about to start LPN course & questions about drug testing and suboxone

  1. 0
    Hello, I am about to start classes to become a LPN in Massachusetts. I am clean from all drugs but I needed the help of suboxone for the last 2 years.
    I am tapering and down to 1.5 mg and hope to be off totally by the time I graduate.
    Suboxone is a long half time med and stays in your systems for a very long time even when sub users stops.
    When should I expect the drug testing? Before I graduaute or during an interview?
    Does anyone know if the drug test would look for it?
    I have wanted to be a nurse since I was a child.
    If my possible employer understand that suboxone is a medicine that makes sure any opiates would not be felt kinda of like antibuse for alcoholism.
    If anyone has any input I would appreciate it. Thank you in advance.
    Last edit by debrastudent on Jul 23, '09 : Reason: mis spelling
  2. Get the Hottest Nursing Topics Straight to Your Inbox!

  3. 9,600 Views
    Find Similar Topics
  4. 17 Comments so far...

  5. 1
    AS a probation officer for 15 years (who is now a nursing student ) I have seen more people kick opiates with the help of the suboxone than without it. I commend you on your progress! If you have the will you will taper and be done. Do not expect perfection- go back to it if you need to- it is a tool if used properly. Don't let this chapter of your life ruin your plans. IF you are drug tested, that would be the time to have your bottle of suboxone wtih you so they can see you have a legal perscription for it. Keep moving forward. Good Luck!
    debnky likes this.
  6. 3
    Suboxone does not show up in the standard 7 drug test, or the 20 drug test. However, it does show up in the comprehensive test that TPAPN has their nurses take.

    There.... that's my answer and I'm sticking to it. I consider myself pretty much an expert on opiod abuse among ... myself.... and keep in mind I am writing this before I read jack's response,,, I think you're doing a good thing by using suboxone and tapering off. It is a good med to help while also going to na and counseling. It may not work if you just take the med and continue on with life like it's normal... because life is not normal, sepcially if you have to take suboxone to keep away from the pills.



    So, good luck to you in your recovery
    Last edit by sirI on Jul 3, '12
    PhoenixTech, rninmi, and shugrr22107NA like this.
  7. 0
    Quote from Magsulfate
    It may not work if you just take the med and continue on with life like it's normal... because life is not normal, sepcially if you have to take suboxone to keep away from the pills.
    I agree completely, good point. I think that is why my friends have not been able to get off of it. That is the only tx they are pursuing! You have to pursue your recovery in EVERY Aspect. Thanks for that good point.
  8. 3
    Quote from rninmi
    I agree completely, good point. I think that is why my friends have not been able to get off of it. That is the only tx they are pursuing! You have to pursue you! r recovery in EVERY Aspect. Thanks for that good point.
    Well said by both of you.

    What is recovery? Ask 1,000 people and you'll get 1,000 answers. It's pretty tough to achieve something if you don't know what it is you're trying to achieve! Since a nurse receives their authority to practice nursing from the nurse practice act in their state, you have to read that document in order to know if a nurse can practice while taking prescribed medications that are considered "mood altering". I'm not of any state that would allow a nurse to practice while taking soboxone or methadone, the 2 leading "replacement" medications approved for use in this country. If anyone is aware of a state that allows a nurse to practice while taking suboxone, please let me know. Thanks in advance.

    Now, on to a definition for "recovery". Right now, the best definition available is from the Betty Ford Treatment Center:

    To this end, a group of interested researchers, treatment providers, recovery advocates, and policymakers was convened by the Betty Ford Institute to develop an initial definition of recovery as a starting point for better communication, research, and public understanding. Recovery is defined in this article as a voluntarily maintained lifestyle composed and characterized by sobriety, personal health, and citizenship.
    The full article can be read at this link:

    http://www.facesandvoicesofrecovery....nsus_Panel.pdf

    Recovery is NOT simply abstinence. Terence Gorski, a leader in relapse prevention says it well...there are abnormal behaviors exhibited as a result of addictive disease when there is use of mood altering chemicals, and there are abnormal behaviors as a result of addictive disease when there is NO use of mood altering chemicals.

    In my experience, the pursuitand maintenance of recovery requires 2 things (at a minimum):

    1. abstinence from mood altering substances
    2. the willingness to look inward and "fix" those things that make us a pain in the butt to be around and pursue mood altering substances as an answer to life.

    Good luck with your pursuit of recovery!!!

    Jack
    PhoenixTech, MizChelleRN, and rninmi like this.
  9. 3
    Quote from jackstem


    In my experience, the pursuitand maintenance of recovery requires 2 things (at a minimum):

    1. abstinence from mood altering substances
    2. the willingness to look inward and "fix" those things that make us a pain in the butt to be around and pursue mood altering substances as an answer to life.

    Jack
    Jack, I like this better than the Betty Ford definition. Good question though...what is recovery? For me it meant
    1. Abstinence from all mood altering substances (including etoh and/or rx'd drugs)
    2. A change in the way I think!
    I don't have a drug problem, I have a thinking disease.....Every night I thank my higher power for keeping me clean today, then I take my 10th step inventory and see how I responded to people, places and things...how could I have done better, what will I do to change???? I can tell you this that after a short 5 years my response, the way I view people, myself and "things" have changed dramatically. Because of "recovery" I have completely "overhauled" my brain. I see things differently now. And because of the steps I learn something new every day. I make mistakes and I hurt today, I laugh, I cry and I experience raw, life emotions....I get to experience "life on life's terms" WITHOUT the use of a mind or mood altering substance to help me get "numb"...that is recovery for me! :wink2:
    PhoenixTech, MizChelleRN, and jackstem like this.
  10. 0
    Excellent! The "KISS" principle at it's finest.

    Jack
  11. 3
    The article about how the Hazelden's definition was developed states, anyone who has achieved recovery knows what it is for them. The Betty Ford Definition is one of the first attempts to actually define recovery, and it's based on several premises.

    • Recovery is not simply sobriety (abstinence)
    • Recovery is a personal condition (meaning it's achieved by CHOICE), not a specific method (I personally love the 12-Steps, but there are other methods available)
    • This definition of recovery is specific to addiction, not general recovery from other conditions or diseases
    • This "definition" is a starting point, not a final definition
    • It's a voluntary process. While the initial "choice" to enter treatment and achieve sobriety (abstinence from mood altering substances) may be coerced, achieving and maintaining recovery is a personal choice which eventually is voluntary
    • It's a maintained lifestyle...in other words, you actually have to DO SOMETHING to maintain it!
    • Section 5.1.2 discusses sobriety sustained by medications (naltrexone, buprenorphine, acamprosate, etc.) specifically. The question for a nurse who is on a medication such as suboxone, which has agonistic as well as antagonistic properties is could there be a legal issue if they render care for an individual and there is a less than positive outcome. Naltrexone, which is a pure agonist does NOT lead to the same legal concerns.
    • Citizenship - means the recovering addict becomes a functioning, contributing, productive member of their community. In their words:

    “…implies working towards the betterment of one's community through participation, volunteer work, and efforts to improve life for all citizens.” We believe this captures important traditional recovery elements such as “giving back.”
    By developing a definition of recovery, we not only have specific milestones to achieve and maintain by the treatment community and the recovering individual, society also begins to learn what recovery is as well.

    Think of it this way. If person A was running for office and they stated they were a cancer survivor, (those who are living symptom free for 5 years after a cancer diagnosis appear to have reached a period of significantly reduced risk for relapse and are thus termed survivors (Reis et al., 2003; Rowland, 2004), most people would understand what they mean and have some sort of understanding of the difficult and heroic journey they had to travel to be a survivor.

    If person B was the candidate opposing person A, and they said they were in recovery, very few people would know what that meant. People would also have a significantly different view of the 2 candidates as a result of the lack of understanding what recovery is, and the difficult and heroic journey required to achieve it. This lack of understanding is also responsible for the stigma associated with this disease.

    Defining recovery makes it real and achievable.

    Jack
  12. 0
    Im have to enroll in tpapn and have been on maitenance dose of suboxone. Im trying to taper off to get off of it completely. what do i tell tpapn. i need to work soon. been out of work for over 1 year because i relocated to houston. I'm afraid they won't let me work right away. i was working in my previous state while under a recovery program and under subooxone because they allowed it. is it really difficult to get off suboxone. and how long does it show up in a urine test for sub after you get off of it? also does anyone know what the hourly rate is here in houston now in 2009. they offered me a job for $28 an hour by a dialysis clinic. i have 9 years expr in er and was making much more than that in my previous state. is this a fair rate??? any help would greatly be appreciated.
  13. 0
    That was an excellent definition of recovery, Jack. I appreciate your wisdom.
    I did want to comment that I agree that working around opiates would be very difficult for a recovering opiate addict. This IS all the more reason to actively work at maintaining a recovery program. I have never taken suboxone-I am in recovery and am monitored by my state and it is absolutely NOT acceptable. My advice to the original poster of this thread is work, work, work at recovery and consult a physician about weaning from the suboxone because it will most likely be an issue at some point if you become a nurse. Best of luck to you.


Top