Published
We count and lock up
Vicodin- pills, liquid,supp
morphine -roxanol, pills, updrafts
oxycontin- and form
ambien
restoril
codeine
lomodil
ativan- inject, pills intensol,or syringes
we aslo count A/B/H syringes- of course because of the ativan
any ABT
DCN
methadone
the narc ER box
xanax
percocet/percodan
Things like that:) :) :)
That is what I thought. I have never heard of syringes being counted. We actually have to ask the DON to supply us with enough for a 24 hour period, because we don't have access to the boxes of syringes. If you don't have enough on the weekend, we have to call the DON in to get us some!! As far as I know, there has never been a problem with them....So who knows!
We have an ER box which is kept locked - when anything is taken out, the ER box is replaced. No narcs are in the ER Box. The only narcs we have are whatever meds the md's have prescribed for individual residents, and these are kept in the appropriate med cart's narcotic lock boxes. These are counted q shift by oncoming/outgoing nurses. We don't keep any narcs "on hand" to be counted. We don't lock up Ultram or other routine meds...thank goodness. Otherwise, we'd be counting all day!
We count all those meds (not syringes though) AND we have to count Ultram because in some facilities it kept disappearing.
We also have to count Ultram. Our PharmD says it has "narcotic-like" characteristics and the potential for abuse.
I don't get counting insulin syringes, hasn't anyone other than me had to throw a syringe and start over after an interuption or bent needle?
I have a few residents on Humalog SS and Lantus, and caught myself drawing 40u of Humalog instead of Lantus! :imbar: :uhoh21: What a wake-up call! I draw all insulin uninterupted and triple check all Lantus! Too scary!!
burger914
135 Posts
Hello,
I was wondering what other long term care facilities kept on their narcotic counts. We of course have the major Narcs (Vicodan, Percocet) but we also keep Ativan and syringes(Yes, insulin syringes!) on count too. Anyone else???