Drug Abuse Among Us?? - page 5

Am I that nieve?? A nurse on my unit was arrested for"drug diversion" Is this rampant among us?? I know we have all taken the occasional tylenol from work, but controlled substances ??... Read More

  1. by   duckie
    Originally posted by Furball
    Hey Duckie, you're one tough cookie! Quick question...what does a kidney stone FEEL like? I'm asking because I had a weird, horrid crampy, knife like pain in my side last night at work...it took my breath away, kinda came and went, then came back again.

    Thanks from a hyperchondriac!
    Actually that is the way both of mine started. The pain continued to build and I rushed thru my med passes, made it to the hospital the second time as my B/P hit 240/170, Dilaudid is a wonderful drug, passed that puppy in two hours once I could relax. We can actually pass kidney stones and not realize it, they can be so very tiny but the ones that are slightly larger, the size of a pin head, with the sharp edges are the killers. I've had three total, run in my family but none of us have had them since I put everyone on cranberry pills BID. Works wonders cause they keep the "Demons" from forming ....... ah, what a relief! Hope that helps.
  2. by   KaroSnowQueen
    I cannot believe the uninformed judgmental attitudes of some of these posters. People with chronic pain who take the proper medications CAN work, CAN function in an appropriate manner. I suffered from SEVERE headaches and I could take Lortab and work and concentrate. Motrin, Tylenol, all were useless. My supervisors and co workers were aware of my pain and my medications. I asked both my supervisor and my charge person to be sure and tell me if they noted any problems with my functioning, etc. Instead, they would tell me to go take my medicine and a break and come back when I began to feel better.

    Now some other narcs, Flexeril, oh boy, I couldn't take one and stand up for more than ten minutes.
    EACH person HAS meds that help them without messing them up. This was mine.
    PAIN MANAGEMENT is a big thing now, and I can see why. People do take pain meds because they are in pain and want to function fully, NOT just to get high.
  3. by   SmilingBluEyes
    Originally posted by KaroSnowQueen
    I cannot believe the uninformed judgmental attitudes of some of these posters. People with chronic pain who take the proper medications CAN work, CAN function in an appropriate manner. I suffered from SEVERE headaches and I could take Lortab and work and concentrate. Motrin, Tylenol, all were useless. My supervisors and co workers were aware of my pain and my medications. I asked both my supervisor and my charge person to be sure and tell me if they noted any problems with my functioning, etc. Instead, they would tell me to go take my medicine and a break and come back when I began to feel better.

    Now some other narcs, Flexeril, oh boy, I couldn't take one and stand up for more than ten minutes.
    EACH person HAS meds that help them without messing them up. This was mine.
    PAIN MANAGEMENT is a big thing now, and I can see why. People do take pain meds because they are in pain and want to function fully, NOT just to get high.
    Duckie and Karo, the people I am referring to as potentially "impaired" when using narcs are the ones who are likely to be more narcotic-naive in the first place, not chronic pain sufferers who use them daily. The ones who don't use them routinely for months and years have NO business working until they know no untoward effects that could hamper judgement or reflexe
  4. by   SmilingBluEyes
    Originally posted by KaroSnowQueen
    I cannot believe the uninformed judgmental attitudes of some of these posters. People with chronic pain who take the proper medications CAN work, CAN function in an appropriate manner. I suffered from SEVERE headaches and I could take Lortab and work and concentrate. Motrin, Tylenol, all were useless. My supervisors and co workers were aware of my pain and my medications. I asked both my supervisor and my charge person to be sure and tell me if they noted any problems with my functioning, etc. Instead, they would tell me to go take my medicine and a break and come back when I began to feel better.

    Now some other narcs, Flexeril, oh boy, I couldn't take one and stand up for more than ten minutes.
    EACH person HAS meds that help them without messing them up. This was mine.
    PAIN MANAGEMENT is a big thing now, and I can see why. People do take pain meds because they are in pain and want to function fully, NOT just to get high.
    Duckie and Karo, the people I am referring to as potentially "impaired" when using narcs are the ones who are likely to be more narcotic-naive in the first place, not chronic pain sufferers who use them daily. The ones who don't use them routinely for months and years have NO business working until they know no untoward effects that could hamper judgement or reflexes will affect THEM while driving or caring for patients. Again, common sense needs to be used here. And obviously, most of thdse posts did not refer to YOUR situations.
  5. by   duckie
    Originally posted by KaroSnowQueen
    I cannot believe the uninformed judgmental attitudes of some of these posters. People with chronic pain who take the proper medications CAN work, CAN function in an appropriate manner. I suffered from SEVERE headaches and I could take Lortab and work and concentrate. Motrin, Tylenol, all were useless. My supervisors and co workers were aware of my pain and my medications. I asked both my supervisor and my charge person to be sure and tell me if they noted any problems with my functioning, etc. Instead, they would tell me to go take my medicine and a break and come back when I began to feel better.

    Now some other narcs, Flexeril, oh boy, I couldn't take one and stand up for more than ten minutes.
    EACH person HAS meds that help them without messing them up. This was mine.
    PAIN MANAGEMENT is a big thing now, and I can see why. People do take pain meds because they are in pain and want to function fully, NOT just to get high.

    Thank you, my sentiments exactly! I would never work impaired or take a drug that caused that. My medications orders were settled after many months of tring different combos and finally coming up with a winner. BUT I also refuse to walk on my feet all these hours with tears streaming down my face when a pill can bring me back to normal living.
  6. by   SmilingBluEyes
    Originally posted by Duckie
    Thank you, my sentiments exactly! I would never work impaired or take a drug that caused that. My medications orders were settled after many months of tring different combos and finally coming up with a winner. BUT I also refuse to walk on my feet all these hours with tears streaming down my face when a pill can bring me back to normal living.
    you would not but MANY others do.......i think if you re-read the posts, you would see most do NOT refer to cases like yours! we are referring to different cases, here ya know.
  7. by   TX Guy
    You gotta have a thick skin here sometimes.

    Articulation is not everyones strong suit.

    Dont let it mess with ya.

    Paul
  8. by   lateblumer
    It surprises me that most people think drug abuse only involves narcotics. We had a resident who had a months supply of Ultram come up missing. After getting all the nurses on our unit involved in the search for them, tearing both our Med room and drug carts apart, and calling the pharmacy to re-check if they had been stored there by mistake, 13 people, including the pharmacists and unit manager, were all called in for a drug test. We were not told why, just that a prescription medication had come up missing.

    Although i had my suspicions about who had taken the bottle, it was never disclosed who took them. We all had assumed that it was a narc that was taken, but were surprised to find out it was just Ultram.
  9. by   RN2B2005
    Re-reading my own posts, I realise that my comments could be misinterpreted as being against the prescribed, common-sense use of narcotics as a pain-management tool. Since I really don't want older nurses "hauled out and shot", let me clarify here.

    Personally, I don't take narcotic pain meds or anything else that might impair me within 12 hours of going onto my (non-nursing, hospital support) shift, because narcotics of any kind, unless in low doses with caffeine, knock me on my a--. Drug abuse, though, is not the same as drug use, and if another staffer takes prescribed pain medication AND HAS ADJUSTED TO THE SIDE EFFECTS, I don't see a problem.

    As a Canadian, from a country where codeine phosphate is an OTC drug, it baffles me that Americans worry so much about addiction that they refuse appropriate treatment. Nothing cures a headache like 222 tablets (these are aspirin plus codeine plus caffeine, sold OTC in Canada).

    So, Duckie, please don't let yourself be "hauled out and shot"...I'd work with you and your bad knees any day.
  10. by   nursingliz911
    I have a CNA where I work that very often comes in with a severe hangover to the point where she can't function to the point where she needs to be. She claims that she doesn't even drink to the nurses and turns around and tells all the CNA's that she "got so wasted" last night. It is frustrating, she has been sent home once before for coming to work actually intoxicated, although she denies it, she calls in sick all the time and when she doesn't call she just shows up whenever she wants to. When she does show up its with totally red-shot eyes, smelling faintly of alcohol and walking about very very slowly and complaining of nausea and vomiting.. and always always goes home early. What an aid huh? The funniest part, she has been an employee for 2 1/2 years. She was sent home after only working there 2 months, still in her probationary period. .. and she still works there. hmm..
  11. by   duckie
    Point well taken, sorry if I got defensive. Pehaps my response is partly due to the fact I HATE needing pain meds to survive, but anything less than another back surgery and two total knee replacements mean I must continue as I am. I have also learned never to take meds on an empty stomach, that causes un-nesessary side effects, which I suppose could be where the "kick" could come from but for me it just ended up with the meds in the toilet and that did me no good. I do have one thing to say about Ultram. What is the big deal about it. The MD tried it on me and I tried to for two days when I was off work, I never try a new med till I've tested it's affects when off duty and I was in agony the entire time. Since it was in a bottle, I flushed them all, they were useless. How much of this stuff were they taking anyways to achieve this "special" affect because taken under regulated doses it did nothing for me. I guess it has to do with body chemistry. Sorry all if I sounded gruff. Living with pain does that. Today was our tenth anniversary and instead of celebrating, I ended up on the couch all day, snuggled up to the heating pad and my furbabies. Hubby still is my king, he even went to the grocery store and came home with a huge floral arrangment.....I promised him a rain check! hehe
  12. by   DIPLOMATICRN4HIRE
    Well Im sure I will catch some heat from my opinion but I will stand strong and look whom ever in the eye.
    Im sorry I have no compassion what so ever for anyone who diverts the narcs that are intended for the patients. Im sorry I just can bring myself to feel pitty. What I feel pitty for is the patient was exposed to you, and your lack of judgement, and your inability to contain yourself and do what you were trained to do. I was taught " Do No Harm". I have done everything in my power to contiue that creed, I hold my patients care up and above all other needs or desires while the patients are in my care. It is my job as thier Nurse to maintain thier care while they can not maintain it themselves. I Promised as I recited the Nightengale Pledge and I will do all to keep that promise. I can not feel sorry for anyone that can not uphold the same oath that I took.

    I have snatched a few Nurses up and walked them myself to the Charge Nurse and reported what I saw and I have demanded that something be done. I will not tollerate the attitude of "but shes a good nurse" Im sure if you have to be f****** up to be at work , then you dont need to be at work.

    My first travel assignment in a new hospital Nailed this to a head for me, I had been given a passcode for the pixis for the OR, where all the drugs even some anesthesia drugs were kept. I was doing an ENT case and pulled the cocaine out of the box, put the 2 vials in my pocket (upper chest pocket), went on gathering my other drugs and closed the pixis and went on my way. There was another nurse in the pixis room when I was in there, I didnt think anything about it. During the ENT case the cocaine was not used and the Dr, and the CRNA knew that the cocaine was in the pocket and I had not left the room during the case. Another nurse came into my room and stated that the Charge Nurse wanted to see me and for me not to leave the room. Another nurse came in and closed my case. I didnt think anything about it. I waited in the room cleaning and setting up for the next case, when the charge nurse and the Nurse OR Manager and security walked in. I was informed that the pixis was opened with my passcode, and again another dosage of cocaine was removed. Both the Dr and the CRNA stated and confirmed that I had not left during the procedure, and that BOTH vials I had in my person. I was asked who else was in the room with me when I took the original out. I said whom was in the room with me. I remained in my room, both vials in the hands of the Nurse Manager, they went to the room where the other nurse was, she had been out of her room several times, and no drug on her. I submitted a drug test on the spot blood and urine, I had no problems what so ever, the other Nurse refused, then was taken deeper into the depths of the hospital.
    Where she proceeded to say that I approached her , gave her my password, and told her to take the cocaine and to hide it because we could sell it. Well that was insane, I wasnt from that area and certainly wouldnt have a clue as to whom to sell it too, then her story changed about 5 more times, each implecating me in each and more wildly then previous. She was removed physically and arrested. I had never been placed in anything like that in my life.
    I do not sign for things I have not witnessed even for the anesthesia , I have had a few get mad at me because I wont, and others that know that I wont and respect it, I do not and would not under any circumstances compromise a patient for my own intake. I have worked with nurses that have, and I dont consider them nurses but users with a license. Yes I understand there is an addiction and they dont know what thier doing but Im sorry I know what Im doing and Im responsible for each and every patient that comes through my halls , if they be assigned to me or not.
    I have worked with nurses that have had the addiction and over come the addiction and returned to work and I have never had a problem working with them, I do not look at them any differently. I admire them for being able to return.
    Just my thoughts
    Zoe
  13. by   mother/babyRN
    Here is the thing I have learned in over 20 years of nursing. Just because you are honest doesn't mean everyone else is...And, we have had anesthesia docs who have been "caught"...They do seem to protect the docs over the nurses....big surprise...

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Drug Abuse Among Us??