Narcotic free areas?

  1. 0 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 can I look into that do not normally deal with narcotics?
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  3. Visit  wish_me_luck profile page

    About wish_me_luck

    From 'Virginia, USA'; Joined Sep '11; Posts: 1,281; Likes: 1,245.

    20 Comments so far...

  4. Visit  Ruas61 profile page
    0
    Telephonic nursing, case management maybe outpatient dialysis?
  5. Visit  Kunzieo profile page
    0
    We rarely have any in peds! (At least on our unit.) We have the occasional pre- or post- op that gets some oxy, and veeery occasionally we take ortho or med-surg adult boarders that have fentanyl or Percocet/Norco.

    But they are far and few enough in between that making your assignment to include only non-narc pts wouldn't really be a problem, especially if you have decent coworkers.
  6. Visit  MJB2010 profile page
    0
    Dialysis.
  7. Visit  KelRN215 profile page
    0
    Quote from Kunzieo
    We rarely have any in peds! (At least on our unit.) We have the occasional pre- or post- op that gets some oxy, and veeery occasionally we take ortho or med-surg adult boarders that have fentanyl or Percocet/Norco.

    But they are far and few enough in between that making your assignment to include only non-narc pts wouldn't really be a problem, especially if you have decent coworkers.
    Depends on the type of unit. I've always worked peds and always, always, always have patients on narcotics. Surgical and oncology patients are almost always on narcotics at some point during their stay.

    In school nursing it's rare, but you would be the only nurse and if a student returns to school following a fracture or some kind of surgery and has PRN narcs, they'd be kept in the nurses' office. There also could be the chronic patient with sickle cell or MD who regularly needs to take narcotics.
  8. Visit  Meriwhen profile page
    0
    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.
  9. Visit  traumaRUs profile page
    2
    Dialysis is known to be very restriction friendly.
    bushrn75 and MJB2010 like this.
  10. Visit  wishiwereanurse profile page
    2
    Narcotic-free hospitals, wow that would be a dream come true for me....
  11. Visit  BlueDevil,DNP profile page
    0
    Most health departments, I believe.
  12. Visit  bugya90 profile page
    0
    Family med/ambulatory care, we may handle the scripts for norco, ritalin, etc but never the actual med. We actually don't even have any narcotics in the building.
  13. Visit  KelRN215 profile page
    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.
  14. Visit  wish_me_luck profile page
    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".
  15. Visit  xoemmylouox profile page
    0
    Outpatient physician offices- Family Med or Peds. We never had any Narcs in the office.


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