Suboxone use and the Boards of Nursing - page 2

Does anyone here know, with any degree of certainty, how the various State Boards of Nursing view the use of Buprenorphine (Suboxone/Subutex) for opiate dependence and/or addiction? Do they allow... Read More

  1. Visit  ehooper80 profile page
    0
    Quote from Magsulfate
    In Texas if someone has a legitimate medical condition and needs narcotics, then they say that the program would not work for them so they refer them back to the bon.
    Yes, the Indiana program says basically the same thing... that if you require long-term narcotics use you will be discharges as non-compliant from the program, because taking narcotics is not compatible with safe nursing practice.
  2. Visit  gmkj profile page
    1
    I know of a nurse who is in the proffesional assiatance program who lives in NY she is on suboxone for almost 4 years and has been doing wonderful she is working a slow taper and has gone grom 32 mg to 14mg .without it i do not think she would have made it thay far. she is now after 3 plus years working as a lpn in NY with no restrictions on her license except that she acn not do more overtime then 10 hours every other week.so it may be a case to cars basis.
    lildee67 likes this.
  3. Visit  Dixiecup profile page
    0
    Quote from ehooper80
    Yes, the Indiana program says basically the same thing... that if you require long-term narcotics use you will be discharges as non-compliant from the program, because taking narcotics is not compatible with safe nursing practice.
    wow, I'm glad Missouri doesn't have that rule. I have a herniated disc and literally cannot function without pain medication. The whole time I was in the program I attended a pain clinic and was prescribed Vicoden. As long as I had my prescription, it was acceptable.
  4. Visit  wapaloosa profile page
    1
    florida ipn allows suboxone while practicing.....i have it in my ipn contract. I eventually got off of the stuff though because I wanted to be free of the addiction to the stuff. I have been off the subs for a few weeks now and my brain is now truly off opiates. That is something that is truly a remarkable improvement. I have a little bit of paws but it gets better every day.
    MissCerah likes this.
  5. Visit  diva rn profile page
    2
    Quote from wapaloosa
    florida ipn allows suboxone while practicing.....i have it in my ipn contract. I eventually got off of the stuff though because I wanted to be free of the addiction to the stuff. I have been off the subs for a few weeks now and my brain is now truly off opiates. That is something that is truly a remarkable improvement. I have a little bit of paws but it gets better every day.
    Congrats for getting off of everything...and it does and will get better every day--according to the research on addiction it takes approximately 18 months for the brain to return to preaddiction status

    As far as the Fl IPN goes, it's done on a case by case basis..the IPN is an Abstinence only program. This includes the use of all controlled substances and alcohol while you are in the program. The use of suboxone is not allowed unless your addictionologist wrote it specifically into your contract.

    I personally have very strong negative feelings about the use of suboxone, as I don't believe in substituting one opioid for another...and believe me, I know what I am talking about. The withdrawal from suboxone is far worse and much longer than any of the plain old narcotics on the market as it stays in your system for 11 days (it took me 9 days of hell to get off of suboxone)..but now it's been 2 and 1/2 years since I have had anything...and it's GLORIOUS.

    Good luck to all of you out there trying to beat this disease. You can do it.
    LilRedRN1973 and catmom1 like this.
  6. Visit  faithnow profile page
    1
    in Virginia, i was allowed to practice as a floor nurse in ltc. allowed to give/count narcotics, but was required for eight months to take suboxone. i didn't feel i needed it, as i was "over" the wanting to use. i had to take the pill every day witnessed by my work site monitor, who had to sign a log sheet. i lost some weight, had less appetite, but didn't notice any other effects. i really felt like vahmp didn't really know what else to do with me and my case. i still had to call five mornings a week and pee test as they randomly chose. i was appreciative of the fact that i was allowed to practice, and that i was fortunate enough to find an administrator/corporate office that would work with me. even though i felt like i knew i was over my active addiction and crazy behavior, i was aware of the fact that the board had to attempt to protect the people i was caring for. i don't know if vahmp determines suboxone use on case by case basis, or what--but in my case i greatly benefited from it.
    Deadhead likes this.
  7. Visit  jackstem profile page
    0
    Each board of nursing determines their stance on the use of opioid replacement therapy. Check their web site or contact the BON to see if they'll share their position. You can find links to the boards of nursing and many alternative programs here:

    State Boards of Nursing Including Information About Alternative to Discipline Programs
  8. Visit  Gina Renee profile page
    0
    wow..glad I found this site. I am a RN who surrendered my license abt. 10 years ago because of a terrible addiction to pain pills that has almost cost me my life on more than one occasion, I am talking abt. coding in the ER. I have been on suboxin for a second time for a little over a year now, down to 1 mg a day plus a butrans 10mcg/hr patch. I am wanting to go back to nursing really bad and I feel like it is time. But suboxin has saved my life and I don't want to give it up. I live in Wisconsin, anyone know abt. the Wisconsin BON? I am scared to even call them, should I be honest or be quiet and take a chance on a positive screen ruining me?
  9. Visit  Meriwhen profile page
    0
    Quote from Gina Renee
    should I...be quiet and take a chance on a positive screen ruining me?
    No no no no NO.

    Sure, there's a chance you could get away with it. But if you tested positive, first you may not get the opportunity to explain your innocence. Second, if they do let you explain it...if you don't disclose the suboxone use and then try to address a positive test after the fact, you have to convince them that you have not relapsed...and unfortunately, as a nurse in recovery your credibility is often shaky to begin with. It's not always fair but that's how it is

    I would call them and ask. If you are too scared to call, send them an e-mail...and if you're really scared, send then an anonymous e-mail. After all, the worst they can tell you is "No"...which is a lot better than gambling on a UDS.

    You've worked this hard in your recovery...you've done a lot harder things in recovery than making a phone call. You can do it

    Best of luck!
  10. Visit  Gina Renee profile page
    0
    thanks so much for the info and advice! I am gonna do this! not sure how yet! will keep you posted.
  11. Visit  Meriwhen profile page
    0
    Quote from Gina Renee
    thanks so much for the info and advice! I am gonna do this! not sure how yet! will keep you posted.
    http://www.drl.state.wi.us/

    Specially, the BON site is here: http://drl.wi.gov/board_detail.asp?boardid=42&locid=0

    I vote for the anonymous e-mail route. If you need to, get a free gmail or yahoo account to do it with.
  12. Visit  RNinPA1 profile page
    0
    faithnow, may i ask the vincinity in VA where you were able to find employment. I am having a horrible time trying to find employment now that I am involved with the VRP program in PA. I am also not sure how to approach the subjuct with perspective employers? Any ideas or help would be greatly appreciated......thank you
    Last edit by RNinPA1 on Dec 10, '11 : Reason: misspellings
  13. Visit  epocrates1 profile page
    2
    I have been and addict since 1999. I was given a dx of fibromyalgia (this is not a fake disease, it is however an over used dx by many lazy physicians) after extensive testing in 1995 and initially treated with pain meds, which I did not abuse. Over the course of 4 years I was lucky enough to get hooked up with a doc who did not believe in narcs for fibromyalgia but physiotherapy instead. He weaned me to Tramadol (later also found to be addictive :<). Then in mid 1999 I broke two ribs, had a partial collapsed lung and bruised my kidney. Did I mention I'm very type A? I was supervisor of three cardiac units at the time, a 40 bed Telemetry unit, a 15 bed CCU and a 10 bed CVICU (Cardio Vascular ICU - which was also my home unit). I refused a chest tube and I refused to take time off. So the next day I'm back to work doped up on Percocet. Little did I know I that my brain has the disease of addiction, inherited from my father who was maintained on narcs for many years due to injuries obtained in Korea and toward the end of his life added alcohol to the mix for better effect. So....I felt so great and powerful on the narcs that I did not want to give them up. In 1999 I was finally busted for diverting pills. Now it's 2013....after relapses in 2001, 2003 and 2010; 3 outpt. recovery groups, 2 inpt. stays, one psych hospital after an attempted suicide in 2010 I was placed on Suboxone (at the psych hospital) and my life today is better than it has been since 1994 (the beginning of my fibromyalgia pain). Yes I still have some pain which I take advil for, no I'm not all dopey and sleepy and angry. The Suboxone has completely removed any cravings (and if it did not for others it's because the dosing was too low). This med literally saved my life because my suicide attempt was because I was sure I could never be an RN again because I would never lose the cravings that had been a part of my life since 1999, even though I had thrown myself whole heartedly into recovery. I had a great sponsor, I was super active in a 12 step group, I did my steps twice very thoroughly, I went to meetings every day for five years!!! Now, 3 years later, between the Suboxone and extensive talk therapy (I also have PTSD from a rape at 5 yrs. old) I have a great life and want my Nurses license back but our Board of Nursing is just considering it this year. I've read your comments and some I agree with while others I find ignorant, especially from RN's who should not only be more educated but more empathetic. Yes, it's a synthetic narcotic that you will have withdrawal from (duh) but it's the way it works that makes it perfect for addicts and/or those with chronic pain. It doesn't give you a euphoric effect like narcotics and three tabs a day is the max dose because at that point all of the receptors are covered and taking anymore is like drinking water. When all the receptors are covered your addict brain says "Oh, OK..I feel great." and you don't have cravings!!! The withdrawal is worse than other opioids because of it's long half life. Suboxone also has Naloxone in it which blocks opioids (come on people, do your homework). Does it get abused, what doesn't? Jeez, kids are swallowing teaspoons of cinnamon for a high. But, the majority of people are like me who do this thing right and deserve to do what we think is our life's mission and that is to care for people who are sick and injured and need the care of a Type A RN with a boatload of empathy and infinite love for her patient's and her profession.
    sallyrnrrt and gmkj like this.

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