Virginia Monitoring Program - page 2

Hi. 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... Read More

  1. by   wish_me_luck
    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.
  2. by   wish_me_luck
    Okay, so, I called my case manager and asked about the observed thing. Here's the deal. They do not have to be observed unless there is suspicion that there could be some tampering. So, ignore my above statement. But, the test today was $41, so apparently the price varies based on the panel selected.
  3. by   wish_me_luck
    So, the way it is looking...the drug screen costs alternate between being around $41 and $22. Again, it's the panel they choose (some test for more substances than others). But, that's the way mine have been. So, there's not exactly a set cost for the actual test. The lab fee is the same every time assuming you use the same lab.

    AA meetings and Caduceus have been going good. Soon I will be squaring away my reports for the month. I personally add the AA meetings and Caduceus dates on the report as they happen rather than having to go back and try and remember everything.

    I have found as far as contacting case managers, it has been slightly easier getting a hold of them in the morning. My personal experience, anyway.
  4. by   wish_me_luck
    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.
    Last edit by Silverdragon102 on Nov 5, '12 : Reason: name removed
  5. by   wish_me_luck
    So, my case manager informed me today that in December, I can start looking for work. That is three months from when I went to orientation. So, the 3 months goes by the orientation date, not the date that you enter into/agree to HPMP. She told me that I will be receiving more info. closer to that time. I have gotten my forms in, checked in, and went to UDS like I am supposed to. So, if you do what you are asked to, then 3 months later is about when you can look for work. It's longer (as long as 6 months) if you don't.
  6. by   wish_me_luck
    Okay, so, even though my little heart belongs to VA, I am on a stateline. Often times, it is necessary to seek employment in the opposite state. My license is "Valid VA Only". Here's what you do if you are in VA and need to seek employment in another state. It's a process, so it does take time.

    1) Ask your HPMP case manager for permission to work outside of VA. He/She will either approve or disapprove. If he/she approves, then move to step 2.
    2) Apply for jobs in the other state and secure employment.
    3) You have to get approval from the VA Board of Nursing.
    4) You have to get approval from the state Board of Nursing you wish to work in (i.e. D.C., Maryland, North Carolina, Tennessee, West Virginia).

    There's a form that you have to answer the questions and send it in with your order, so the Board can make a decision whether to approve you or not.

    If you are approved, then you can work in that other state through "special authorization"; you are not granted a license, nor are you given a compact privilege. Every job you take in nursing in that other state needs to be approved. You cannot assume just because they approved one job that they will approve another.
  7. by   wish_me_luck
    This is kind of a random added tid bit that isn't related to HPMP, but to the Board of Nursing application. There is a question on there that does asked about psychological impairment/mental illness, physical impairment, or chemical dependency that could possibly impair a person in working as a nurse. I asked the Executive Director and she told me that if you have a mental illness, physical issue, chemical dependency, then you must disclose and the decision is made on a case by case basis. So, even though it sounds vague and like an opinion question, it is not.

    I had asked because I know people wonder about that and I know I had also personally wondered if I "correctly" answered it in disclosing. To me, it read like asking someone's opinion.

    I cannot really speak for other states, but that's how it is to be taken in Virginia.
  8. by   MichelleRN34
    your drug screens are 76 / test...some months i spend 152 dollars...
  9. by   wish_me_luck
    How many times a year do you get tested? In Virginia, it's 36 times a year. Average cost of a test is $41 and then, if you are lucky, the drop fee will be $10. So, it's roughly $51 times 36. It's like close to $2,000. Between the UDS and my therapy costs, I probably will spend about $2,000 a year.
  10. by   MichelleRN34
    I'm not sure.. Some months it's twice..some it's once...I've been testing 6 months now and it's up to 700 ish dollars or so..
  11. by   wish_me_luck
    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)
  12. by   wish_me_luck
    Just thought I would note here as well--if you have a "Valid VA Only" license, it is considered encumbered. Having the order alone, even without action, will cause it to be encumbered. It's not only probation, actions, or actual restrictions such as narcotics; but even if it is a single state license (VA is a compact state--so, it is considered a restriction on compact privileges.)
  13. by   wish_me_luck
    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.