Does a Pyxis have the capability to restrict Narcotics to a user?

chare · Dec 20, 2017

My thought is that the it could probably be done. However, the question more important questiin is whether the facility would be willing to create a special profile for you.

Best wishes.

Cat365 · Dec 20, 2017

I agree with the above poster. Also, if your coworkers are willing/able to pass all of your restricted medications. I imagine that would be a lot of meds on a step down unit. It would be a constant interruption to their work.

Sour Lemon · Dec 20, 2017

Yes, it's possible. Access is customized. Registry is never allowed to pull narcotics where I work, they simply appear grayed out. It's hard to imagine that any step-down unit would hire someone with that type of BON restriction, though.

mrsboots87 · Dec 20, 2017

At my job, the user profile can be changed to restrict whatever meds they want. We've been having a problem with narcotic discrepancies lately. So whenever there is a discrepancy that is not reported, whoever created it along with any nurse pulling that med later who doesn't report the discrepancy, loses their narcotic privileges for a while.

Been there,done that, ASN, RN · Dec 20, 2017

Yes, it's possible. Access is customized. Registry is never allowed to pull narcotics where I work, they simply appear grayed out. It's hard to imagine that any step-down unit would hire someone with that type of BON restriction, though.

Hiring a nurse with narc restrictions is up to the manager. Imagine my surprise as charge nurse, when 2 new nurses came to me telling me I had to administer their narcs .. because they were restricted. Mind you this was a post-op bariatric surgery floor.. where the narc administration was heavy and included PCA pumps.

Depends on the unit.. if warm bodies are needed, they will hire restricted nurses.

Trauma Columnist · Dec 20, 2017

Moved to Recovery Forum

rn1965, ADN · Dec 20, 2017

I would think any IT department can tailor the needs of any med dispensing system.

I am just guessing the other nurses will need to be aware of the need to pass narcs for the ones with restrictions.

SpankedInPittsburgh, DNP, RN · Dec 20, 2017

Yeah I'm sure that this can be done. However, you have to wonder if having other nurses pass all your narcs over an extended period of time is a good idea. I'm a nurse in a monitoring program and almost always advocate for others in my shoes but honestly if I had to pass all the narcs for some other nurse that would annoy me. I was an ER Nurse and never worked in Step Down but my assignment kept me busy enough without the added responsibility of managing pain control on another nurses patients. In the short term this may work but as a long term solution I don't see it

noctanol · Dec 21, 2017

Hiring a nurse with narc restrictions is up to the manager. Imagine my surprise as charge nurse, when 2 new nurses came to me telling me I had to administer their narcs .. because they were restricted. Mind you this was a post-op bariatric surgery floor.. where the narc administration was heavy and included PCA pumps.
Depends on the unit.. if warm bodies are needed, they will hire restricted nurses.

This whole warm body deal is pure BS, excuse my French. I did plenty of assessments, discharge teachings, paperwork and so on in exchange of me not being able to pass narcs. In addition, I could follow up on effectiveness of pain meds and so forth. So it's an exchange, I pass your pain meds and you do this, as long as it's a fair or near fair exchange, it's so simple a cave man could do it.

On to the OP's question, yes the pyxis can restrict your access but that in turn involves notifying the pharmacy, pharmacist, some doctors and the more people you have to get an ok from the harder it is for you to get that profile. While on a board order, if you get hired, they'll probably pair you with the charge nurse or seasoned nurse, you'll be on their schedule, if you help them out, your stay will be easy. If you whine, then good luck. Either way, good luck, you have a long journey ahead.