GetMeOuttaThisMess Posted October 5, 2014 Share Posted October 5, 2014 No more having to write for Hydrocodone beginning tomorrow. Should buy stock in whoever produces Ultram. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 5, 2014 Moderator Share Posted October 5, 2014 talwin nx? Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted October 5, 2014 Author Share Posted October 5, 2014 Ah, the oldie but goody. But alas, the Feds don't find it worthy of their formulary. That's ok, gabapentin apparently cures all ills, or at least they think it does since everyone is on it. Link to comment Share on other sites More sharing options...
Guest Paula Posted October 6, 2014 Share Posted October 6, 2014 I thought you were celebrating PA Day tomorrow? Shucks. I go back to work tomorrow and the NP does not have schedule II but I do so guess who will be asked to refill everyone's vicodin? Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted October 6, 2014 Author Share Posted October 6, 2014 Frankly, I didn't know it was PA Day. Some in the facility may acknowledge it but I just move on to the next player. I'm celebrating that I'm up to four vacation days now...on my way to 200 (I think that's the max), if I don't go looney first. Link to comment Share on other sites More sharing options...
Moderator ventana Posted October 6, 2014 Moderator Share Posted October 6, 2014 talwin nx? care to shed any light on this med? I am reading up on it as I really don't like ultram (long story) and would appreciate having another med in my bag of tricks.... Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted October 6, 2014 Author Share Posted October 6, 2014 NX so they can't dilute and mainline it. Link to comment Share on other sites More sharing options...
cinntsp Posted October 6, 2014 Share Posted October 6, 2014 PAs can't write schedule 2 in the VA system? Sent from my Nexus 5 using Tapatalk Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted October 6, 2014 Author Share Posted October 6, 2014 Only in-patient, ED, or hospice, at least at my federal facility. Their policy is based upon state guidelines/restrictions. Catch-22 in that you don't have to be licensed, only certified (NCCPA) to work for the federal system, but to write Rxs you have to be licensed in that state which places you under the state guidelines for controlled substances. I don't believe the APP in the ED will be allowed to write for it from what I've heard. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 6, 2014 Moderator Share Posted October 6, 2014 care to shed any light on this med? I am reading up on it as I really don't like ultram (long story) and would appreciate having another med in my bag of tricks.... it's like PO nubain or stadol; agonist/antagonist. works well for pain but takes away other narcs on board. Link to comment Share on other sites More sharing options...
medic25 Posted October 6, 2014 Share Posted October 6, 2014 it's like PO nubain or stadol; agonist/antagonist. works well for pain but takes away other narcs on board. Have to say, my first thought when you mentioned Talwin, nubain and stadol was this: Do your local pharmacies stock them? I don't think I've seen any of them in over a decade. Link to comment Share on other sites More sharing options...
Moderator ventana Posted October 6, 2014 Moderator Share Posted October 6, 2014 Only in-patient, ED, or hospice, at least at my federal facility. Their policy is based upon state guidelines/restrictions. Catch-22 in that you don't have to be licensed, only certified (NCCPA) to work for the federal system, but to write Rxs you have to be licensed in that state which places you under the state guidelines for controlled substances. I don't believe the APP in the ED will be allowed to write for it from what I've heard. you should figure out what state has the best regulations for practice - think either AK or VT or maybe WA and license in that state..... then you can be freed Link to comment Share on other sites More sharing options...
Guest Paula Posted October 7, 2014 Share Posted October 7, 2014 Michigan is great too! At least in the rural areas where you can practice in FP without much bothering going on by the SPs, they are just glad you are there. It's cold here and we had our first snow Oct. 2nd!!!! Link to comment Share on other sites More sharing options...
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