what i don't understand about this whole thread is this. I have been taking hydrocodone for years and i mean years(3+) and I never had an issue with working while on meds. # 1. When you take your drug test--if they don't ask you up front about your meds then you will pop a positive and the MRO will call and verify your prescription. Once verified you will be NEGATIVE. PERIOD !!! I have always been open and up front with all my my hospitals i have ever worked for and I work in ICU. # 2. everyone is talking about impairment--and who decides who is impaired--i must agree with Granny here in that you would be hard pressed to know i am impaired period with or without meds. # 3. you can't discriminate against a chronic pain nurse or patient--PERIOD !!!!, what about all the nurses taking ADD meds--are they impaired??? doubt it..OH and on top of all this i have proabably taken more Drug tests than most of you have been alive. I can't even count the Number I have taken over the past 15 years there was a great read about this and the stance the board takes on this back in 2007 for Texas. Read here http://www.bon.texas.gov/about/pdfs/apr07.pdf pages 5-6 I don't know what the stance is from other BON's but I do know where i stand in Texas !!!