Virginia Monitoring Program

Nurses Recovery

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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 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.

Hello all. New here. I have just recently begun HPMP and am still worried sick about this whole process, my family, my career etc. thanks so much for this thread. Any advice for a newbie like me? The investigator from the BON made it sound as if I may not ever get called in front of the board as long as I am compliant with HPMP and there will be nothing permanent on my license. Is this true? My license is currently listed as active and unrestricted with multi state privilege. I know that I can not work until they let me but when might they let me work? What kinds of practice will they allow? I have worked only in crit care and level I trauma and am passionate about this and hospice but these fields have readily available narcs. I'm not worried about using again but I'm sure HPMP will be. I want to become a CRNA or NP, is this dream now more if a pipe dream? Any and all advice would be greatly appreciated. Thanks.

First, I have no idea what you are in HPMP for. That being said, yes, it might be true that you may never have to go before the Board; however, once you agree to HPMP, instead of going before the Board, a Board Order is drawn up (it takes many weeks). You have to sign it before a notary and send it back. The executive director signs it and then a "true copy" is sent to you. That Board Order goes online as public information when people look up your license. So, HPMP is not private information (some states allow people to enter monitoring programs in confidentiality--not Virginia). Being in HPMP also means that you have a restricted license versus a compact license--it will be "Valid VA Only"; at least mine is.

You can't work as a nurse the first 3 months into HPMP. Then, they must approve you working as a nurse (if you look for a job as a nurse before the 3 month mark, then you can be kicked out of HPMP and reported to the Board). Usually, if you diverted, then there is a narcotic restriction--it is usually 6 months, then they will review your case. However, that is not the case for everyone (it depends why you are in HPMP). I recently was told to apply for anything I am interested in and they will look at my situation (mental illness and alcohol abuse--the alcohol abuse is a history, now) on a case by case basis. So, I guess not everyone is given a narcotic restriction or it may be shorter or longer, depending on the situation. They staff the jobs, if you find one that looks promising (the case managers and Medical Director has to look at the job description and say "yay" or "nay" to it.) You cannot work nights--defined as 11 PM to 7 AM (third shift). No home health as a first job upon approval to work. There are 36 drug screens a year, as long as you don't mess things up. You have to go to AA/NA meetings and Caduceus/Nurse Support Group meetings, per your contract. HPMP contracts are 5 years long.

I don't know if CRNA or NP is a pipe dream. I am thinking about NP school as a possible future plan, as well (I used to want a MPH--but now I am conflicted between MPH and NP).

But there will be a permanent public record of this on my license for ever? The people in the caduceus meetings I have attended seem to think otherwise. I don't see how any of us would be accepted into a masters program, especially one where we have prescriptive authority, with this kind of thing in our records. Btw I am doing this because of taking IV opiates from a waste bin in the med room. I have just celebrated 30 days clean and am trying to keep positive but the future is still scary being so full of uncertainty. I assume finding work is difficult after this but is it impossible? Thanks for all of the info you have posted in here, you've been very helpful.

I have no idea if it is permanent. I have not gotten that far yet. I do know that it will be public info for the 5 years you are in HPMP. I know that once you complete HPMP that a person can be issued a compact license. I do not know how difficult finding work is. I personally do not have a nursing job yet; however, I am also a new grad. I have no idea about the NP thing either. HPMP is not only for drug diversion--I have seen people in it for drug diversion; DUIs; and mental illness. So, in talking prescriptive authority, I don't know. I understand what you mean because of possible writing prescriptions for narcotics though. Since you are still dealing with the Board, it might be better to ask them now about future NP licensing and prescriptive authority. I hope I don't ever have to go before the Board/discipline staff, but I know when I dealt with them when I got my nursing license, they were very nice and helpful. However, once they are finished dealing with your case and you are in HPMP, they do ask that you go through your case manager, instead. So, if you are still dealing with the Board directly, ask your questions now regarding future licenses. They get very busy.

They might just ban your prescribing of narcotics and controls. I think at a point it's not going to be th program that's stops your advanced education, it's going to be the schools and their acceptance of it. Good luck either way!

It looks like after HPMP completion, the information is hidden. I looked up someone's license I know has done HPMP before and the first time was hidden. I have no idea if it stays in NURSYS though. Do not quote me on it, but that is what it looks like happens.

Thanks to all who replied. I have met with and am now enrolled in HPMP. It looks like the difference between our cases, WML, is that you were ordered into HPMP correct? I am considered voluntary And thus my info is currently not public knowledge. The va Bon receives the report from the in investigator and when they see that the nurse in question is in HPMP, they grant a stay of disciplinary action which is not public info. As long as one is compliant with the program they tell me this will never be on a nurses record. Hope this sheds some light on a confusing and upsetting subject to others out there. Good luck to all and thanks again to all who replied to me.

I was not ordered into it. I was given the options of HPMP or IFC. I took HPMP because I wanted my license. I do not know if yours will be public. Everyone that I have met has had theirs online. I think it is removed after HPMP expires. You have to let your employer know you are in it when you are ok'd for employment and find a job. They have to fill out a form monthly.

All cases involving the Board get Board Orders. I thought mine was private until I found my Board Order online on the Boards license look up. It was about two months after I signed it.

Hey there, new to all of this.. But I think it's a good idea to join for support because it looks like its going to be a long road ahead of me. Just a quick question while I have a little but of time to post.. With the hpmp program.. Is there a specific timeframe I have to enter.. I haven't talked to the board yet but just saw I received a message from them today to contact them. I was terminated a month ago for a failed drug test and my employer said they would be contacting the board so I knew this was coming, just wasn't sure when. If given the chance from the board I would like to do the program, but since being fired I haven't worked and the costs worries me. I guess I'm just asking if they give me time to get some money saved up for the program before I officially enter it. I'm sorry if my post doesn't make sense or is in the wrong place, as of right now my brain is overloaded with questions and fear. Thanks for any information everyone

Overwhelmed, your life and career are not over. This is all a lot at once I know and it seems the sky is falling but take heart that all is not lost. I'm fairly new to HPMP but have settled into it now and things are looking up already. I sent u a PM call anytime and ill explain all I know and have experienced this far.

It's been a little while since I posted... Not much to update really as it seems this ball rolls really.. Really.. Slow. I thought by now I would be on the way to really getting things in this program started.. But between waiting for letters and phone tag it really is a slow process.. I signed my contract with hpmp at the end of September and I haven't even been to orientation yet.. Finally got an appointment with Richmond iop for next week.. I guess after my assessment they will figure out what to do to me.. Haven't started drug screens yet or counseling.. So this all means I'm no closer to being allowed to work again. It is frustrating but I keep telling myself one day it will be better! Thank goodness for supportive family.. And messaging boards here at all nurses :). If anyone has an experience with Richmond iop I'd love to hear about it:) right now they just want me to have an assessment done and go from that I guess.

I'm currently under contract with HPMP. If anyone has any questions or want to be a support system for each other let me know!

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