Quote from caroladybelle
Second, negative for opiates on a urine screen means very little. The presumption will be that she sold them, or perhaps swapped them for the marijuana that she did show positive for.
Thank you for mentioning that. A negative drug test does not guarantee innocence or that the employer will not continue to take disciplinary action. Like you said, they could think she sold/swapped them from her drug of choice, or she may have been hooking someone else up.
OP: unfortunately for your girlfriend, the way the BON sees it is that they don't know if this really was a one-time mistake or a pattern of addiction, because let's face it: substance abusers are notorious for lying. I'm not implying your girlfriend is an addict--only she can make that call, not me or you or anyone else.
But as someone who works in chemical dependency, I can say that abusers/addicts not always the most truthful lot: not to themselves, not to healthcare staff, not to employers, and not to their families. And the BON knows this...so if your girlfriend pops positive for something, they presume there is a chemical dependency problem present.
The BON's main goal is to protect the public, not the nurse. They will try to help the nurse, but ultimately they act in the best interest of public safety. Enter TNPAP.
If this was in fact a one-time mistake, it was a costly one. If she wants to continue being a nurse, all she can do is complete TNPAP. Moving to another state won't help because she will have to disclose this to that state's BON. Appealing won't work--they're almost never overturned. And if she drops out of TNPAP her license could face more serious disciplinary action from her BON. And hopefully she will learn from this mistake and next time say "No" when the joint is offered to her...because a second mistake like this could end her nursing career.
If she does have a substance abuse problem (one which you very well may not know about), she should consider this her chance to get help towards recovery. Plus everything else I mentioned in the prior paragraph.
Best of luck to the two of you!