Narcotic free areas? - page 2

by wish_me_luck

3,663 Visits | 20 Comments

Hello! I hope everyone is having a nice afternoon or evening. So, I am really getting antsy and desperate for a nursing job. Of course, I have narcotic restrictions (I think it's standard with monitoring programs). Which areas... Read More


  1. 0
    Quote from Meriwhen
    Depends on whether your restriction is just for narcotics/pain pills or involves all controlled substances.

    Chemical dependency and acute detox will have limited access to controlled substances...however they may not necessarily be 100% controlled-substance free. Depending on the setting and your restriction, working there may be possible, with another nurse giving out the few schedule meds that may be required. With rare exceptions, you will not encounter opiates and narcotic pain medications in CD or detox. Nor will you see benzos being handed out left and right for anxiety or sleep. However, some controlled substances may be used as part of withdrawal protocols, such as the use of PRN lorazepam or Librium for ETOH w/d. In residential CD (the "28 day program"), encountering schedule meds is even less, as most of these patients are out of acute w/d. However, there is a chance that you may meet a patient on an extended benzo/methadone/suboxone taper.

    In addition, child/adolescent psych doesn't involve narcotics or benzos, except maybe in the older teenagers. However, there are frequently ADHD medications administered, all of which are Schedule II.
    This is a very good point. Since the OP only mentioned narcotics, that's what I was thinking when I said I encounter them rarely in school... if, however, the restrictions involve all controlled substances, school nursing is most definitely NOT the place to look... the vast majority of the meds I administer regularly at school are Adderall, Concerta and the like.
  2. 0
    I don't know. I was told no home health and I have a narcotic restriction--I really think it could be because of the alcohol abuse (thinking on the lines of a gateway drug). Nothing was really expanded upon other than "narcotic restriction".
  3. 0
    Outpatient physician offices- Family Med or Peds. We never had any Narcs in the office.
  4. 0
    Developmental disabilities nursing. . .

    Companies such as United Cerebral Palsy often use nurses to perform basic skills at the many group homes that they operate. Also, smaller companies own clusters of group homes that house developmentally disabled adults. These places need nurses to take off orders, check the MARs, be on call, perform routine assessments, and so forth.
  5. 0
    Quote from wish_me_luck
    I don't know. I was told no home health and I have a narcotic restriction--I really think it could be because of the alcohol abuse (thinking on the lines of a gateway drug). Nothing was really expanded upon other than "narcotic restriction".
    Probably: the nature of the disease of addictions means you're susceptible to developing cross-addictions to new substances. It's not uncommon to see a lot of ETOH addicts drift into opiate or (more commonly) benzo abuse since they're all such lovely CNS depressants :/ I don't usually see ETOH addicts get hooked on the stimulants and the daytrips, though that's not to say it can't/doesn't happen.

    That being said, the program may be very precise about what you should/shouldn't be around. IMO, shoot them a note and ask exactly what the narcotics restriction entails. Better you ask and know.
  6. 0
    The OR. There are no narcotics in our Pyxis anesthesia is in charge of all narcotic medications and they are all intravenous.
  7. 0
    LTC! as MDS coordinator, only doing assessments, and preparing computerized reports
  8. 0
    If its just "narcotics" then psych is normally probation friendly. You will however be around scheduled ADD and ADHD meds.... Rarely are "narcotics" on those units.
  9. 0
    Mother-baby. I don't routinely work there, but in the times I have floated there, I never administered any narcs. These patients post-delivery all get ibuprofen!
  10. 1
    not mother-baby- many mothers get norco- fresh c-sections get IV morphine, etc.
    KelRN215 likes this.


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