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b) The offer was withdrawn.........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

I'm waiting for the day they start denying jobs to prospective employees because their breasts sag.

Specializes in Pulmonary, Transplant, Travel RN.
I'm waiting for the day they start denying jobs to prospective employees because their breasts sag.

Hooters does that already.

We all float down here.

Specializes in Oncology; medical specialty website.
Hooters does that already.We all float down here.
I'm not sure what that has to do with nursing, but whatev.
I'm not sure what that has to do with nursing, but whatev.

Now that hospitals get to hire nurses like a casino hires "hostesses," I'm sure instead of fighting requirements to wear all white, we'll be fighting requirements to wear sexy nurse outfits. It's all about customer service baby!!!

Specializes in Clinical Research, Outpt Women's Health.
I'm waiting for the day they start denying jobs to prospective employees because their breasts sag.

Oh shoot - I will be in serious trouble......................

Specializes in Pulmonary, Transplant, Travel RN.

Oh shoot - I will be in serious trouble......................

Me too.............and Im a guy. Embarrassing.

We all float down here.

Specializes in Intermediate care.

i dont know the regulations regarding this, and im sure there are laws on your side and laws on their side.

Benzos are in the same classification of alcohol. They act the same and have same effects on the body basically. Benzos can have a long half life. So even if you had not taken it at work, it could still be in your system. this is similar to having alcohol in your system...which wouldn't be allowed. this can impair judgment.

Im probably going to get reamed for this by fellow nurses. But in reality...i would not want my nurse to be on Benzo's. I don't care what grades they got in nursing school or how many questions it took to pass the NCLEX. that means nothing to me. i want a nurse with good clinical judgement or one that i don't have to question their judgement. I would want this for my children, fiance..or ANYONE in my family.

eeek. here comes the chewing me out!

Specializes in Clinical Research, Outpt Women's Health.
Me too.............and Im a guy. Embarrassing.

We all float down here.

LOL!

She isn't taking them on duty or at any time where they would affect her while on duty....

Specializes in Pulmonary, Transplant, Travel RN.

LOL!

She isn't taking them on duty or at any time where they would affect her while on duty....

Oh, I thought you were talking about....................droopy............er, saggy..........stuff.

N/M

We all float down here.

Specializes in Oncology; medical specialty website.
Now that hospitals get to hire nurses like a casino hires "hostesses," I'm sure instead of fighting requirements to wear all white, we'll be fighting requirements to wear sexy nurse outfits. It's all about customer service baby!!!
I'm pretty sure no one would want to see me in a thong! LOL.

1) Jenny, I understand the half-life of benzodiazepines, very clearly.

But it's more than the half-life that I always cared about in planning whether or not I could take a PRN.

specifically, so that I never EVER went into work with any residual effects of the medication I use the scientific formula for drug metabolism.

*5 multipled by the half-life=complete metabolism* (ie. if the half-life is 5 hours, then metabolism is complete in a healthy patient with no liver issues within 25 hours+-4)

Like i stated earlier: I didn't take it the night before if I knew I might even have the slightest possibility of waking up with some residual effects. My calculations always left me with a sharp mind and clear consistent clinical judgement. I was always very cautious, because patients and their families mean the world to me--ARE the world to me...

If you want to make this into an "ostracizing witch hunt" of sorts: then why don't you consider research that has proven, due to the many years of society flushing "diazepam" down the toilet, trace amounts of diazepam have been found in the roots of potatoes. (Diazepam is historically one of the first benzodiazpines synthesized decades ago)

You might want to lay off the french fries, mashed potatoes, etc unless you want to deem yourself as clinically incompetent.

Also, while we're on topic, benzodiazpeines DO NOT act in the identical fashion as alcohol. While etoh and benzos are both CNS depressants, etoh does not potentiate the GABA system leading to increased levels of GABA, while benzos do, etc.

But I digress.

2) I have seen certain RNs lack clinical judgement, who weren't on any psychotropic medication.

For example, Jenny, had you educated a patient under your care who is experiencing anxiety, by saying:

"alcohol and xanax (benzo) are the same, so if you get anxious and you run out of xanax--you can go ahead and take a shot of tequila"

--This would be an example of a Nurse who doesn't use psychotropic medication, but just violated the Nurse Practice Act by

"reducing the patients capacity to safely adapt, via poor planning, by neglecting common pharmacological principles leading them to potential bio-psycho-social harm" (alcohol is statistically more dangerous than benzodiazepines)

Even though I got great grades in RN school--I FAR EXCELLED IN CLINICAL with my ability to problem solve on my feet & make quick decisions.

Jenny, I would take awesome care of you, your family, friends, or fiance if I had the privilege

to be assigned care for you as RN.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
i don't know the regulations regarding this, and i'm sure there are laws on your side and laws on their side.

Benzos are in the same classification of alcohol. They act the same and have same effects on the body basically. Benzos can have a long half life. So even if you had not taken it at work, it could still be in your system. this is similar to having alcohol in your system...which wouldn't be allowed. this can impair judgment.

I'm probably going to get reamed for this by fellow nurses. But in reality...i would not want my nurse to be on Benzos. I don't care what grades they got in nursing school or how many questions it took to pass the NCLEX. that means nothing to me. i want a nurse with good clinical judgement or one that i don't have to question their judgement. I would want this for my children, fiance..or ANYONE in my family.

eeek. here comes the chewing me out!

No chewing out.......just a reminder that people get sick People who get sick deserve to be gainfully employed so we don't "suck the system dry" using SSDI and medicare. If you don't want us to suck medicare and social security dry then let us get jobs.

You are young.......at least below 30, I'd say about 25......so, it is hard to imagine that you may ever be in this persons shoes. That anything will ever happen that will make you have to take medicine long term if you just eat right and exercise. But, People get sick. People need medicines. People who use prescription meds are not "necessarily" impaired as if they are using alcohol. It's the abuse of them that is a problem.

Just Because a nurse takes pain medicine for a chronic problem doesn't mean she/he is not a good nurse and can function just fine. Personally hospitals don't want to hire you because you have a medical history that will cost them on their insurance. Not because they care what drug you are on other than the expense. Technically, it's against the law but they have been getting away with it for years and we the nurses just walk away with our heads hung in shame.

Sad really.

On the lighter side......that Hooters comment....th_ROFLMAO-1.gif NOW THAT"S FUNNY

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