This comprehensive article explores the multifaceted and dynamic impact of hospital narcotic drug policies on nursing practice. The administration of narcotic drugs within healthcare facilities is a vital aspect of patient care, and the policies governing this process play a pivotal role in shaping the responsibilities and practices of nursing staff. Understanding how these policies affect the workflow, decision-making, and overall job satisfaction of nurses is essential, as it significantly influences patient outcomes. This article delves into the policies, their influence on nursing practice, the ultimate impact on patient care, as well as the challenges and potential improvements in the system.