Can Nurses Use CBD Oil?
What is CBD Oil?
CBD is generally sold processed in an oil and has been recognized as a remedy to pain, insomnia, anxiety, and a wide variety of other medical conditions. In the coming years, CBD oil is expected to be a billion dollar industry. It is important to note, however, that it remains largely unstudied and unregulated, despite the growing popularity of the oil.
CBD is readily available for online purchase, but in the United States and Australia it has different levels of legality. While several U.S. states and Australia have strict CBD regulations, the Drug Enforcement Administration maintains a controlled substance and is listed as a Schedule I drug. This status persists following the passage of the 2018 Farm Bill (which, under the restrictions outlined, allowed the broad cultivation of hemp).
Uses of the CBD Oil
There is a scarcity of high quality, large scale research on the use of CBD. Large scale, randomized clinical trials are required, but for a range of conditions, including anxiety, Parkinson’s, chronic pain, schizophrenia, and multiple sclerosis, it has been suggested as a potential treatment. Most users claim it has pain relieving effects anecdotally and use it as a treatment for muscle aches, inflammation and pain. It is used by many people to relieve anxiety and insomnia. There is currently only one drug licensed by the FDA that includes CBD: a seizure medicine called Epidiolex, which is used in children to treat two particularly severe seizure disorders. That is why, every one who wants to get rid of such conditions uses CBD oil including the professionals as well such as nurses, teachers etc.
CBD is found most often in the form of oil or droplets. It can be formulated as a balm, patch, or topical as well. Edible versions are also available, such as gum chewing, gummies, cookies, and brownies.
Considerations for the nurse
The use of CBD oil during a prescription reconciliation is not likely to be discussed by a patient, so it is important to ask patients about all the items they use, including herbs, vitamins, and oils. Patients should be mindful that CBD oil may interact with other drugs ( such as blood thinners ) and may potentially increase the blood stream level of certain drugs. Although side effects are anecdotally uncommon, sedation, fatigue, or nausea or diarrhea may be caused. It should be noted to patients that CBD oil concentrations vary widely, not only from product to product, but also from bottle to bottle. In addition, 43 percent of the goods were under labeled ( i.e. CBD concentrations were smaller than the product listed ), and 26 percent were over labeled ( the concentration was higher than the product listed ).
In addition, since there have been no large scale human CBD trials, no safe or efficient dosages are recommended.
For both recreational and medicinal purposes, cannabis is legal in some countries such as in Canada. While the cannabis laws have changed, there is no responsibility of the nurse to provide safe treatment. Nurses are required to ensure that their practice and conduct meets the requirements of the profession and protects the public as self-regulating health care professionals.
Is it acceptable for nurses to use CBD Oil?
The ability of a nurse is to think clearly, make sound decisions and act decisively can be affected by mood altering substances such as cannabis. It puts consumers at risk and puts patient safety at risk. Nurses are committed to safe practice for patients and clients are assured that they will not be exposed to care providers whose abilities may be compromised. Under the 1991 Regulated Health Professions Act, job while any substance is impaired is deemed a professional misconduct
It is important to note that cannabis has a different effect on everyone. A nurse must use their professional judgment to assess whether the medicinal and/or recreational use of cannabis may jeopardize their ability to provide health care. When you believe you may be impaired or affected by any drug ( e.g., opiates, alcohol or cannabis ) or even cancer, you should refrain from doing so. Nurses are responsible for understanding their physical and mental weaknesses, and their own health and well-being has an impact on their ability to provide healthy, reliable and ethical treatment. This transparency is illustrated in the practice standard for ethics and the reference guide for professional conduct. Failure to meet this standard will lead to the investigation and it would be a lengthy process. Nurses are also responsible for reporting to your employer if you suspect that another nurse or health care worker may have a disability.
Could my nursing practice be further impaired by provincial or territorial legislation?
In general, provincial and territorial cannabis regulations do not impose additional limits or restrictions on any nursing practitioners performing their professional duties. Nevertheless, there are limitations in some states as to where cannabis can be consumed, including cannabis for medical purposes. Such requirements are a practical consideration for nurses who can possess and prescribe medical cannabis to patients in a health care facility or in a public place. For example, in some jurisdictions, given the concept of a “public place” under the Cannabis Act that involves a motor vehicle in a public place, individuals cannot consume cannabis, even for medical purposes, in or on a car or boat. Exceptions may arise when the vehicle or boat is used as a dwelling house ( subject to conditions and restrictions ) or when the vehicle is not on a highway or trail ( as specified in the law ). Furthermore, current smoking bans apply with limited exceptions to cannabis smoking, even for medical purposes.
It is concluded that, for nurses its safe not to use CBD oil when you are on duty as you have to take care of the patients which is the important responsibility. Or if you really want to take it then only consume a little amount of CBD oil so that you remain in your senses an can perform your duty perfectly.
Can Nurses Use CBD Oil? What is CBD Oil? CBD is generally sold processed in an oil and has been recognized as a remedy to pain, insomnia, anxiety, and a wide variety of other medical
ASBN – Edition 99
CBD Oil And Your Nursing License
Mary A. Trentham 2019-12-04 00:16:25
This week a disturbing article was circulating on the Internet from ABC7 Lisa Fletcher, an investigative reporter and writer, that consumers of CBD oil are being terminated after a drug test result was positive for THC.1 In one case, Ms. Fletcher spoke with a 72-year old engineer who was terminated after he failed a workplace drug test. He was using CBD oil for arthritis and glaucoma and thought he was “doing something perfectly legal, something that would not trip a positive THC test.” Ms. Fletcher also found several lawsuits, “including one filed by women in California and Pennsylvania, both of whom claim the CBD they were taking was advertised as THC free. However, the use of the CBD oil caused them to test positive on drug tests and lose their jobs.”2
Peter Meyers, a law professor emeritus at George Washington University Law School, states that while a person may be complying with state laws, they are violating federal laws. Marijuana is still illegal under federal law. Mr. Meyers stated, “The wide availability of CBD gives consumers the impression it’s safe and legal.”3 The lack of precision in product labeling is giving consumers a false sense of safety.
Tetrahydrocannabinol (THC) and Cannabidiol (CBD) are the most commonly known compounds of the marijuana plant (cannabis). CBD is the second most active ingredient and a natural component found in marijuana plants. THC is the active psychoactive compound in marijuana. Marijuana is listed in the Schedule I of the federal Controlled Substances Act (CSA) due to the psychoactive effects of THC and the potential for abuse.
The Agriculture Improvement Act of 2018 (generally referred to as the 2018 Farm Bill) was signed into law on December 20, 2018. The 2018 Farm Bill became effective January 1, 2019, and legalized the cultivation and sale of industrial hemp at the federal level. Industrial hemp plants must have a delta-9 THC concentration of not more than 0.3 percent by dry weight. Until December 20, 2018, hemp was categorized as a Schedule I substance under the CSA, thus making it illegal at the federal level to cultivate, possess, or distribute the hemp plant, or CBD derived from the hemp plant. The 2018 Farm Bill removed industrial hemp from the Controlled Substances Act (CSA), which means that as long as the plant contains no more than 0.3 percent THC on a dry weight basis it is no longer considered a controlled substance under federal law. However, the U.S. Food and Drug Administration (FDA) maintained the FDA’s authority to regulate products containing cannabis or cannabis-derived compounds under the United States Federal Food, Drug, and Cosmetic Act (FD&C Act). This applies to products described as hemp under the 2018 Farm Bill.
CBD websites claim that CBD oil is made from the flowers, leaves and stalks of the hemp plant and contains less than 1 percent THC. Some marketing sites indicate that there is no THC in their CBD oil. Hemp oil is extracted from the seeds of the hemp plant and contains trace amounts of CBD. The majority of CBD oils on the market are full-spectrum extracts. This means they contain not only CBD but also a range of other cannabinoids and terpenes found in the cannabis plant. The main difference between CBD oil from hemp and marijuana is the ratio between THC and CBD. As stated above, industrial hemp, as long as the plant contains no more than 0.3 percent THC on a dry weight basis, is no longer considered a controlled substance under federal law. Recall the old saying BUYER BEWARE!
Hemp fibers and stalks are used to make clothing, rope, construction materials, paper, fuel and many more items. Some manufacturers and marketers of CBD-infused products, including food, beverages, dietary supplements, and creams, claim that the products are useful in the treatment and prevention of various diseases. The FDA has taken the position that such claims subject the products to regulation as drugs, which typically require prior approval from the FDA based upon clinical trials to establish product safety and efficacy for public consumption. The FDA has issued a number of warning letters to halt the marketing of products for which such claims are made. Currently, Epidiolex® (a seizure medication for children) is the only FDA approved medication that contains CBD.
Is CBD oil safe? Since the same enzyme in the liver that metabolizes many conventional medicines and supplements metabolizes CBD oil, the metabolites of CBD oil can cause the levels of other drugs in the system to rise. CBD oil may cause increased activity of blood thinners and increased liver enzymes. Other research indicates that the use of CBD oil may trigger a number of side effects, including anxiety, diarrhea, dizziness, drowsiness, dry mouth, nausea, vomiting, or changes in appetite or mood.
There is a lack of quality scientific studies on human and animal populations on the use and effects of using CBD. The FDA expresses a concern for the unreliability of the purity of CBD products. Concentrations of CBD oil vary widely, not from brand to brand but from bottle to bottle within the brand. CBD product companies use different CBD sources, extraction methods, and production techniques, and not all resulting products are created equal.
The Nurses Guide to CBD, a blog on clinical cannabis, health and wellness, reported that a 2017 study published in JAMA found that of 84 different CBD oils purchased through online retailers, 18 ACTUALLY CONTAINED THC. This means that 21 percent of the CBD oil products tested contained THC. Moreover, 43 percent of the products were under-labeled (concentrations of CBD were lower than listed on the product), and 26 percent were over-labeled (concentrations of CBD was higher than listed).
Dr. Meyers was given access to the largest series of tests conducted on CBD products by Ellipse Analytics. The outcome of the analysis found that “more than half of the 200 products tested were inaccurately labeled. Lab results showed that a quarter of them – more than 50 – products falsely claimed they were THC-free.”5
What does this mean for you, the nurse? If a nurse consumes CBD oil, there is a risk that a positive THC test may result. In some states, CBD oil may be allowed to contain up to 5 percent THC.6 If a nurse consumes excess CBD oil that may be allowed to contain a larger amount of THC, that nurse is risking a positive THC test.
CBD oil sold at a health food store in Chicago and tested by one of this Board’s toxicologists was found to contain about 9 percent THC. Therefore, a person using CBD oil with higher concentrations WILL show a positive urine test for THC.
Several nurses have had positive THC drug screens through random drug testing by their employer. The nurse states they are using CBD oil for inflammation, anxiety, and other health issues. You, as the nurse, need to be aware that on a drug screen, a positive THC drug test result CANNOT be differentiated from CBD oil ingestion or application from marijuana use.
Nurses will have to do their own research to determine which companies the nurse is willing to trust. Although most CBD products claim to have under 0.3 percent THC, which is classified as hemp, the products remain unregulated by the FDA making the THC levels contained in the product unreliable. Moreover, the amount of THC contained in the product is generally not listed on the bottle of CBD oil. Consuming or vaping quantities of CBD oil may leave enough THC in the nurse’s system to trigger a positive test result. IS YOUR LICENSE WORTH THIS RISK?
Published by PCI Publishing. View All Articles.
This week a disturbing article was circulating on the Internet from ABC7 Lisa Fletcher, an investigative reporter and writer, that consumers of CBD oil are bein