Yep, all hospitals are different, that's for sure. Everyone that I worked at, the narcotics had to come from the pharmacy. Down one of those shoot things. When there was some narcotics left over, there had to be 2 witnesses see it destroyed along with the paperwork. The only way I see a nurse be able to pull this off is if the hospital they work in is totally lax. Yes, they could give 2mg when 4 is Rx'exd. then palm the leftover.. When I was a paramedic, it would have been easy to steal the morphine. Only one paramedic is back with the patient and there was a standing order to give X amount of morphine to anyone in pain. So, all I had to do is mark that I gave 10mg and only igive 5 and the other would go in the pocket. no cameras, etc. Im glad i wasn't into opiates back then, I would have gotten into trouble, eventually...