What kind of narcs do you keep on hand?

shell911rn · Jul 18, 2007

Narcotics on hand at the state prison I work in are:

MS Contin

Morphine Sulfate (PO only)

Librium

Serax

Ativan

Klonopin

Phenobarb

T#3

Vicodin

Darvocet

Valium (PO & IM)

I think there's a few more, but that's all I can think of now. Interesting note, we don't have Narcan in the yard I work in, but you can always support ventilations until paramedics arrive. We also don't use Methadone. If an inmate returns to us from the streets and has been on Methadone (usually combined with Heroin, too :uhoh3: ), the doctors will give them Clonidine or Robaxin or Serax and OTC drugs like Tylenol or Immodium just to control the withdrawal symptoms for about a week, but usually only if their VS are indicating distress (i.e. elevated BP and/or tachycardia). If they haven't yet started the withdrawal and don't have VS indicating distress, the doctors won't order anything, so the inmate's only options are to go mandown. Toradol and Ultram are not considered Narcotics at my facility, although Ultram is what we call a nurse administered medication and Toradol is only given usually as a one time dose IM.

tirzo13 · Jul 18, 2007

T3

MS contin,

phenobarb,

vicodin,

norco,

methodone,

hydromorphone,

ativan,

valium,

klonopin,

Narcan

JailRN · Jul 19, 2007

Librium, klonopin, ativan, and phenobarb are the only things we have that we count. We are a level 1 facility and the only one in the state that has RNs 24/7. THat's only been within the last 9 years. Prior to that, the jailers used to pour and pass meds. Unfortunately, some of them helped themselves to the stronger stuff. :nono: The strongest pain med we have is Motrin 800, and for heroin w/d we give (depending on the doc) motrin, flexaril, clonidine, tagamet, thorazine, immodium, and compazine, all p.o.:smackingf

MadisonsMomRN, BSN, RN · Jul 20, 2007

I am not sure why we have Nubain.

I think we should have Serax on hand too.