Concerned

AND just as a complete aside, do not ever, ever forget to do your wastes. Ever.

You could be on nothing as far as prescriptions and be called out because of this. If you drew up and wasted on your own in a room with a camera, then it would show you wasting--but not knowing the specifics, it is hard to say.

Going forward, always have another nurse witness your wastes. And be sure to waste in front of them, not a "hey, I gave that Ativan and forgot to waste, will you sign off on it" stuff--that puts nurse #2 in an awkward position that is unfair.

Even if your charge is the one who comes with you to witness your waste. If anyone ever said "waste it later" or you could not find a nurse to witness--THEN that is a process issue, and needs to be addressed. But you have absolutely no proof that you ever wasted the med, and you do NOT want your practice to be questioned. And it doesn't hurt to ask "in the instance that there's no nurses available to witness wastes, what is an alternate choice?" (ie: if your pharmacy has pharmacy techs, for instance)

I would also call my malpractice insurance. Get some direction from them.

You're right, Kel. I should have looked it up rather than trusting memory:

Not ok if the drug test comes back positive for opiates. Fioricet is butalbital, acetaminophen and caffeine. No opiates. Butalbital is a barbiturate. The meds missing are benzos and opiates so if OP tests positive for either, the prescription for Fioricet would not be a free pass.

controlled substance rx expires, ie: no longer valid from six months issue date