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b) The offer was withdrawn.........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.
(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)
Mar 3, '12
by Meriwhen, ASN, BSN, RN Senior Moderator
Quote from jt43
It sounds to me like the potential place of employment has determined that a positive test for benzos=impairment.
The problem with benzos, especially long-acting ones like Valium, is their long half-life. The OP could have taken it three days prior to the test and still test positive--even though the effects of the medication on the OP lasted only several hours and are long-finished by the time of the test--because it takes forever for Valium's metabolites to pass through the system.
Last edit by Meriwhen on Mar 3, '12