's a cold cruel world out there. If something were interfering with my ability to earn my livelihood, I'd modify whatever factors I could. Things that are beyond one's control are just that.

Specializes in Oncology; medical specialty website.

some people are biased against people with red hair. so, if you had red hair, are you saying you'd shave it off or dye it? what if you were a minority in a predominantly white area? what are you going to do about your race? will you need to move to an area that's more diverse?

perhaps the op has issues that are beyond her control, and that's why she needs the medication--so she can function like a normal person. surely an educated person like you, an np, understands that anxiety can be crippling. to just say "meh...just go off the meds" shows a lack of empathy and appreciation for how difficult life can be for people with anxiety issues.

i guess i just get fired up about this because i worked in psych and saw how people got knocked around just because they had emotional problems.

Specializes in ICU.
Perhaps the OP has issues that are beyond her control, and that's why she needs the medication--so she can function like a normal person. Surely an educated person like you, an NP, understands that anxiety can be crippling. To just say "Meh...just go off the meds" shows a lack of empathy and appreciation for how difficult life can be for people with anxiety issues.

I guess I just get fired up about this because I worked in psych and saw how people got knocked around just because they had emotional problems.

THANK YOU, ocnrn!!!!! Could not have said it better myself! =P

Specializes in FNP, ONP.

yes, if it meant getting a job I needed, I'd dye my hair. Odd question.

I think I said, specifically, that I'd modify whatever factors I could. Race is not modifiable (except apparently for Michael Jackson, and look how well that turned out for him ;) ) but yes, of course I'd move. I have no idea if the OPs medication regimen is modifiable, that's why I mentioned it. If it is holding her back, it might be worth exploring with her provider. I would, in her shoes. But I'm a problem solver, that's just the way I roll.

B.D. DNP, let me first say that, I too, am aspiring to be an NP.

While I get the problem-solving angle in your logic, I don't agree with the delivery of your message.

And no, I'm not defensive by nature: look at all the previous criticisms I have already taken graciously.

One thing that I have witnessed which astonishes me is the lack of tact-based communication of too many Nurse Practitioners.

Granted, it's only out of a small pool of NPs, that I have witnessed communicate with these abrasive communication techniques, therefore I can't, and won't, criticize NP's everywhere.

Do you really "roll" with problem solving?

Is mental illness at all considered to have any genetic propensity in your professional opinion?

I know you may remark in your next post followed by a defensive array of semantics (just like you did to the previous poster)

But, if had you considered the potential genetic propensity of mental illness

before you chose to post your initial statement: well, maybe your communication

delivery style may have been geared with more tact & consideration....

That being said Blue Devil,

I collaborated with my provider and worked out a plan for adapting & surviving,

even though it has affected my quality of life to some degree.

You will be happy to know, I'm sure, that I start my first RN job on June 4th--as I finalized

everything by passing my pre-employment physical today.

Thank you for those of you who recall the person typing on the other end of your screen here

is actually a human-being; thank you TRULY for your support.

1 Votes
Specializes in Peds/outpatient FP,derm,allergy/private duty.
You will be happy to know, I'm sure, that I start my first RN job on June 4th--as I finalized everything by passing my pre-employment physical today.

Thank you for those of you who recall the person typing on the other end of your screen here is actually a human-being; thank you TRULY for your support.

Congrats! They're lucky to have you. :up:

1 Votes
Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.

Good for you and good luck!! :yelclap:

1 Votes

It could be the offer was withdrawn because of the reason you take pain meds. We recently offered a nurse a position, and she failed the pre-employment physical, not because her drug screen was positive for narcs (she had a script for them, too), but that the narcs were for back pain. Our HR apparently withdrew the offer once her history of previous back injury became known.

Specializes in Hospital Education Coordinator.

just because it is a legitimate prescription does not mean you will never be at work impaired. That is the normal effect of the medication - to alter your brain. They are probably thinking you are a risk for hurting yourself or others.

Specializes in Clinical Research, Outpt Women's Health.

So nurses are once again supposed to be super human and not take any medications?

I find many of these responses make me ashamed of my fellow nurses. And no, I do not take any medications, but the O/P described responsible and reasonable medication use.

O/P - I am very happy you found a job. I think you will be a wonderful nurse.

1 Votes
Specializes in Oncology; medical specialty website.
So nurses are once again supposed to be super human and not take any medications? I find many of these responses make me ashamed of my fellow nurses. And no, I do not take any medications, but the O/P described responsible and reasonable medication use.O/P - I am very happy you found a job. I think you will be a wonderful nurse.
Testify, baby!
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