We do two separate runs for Narcotics. Technicians take only the narcotics. As for your question about having a secured tote or such, we have smaller bins that we put each floor in and cart it upstairs. All narcotics are sent up via Pyxis.
We stock out narcotics at 9am and then stock the "regular" drugs at 10am. As far as stocking goes we seperate into locations and then a tech goes and stocks into Omnicell. Like the previous poster stated, the tech is in constant supervision of natcotics until they are stocked.