Published Aug 29, 2004
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???
donmomofnine
356 Posts
We count percocet, duragesic patches, oral morphine and morphine suppos's. If it has "looked" like there was a problem (and there were problems at other facilities I worked for) then we counted other meds as well.
txspadequeenRN, BSN, RN
4,373 Posts
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:) :) :)
night owl
1,134 Posts
At the moment we have Ativan, Clonazipam, Codeine, Duragesic patches, Morphine sufate, Oxycodone, Percocet, Restoril. No liquids thank God, it seems the count is always off by a few cc's.
SugarMagnolia
37 Posts
Let's see... We have Roxanol,Valium..liquid & tablets, phenobarbitol, lomotil, tylenol#3, vicodin, ativan.Im solution & tablets, adderal,klonipin, ambien & morphine tabs. Pam
Karen_tn_37211
80 Posts
We have all the things mentioned above. We also have colace in the pyxis. I guess people were offering it to patients, they were refusing it and the nurses just stuck it in their pocket.
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!
I only counted syringes working in a maximum security prison! geez!
CapeCodMermaid, RN
6,092 Posts
We count all those meds (not syringes though) AND we have to count Ultram because in some facilities it kept disappearing.
LTC_LPN
26 Posts
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!
Monica RN,BSN
603 Posts
I just had to throw in my 2 cents worth.. because this reminded me when the anthrax scare was happening, we had to actually lock up and count CIPRO! Geez... that was a strange one... we no longer count the cipro :)
Have a great day out there in cyber world....
mlolsonny
123 Posts
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!!