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backtowork 3,688 Views

Joined Oct 19, '11 - from 'DFW Area'. backtowork is a Hospice RN. She has '34' year(s) of experience and specializes in 'u name it'. Posts: 153 (52% Liked) Likes: 189

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  • Sep 15 '12

    I can get a job now... Woohoo!! Now to find someone here in Wichita falls, TX. I have been turned down about 15 times so far but I'm keeping my head up. And I am lOving my daily meetings

  • Sep 14 '12

    thanks, ya'll for your support- it means the world to me!! i still visit this forum almost daily- just don't comment unless i feel i really can contribute in an informed fashion! hugs back to ya'll, too & take care!

  • Sep 14 '12

    False positives exceedingly rare??? hmmmm guess thats why the board gives you a list of drugs, foods, and hand sanitizers to avoid due to them creating a false positive. I am sure Jory does have an opinion about addicted people, and I wonder if that would be the same opinion about someone who has cancer, heart failure, CAD, DM, or any other disease? Not everyone here is because of diversion, some because that made a stupid mistake and got a dui, some for alcohol abuse, some for abusing prescrption meds. Yes it is all about abuse, but I wonder about people who judge so strongly, what are they addicted to? Sex, gambling, lying, shopping,gossping, religion its all about addiction to something which in turn comes from obsessive thought patterns, you know that old mentalty of more is better. As nurses how can one care for another with builtin prejudices? If you have never had any issues in your life or a loved ones life it is only by the grace of God, as it could so easily be you in the situation that you see another in.

  • Sep 14 '12

    Oh, I would have been angry too! I agree with back to work, I'd be tempted to use the phrase on him - My sobriety date was Augut 16th, 1999 - and my mom used the phrase once on me. At the time, I had gotten a stomach virus, so I wasn't as polite as I probably should have been.

    Glad to see you here, haven't caught your posts in a while. Hugs!

    Anne, RNC

  • Aug 13 '12

    Quote from NYCRN82
    Has anyone gone through this program? I am considering enrolling. I spoke to a lawyer and he was against it, then again if I enrolled I wouldnt need him. But I have read a lot of negative things about maximus.
    The positive is this could be a jumping off point for my sobriety. Also Im tired of self will, and Im ready to be told what to do. Thoughts?
    NYCRN82, Below is a link that I would like to share with you as I keep you in my prayers and I send you a warm hug from across the miles...Aloha~

    Loose Reins on Nurses in Drug Abuse Program - ProPublica

  • Aug 10 '12

    @ JZ_RN- funny you would post something like that on a forum for nurses in recovery! most of are here because at some point in our nursing careers we were "dumb" enough to do either drugs or alcohol.

  • Jun 28 '12

    Yes, if I were to do hospice, then I would be comforted by the fact that I could allow that patient to retain dignity while dying and give the family what they need during that time. I can't speak for your area; but the hospice in the hospital system where I live has a high satisfaction rating in terms of Press Ganey. They are like #2 in satisfaction in regards of the floors and different units where I am at. They are only surpassed by Labor and Delivery.

    Also, I think it's from knowing that that's an area where the patient and family is so incredibly appreciative of nurses and respect what they do.

  • Jun 28 '12

    Don't let others' negative reaction get to you. I have a strong interest in psych nursing too and in RN school it was not highly regarded. One clinical instructor even told me that because I had an interest in psych nursing I wasn't really interested in nursing at all, and that she was wasting her time teaching me anything. Yea, she was a real gem and I had a horrible quarter with her! Psych nursing is indeed nursing, just another type of nursing.

  • Jun 28 '12

    I am sorry you are having a difficult time, but I do have some comments you may want to think about. First, you are absolutely correct that after reinstatement of your license (which isn't automatic by the way), you would have a long, difficult road. You would most definitely have to re-enroll in the KARE program, maintain compliance and still have have trouble securing employment. These are things you already know. But it is not impossible.

    What you may not know or haven't thought about is that NOT attempting to have your license reinstated can impact your future also. You may get put on the OIG list (Office of the Attorney General Exclsuion List), which means you would not be able to work IN ANY CAPACITY for any hospital/MD Office etc that received Medicaid/Medicare Funding. Example: You could not work as a unit secretary if your name is still on the list. (I have also heard that you can get put on the list for defaulting on Federal Student Loans, but you may want to research that).

    Secondly, having a suspended nursing license (and leaving it that way) would most likely impact your ability to obtain other professional licenses in the future, like teaching, Social Work, etc, if this is what you decide to do. Just something to think about.

    Please think of your future and all your options before deciding, and most of all maintain your sobriety no whatter what path you choose.

    Best of Luck to you and keep us posted!

  • Jun 28 '12

    Hi all, I just wanted to share my story. My license was suspended for 3 months and then susequently placed on probation for 2 years with narcotic restriction and no home health. I plead guilty to possession of a controlled substance but thankfully received no conviction on my legal record.

    It took almost 4 months for me to find a position. I also have to do monthly random drug screens which I have to pay for myself. After a lot of soul searching and completing putting my future into God (Jesus Christ) hand I was offered 3 positions. None was in the hospital, even dialysis turned me down But for those in similar situations, i was able to find success as an lpn instructor, a medical assistant instructor, and as a disabilty specialist nurse at a third party claims insurance company. The position I accepted pays about 22/hr but it is with a great company with awesome benefits and I discovered that I really love teaching. (It was probably what I was suppose to do in the first place).

    It has not been without its challenges. Jealous people on my job snooped around and looked up my license and everyone found out about my past. But that was okay too because it allowed for everything to be out in the open and I was still able to keep my job and those who tried to get me fired are sitting there with egg on their faces, and even after all of this I still have the option to return to the bedside after my probation is complete.

    I believe everything happens for a reason and I am thankful to God everyday for my job and for a future. I also never knew that I would love teaching so much and plan to continue in education and be able to teach on the university level. So God can turn the bad things around for good and I hope this encourages someone.

  • Jun 28 '12

    I work with a license defense attorney and one of our clients had a "borderline positive" for ETG. The question was, is this person drinking again or is it incidental exposure. My answer was, let's discuss it with the client, raise our concerns, re-educate them on being vigilant about incidental exposure and then watch what happens. If this is a true relapse, they will test positive again, and most likely with larger amounts of ETG showing up. It also gave me the opportunity to increase my contact with the person and discuss recovery issues they might be struggling with or not understanding. To date, they haven't tested positive again (over a year) which says to me they weren't in relapse mode, or if they were, it was short-circuited.

    Recovery is a process and those in early recovery will still have "addictive thinking". It takes time and effort for addictive thinking to change into "recovery thinking."

    Jack

  • May 17 '12

    I have (when all other strategies have failed) actually taken the patient aside. I leaned closely into my patient and, in a very sincere and concerned tone, with a very pained and distressed look on my face and with measured hesitation, said:

    "Ma'am, I don't know how to say this without hurting your feelings, but... but I do smell an odor and I know... I know I would be mortified and I just want to help you because I don't want other people to notice it. You are too nice and I just want to spare you that. I will help you. We can make it as quick or as long as you like and I will make sure you are kept warm and safe."

    Or some variation of that.

    This has been successful for me with several difficult patients (especially women) in the past.
    This I-wish-to-spare-you-embarrassment tactic also works with visibly wet pants.

    Some people will be hesitant to try such a straight-forward technique, but when all else has failed, you would be surprised how well it works.

  • Apr 5 '12

    Wow...thank you guys so so much. I can't explain how much your stories mean to me. It seems that when I feel so alone, I log onto this site and someone says something that completely gets me through the day. The stigma of being an addict is very painful. This is sort of trivial, but I went onto my Facebook account the other day and noticed that my "friends" number was dramatically lower. It seemed that many of my "friends" from work had defriended me. I know I sound like a 16 year old girl but it's just another example of what has been going on. I have 2 very close friends in NA/AA who would never ever let me down. I'm coming to realize that I'd rather have only 2 very good friends than 100 fair-weather friends. I'm in Minnesota and apparently they are becoming extremely strict with diversion cases. I understand the seriousness of my situation and I feel that I deserve everything they gave me. I was just a little depressed because my reputation as a nurse prior to this was exceptional. I had excellent reviews and felt that I went above and beyond my duties as a nurse. After the diversion, I got myself involved in the Minnesota Health Professionals Services Program but the BON didn't seem to care a whole lot. I guess I would be more accepting of the suspension if I had been a lazy, incompetent, overall lousy RN who was disciplined a lot....but, this was not the case. Anyway, I don't like to portray self-pity, that's not how I want to be. I will just take things one day at a time and work as hard as I can to make my situation better. I go to TONS of meetings and have been entirely sober since the incident. I'm hoping things will look up. Thank you all again. Your support is overwhelming.

  • Apr 4 '12

    You might consider not using the prescription drug coverage part of your health insurance. Wal Mart, Walgreens and CVS stores all have low priced generic drug plans for many drugs i.e. $4/month for your scripts. My husband and I do this. We have opted out of using the drug coverage portion since the co pays were ridiculously high and for $35 a year we use the Walgreens plan and never pay over $12 for a 90 day supply of our routine meds.

    This won't help you with the premium payments of your health insurance but it should help with the prescription part. In addition speak with your PCP about any drug manufacturer rebate or discount programs. You gotta be creative when navigating the bumpy waters of health insurance coverage.

  • Apr 4 '12

    Quote from KaseyJo
    Thank you very much for the support. I'm hoping things play out as they should. I'm just worried about what I'm going to do for the next three years while my license is suspended and what happens after three years?? I have so many unanswered questions but I suppose I will find out what will happen when the time comes. I am trying to not feel defeated on a daily basis. I had a phone conference today as my employer appealed my unemployment. I mentioned that I have worked in the ICU for 4 years and was never, ever disciplined, got along with all of my co-workers, always came in early and left late when needed, competently completed all of task to the best of my ability, sincerely cared about my patients and their families and received stellar employment reviews. My RN manager, who I have always gotten along with, was a totally different person today. They gave her an opportunity to state some of my good qualities (she constantly complimented my nursing abilities in the past). She stated, "I can't think of any." My eyes immediately filled with tears mainly because I have a feeling that this will not be the last time that this will happen. Has anything like that ever happened to you?? Sorry, getting WAY off topic but I just thought I'd share. I love that you said that life will someday be so good that I will have a hard time believing it was once so hard. I can't wait for that day.
    Sounds like your manager has some of her own issues to deal with when it comes to this DISEASE (a family member with the disease, lack of knowledge regarding the disease, etc.).

    I am speaking at NKU's nursing program this Friday regarding addiction in the nursing profession. When I spoke last October I asked if anyone had experience with a colleague dealing with addiction. A student told of an experience at a nursing home where she worked as an CNA. They suspected a nurse was diverting and during the investigation they asked this CNA what she thought of the nurse. Her response was, "She's so smart, so nice, and such a good nurse. I can't believe it would be her". Well, it was that nurse. My question to the student was, replace the disease of addiction with diabetes or cancer. If someone asked, could Nurse A have diabetes, would our response be "She's so smart, so nice, and such a good nurse. I can't believe she would be diabetic"?

    Of course not! Absurd, right? Well, addiction is a disease no one wants but some of us develop. Genetics, environmental stressors, and exposure can trigger the disease. Someone with addiction is not a bad person trying to become good...they have a chronic, potentially fatal disease and want to become well. Unfortunately, due to overwhelming ignorance, stigma, and numerous myths, most addicts meet amazing amounts of resistance in their efforts to become well.

    Hang in there!!!

    Jack


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