wish_me_luck 16,495 Views
Joined Sep 11, '11 - from 'Virginia, USA'.
Posts: 1,282 (40% Liked)
I was wanting to start a thread for only people in the Virginia Monitoring Program. I am not finding too many threads about it or people in it. I have started into it and will be doing orientation soon. I will try and post what I can but of course no one can answer your legal questions, only legal counsel can do that. This would be more for personal experiences and what not.
If anyone is in it and would like to participate in this thread, please do.
So, for me, I am in it for mental illness (will not disclose what I have) and ETOH abuse. My story began when I sent my application in for licensure (to the board). I was honest and disclosed because I don't know what the future holds and I thought it would be in my best interest to disclose. Plus, I don't feel comfortable lying. I personally do not have a history of drug use or drug diversion (my apologies if you have heard my story in other threads). I was sent a letter from the board requesting my provider send a letter regarding my dx, tx, and prognosis. In addition, I sent a letter on my own behalf with my provider's letter. My case went before the board and I was offered approval to take NCLEX if I agreed to enter into the monitoring program. If I did not agree, there would be an informal conference scheduled. If I had decided not to do the monitoring program and went with the informal conference, I was informed that there could be approval, there could be denial, there could be probation, or the offer could stand at entering into the monitoring program. There's just so many things that could happen. I thought about it and really wrestled with my decision. I have to be honest, in the beginning, I hated the idea of entering into the monitoring program. I really was thinking of taking the informal conference. Then, I realized that I could be denied. No possibility of taking NCLEX and ultimately, no chance at being a nurse. I continued to think about it and decided to take the monitoring program deal. I figured that it was in my best interest (I was in the very early stage of having a mental illness dx, so I hadn't been treated for long and this would force me to stick with getting treatment whether I liked it or not) and I would also get to sit for boards. It took weeks to receive the order in which I would have to sign (and get notarized) and send back to the board in agreement to enter the monitoring program. I went through the process and contacted the monitoring program and told them I would need to enter it and that I had a board order. A phone intake assessment interview was scheduled and then, they sent me paperwork to fill out. The monitoring program sent me recommendations that I have to follow and I will have an orientation for the program. After the orientation, I will have to do random drug screens.
Some random facts about the monitoring program. You can't work in health care until they approve you to go back. The drug screens are $50 each and they can test you as often as three times a week. From what I understand, if you are compliant, the screens (therefore, the cost) eases up. I just about had a bird when I found out the cost. But a few people told me that if I was in compliance, that it usually eases up. I am really hoping this is true. You, the participant, are responsible for the cost of the screenings. The orientations for the program are held in Richmond. Your health care providers and possible health care employers have to fill out forms every so often.
As of right now, this is about all I know. I did keep a time table of when I received documents from the board and monitoring program and when I would send documents to them. From the time I filled out my application to the time I received my board order and entrance into the monitoring program/contract, it was approximately 6 months. I will be taking boards soon.
If anyone else is interested in sharing and is in Virginia, please do. I know I have come across threads asking about this monitoring program and there wasn't much info and no one updated. I hope to keep this updated if others are interested. I hope I didn't violate TOS. Thanks.
Yes! I am getting ready to apply for a couple of public health positions and I was told to go ahead. My heart soared upon hearing that because that is where my heart lies. :heartbeat
So, I thought I would add a few things from the BON end of things. My psychiatrist had written a letter to the BON when I went through the application process and it was not exactly the best letter and it made me sound like a bad person (he had only met me once). When my order was put online, some of the things my psychiatrist had put, were in the order. I became afraid if anyone saw that, then I would never get a job. I emailed the Executive Director, Ms. ***, and asked if an updated letter from my psychiatrist showing my progress could be added and the answer is no, the BON only had authority to post orders and actions, not letters. When HPMP is complete, then there will be a new order posted showing completion of the program and a multi-state compact license will be granted.
Got selected for testing this morning. It was a different panel and this one costs $41 and then, there's the site fee. Total cost of $51. So far, I have had three different panels. Two have cost $41 for the actual test and the other one was $22 for the actual test. So, apparently, there's a range depending on what they test you for. I have been tested weekly, so far.
Another job that someone I know has done while in nursing school is a monitor technician. They are the people who sit in the rooms and watch the telemetry monitors and notify the nurse if anything abnormal shows up. Great experience reading EKG strips....
It's finally here. I was given the "ok" to look for work today. I have not received any information yet in the mail--my case manager just sent it today.
I put in for a couple of my dream positions. I want one of them specifically, but would be equally happy with the other. If it is meant to be, it will happen.
I never thought this day would come.
Oh, and thought I would add, I think I have narcotic restrictions. I didn't do anything with narcotics or divert. So, it must be standard. I don't think my dream positions do anything with narcotics, so I don't think it will be too big of any issue--I could be wrong.
Please send up prayers that I get the job. Thank you.
I have been testing like for 2 and a half months (8 screens, so far) and I have spent around $356. I think ours is lower, but they make up for it in testing more often. It's so hard to see my hard earned money go down the drain on UDS. I hope I can get a job. I finally was issued my pharmacy technician license (it was exciting to see both licenses up, one right after the other. LOL)
Okay, so, I thought it was weird that it was costing more. I went back and looked at everything, and I think they are supposed to be observed screens. My first one was not, but I was not drinking. I just didn't know it had to be observed (I didn't know is not an excuse according to HPMP, but this is AN, so I hope I can say I truly didn't know here) and picked the cheapest site, which was $10. The site I changed to is observed and it's $22. So, total cost of testing is $63. This is really starting to scare me as far as cost. Maybe it will get better. I hope so.
I have days where I feel like I am left to my own devices with this program. But, hopefully, I can figure everything out without making mistakes that are going to get me kicked out of the program for noncompliance.
If you are in Virginia, just learn from my mistakes and hopefully, you won't make the same ones.
I just discussed this thread with my mom, who is a nurse. Her reply disgusted me. She said that if nurses have to take anti depressants or anti anxiety drugs to work, then whose to say that they wouldn't steal the patients drugs. I was mad when she said that because in my opinion, there is a huge difference in someone who is on anti depressants and someone who is on addicting drugs such as narcotics or cocaine or heroine. It sickens me to think that with all the advances made in the medical field, including mental health, that people are still so prejudice against mental illness of any kind. The worst are people in the healthcare field.
Sometimes I get feelings that I sit there and think "is this normal?" So, I go to the internet and research. I get "heartbroken" every time. I come across some pretty nasty comments about people with Borderline Personality Disorder. (BPD). Even some books paint a pretty ugly picture of people with BPD. I have come across comments occasionally here about BPD.
I will be the first to admit that I can difficult to be around sometimes. But, note the sometimes. People with BPD aren't angry, clingy, and don't have black and white thinking all the time. Sometimes I am okay and "normal". Then, I have moments of extreme despair and other times, I feel extremely happy. About the trying to avoid abandonment and getting attached...this doesn't happen with every person I meet. There's actually only a few people that I felt really attached to.
I also see a lot of things that say people with BPD lie a lot. I think depends on the person because I don't like being lied to and I have severe trust issues. So, I try and stay honest with others because that's what I expect to be given to me.
I came across a post online about a person with BPD leaving a non-BPD person. The non-BPD person was upset because all they had read was that people with BPD try to avoid abandonment. I was slightly agitated at this post because they blamed the person with BPD. I feel like it's a "darned if you, darned if you don't" thing. If we are clingy and try and get someone back, we are stalkers; if we break up with someone, then we are hurting our partner and it's our fault. We can't win.
I, personally, don't like relationships not because of fear of abandonment, but because I get tired belittled. There's only so much you take. It's better to be alone than to be with someone who blames you for everything because you have BPD. I take responsibility for my share, I expect my partner to do the same. Takes two to tango (i.e. BPD people aren't arguing with themselves).
Another thing that bothers me to no end is "self diagnosing" BPD. I hate when people self diagnose or "diagnose" a friend, partner, or family member with BPD because of their behavior. Only a psychiatrist can/should diagnose BPD. It gives people with BPD a bad name when people "self diagnose" themselves and/or others to try and explain behaviors. They may or may not have BPD, but people who don't know what BPD is will see that and get a nasty picture of people with BPD.
I feel like some people make a mockery out of BPD. It's a serious mental illness. But, that being said, we have a lot of great qualities about us. I am smart, open minded, passionate (that extreme passion/feeling, if used for the good, can be great. I am learning to use it for the better and I tend to be more motivated and keep trying because of that strong feeling), and motivated.
Quick story. When I was in nursing school and taking mental health/psych nursing, I had an instructor who very adamantly told the class to stay away from people with BPD. I have had mental health issues for a long time and when I was younger, it was suspected I had BPD. I was never diagnosed because I was a kid. But, there was the suspicion right along. So, when my instructor, who is a nurse, told the class that, my heart sank and it shook me the core. Of course, many years later after other diagnoses that seemed to change every time I saw a different psychiatrist, I was finally given the BPD diagnosis.
I eventually got to the point where I just told people who wanted/needed to know that I had a "mental illness". Nothing more, nothing less. When they asked what I had, I was honest and told them...followed by "you can run now". The stigma against this illness is strong. I just expected people who knew what it was to run away from me. I got to the point where I didn't care if they did. Then, after reading and hearing many negative comments, I actually became afraid of people to a degree. Like I said, I would rather be alone. Not for fear of attachment, but because I don't want to be continuously painted in a negative way because of anything and everything I do. Sometimes when you are constantly exposed to that, you begin to believe it.
I am happy alone. I think positive thoughts about myself when I am alone. My psychiatrist tells me that I can't avoid people forever, that I will eventually need relationships. I don't know. I want to take things slow. If it doesn't feel right, then I would rather be alone.
Just some perspective from a person with BPD. Any thoughts (no personal attacks, please), comments, questions?
I am doing pretty good. I still don't have a nursing job. I will admit, I haven't looked as much as I should be. In a little over a week, I will have a year sobriety. In a week, I will have been in HPMP 8 months. I am fine as far as the BPD; I think self awareness helps a lot and taking personal responsibility. I am still doing the volunteer thing and I really like it. I am getting ready to start facilitating NAMI support groups and hope to build it into an affiliate and try my best to help other people with mental illness (and substance abuse issues). I did apply for a job that deals with psych. I hope my personal (and volunteer) experience can help land the job.
Go to the thread about the poster needing to move back o Maine from FL. There is a post by Scott with numbers after his name. I do believe older people are entitled. Younger people are physically younger, they physically cannot have had the amount of years of work experience. Younger does not mean lazy.
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