Affinity higher level testing TPAPN

Nurses Recovery

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Specializes in Nurse.

Hi, I am scheduled to complete my tpapn program in August and was just told I will require a higher level of testing upon discharge. This may include hair and nail testing. What are people's experience with this? I joined tpapn in 2020 with a relapse in August 2021. I've only had UA's up to this point. 

Thanks in advance.

Specializes in Psychiatry.
Sphi_6688 said:

Hi, I am scheduled to complete my tpapn program in August and was just told I will require a higher level of testing upon discharge. This may include hair and nail testing. What are people's experience with this? I joined tpapn in 2020 with a relapse in August 2021. I've only had UA's up to this point. 

Thanks in advance.

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You will need a higher level of testing before discharge? I thought the testing ended at the end of the monitoring agreement? 

Hair tests go back up to 3 months or more. They cut about the width of a straw. They test the newest growth. Nail tests go back the same amount of time. They take about a quarter size width from all 10 fingernails. 

Specializes in Nurse.

Thank you for your reply. Yes, because I had too many missed check ins over time my case worker is requiring I have a higher level of testing at discharge. I read nails go back 6 months? I'm good either way I'm just wondering if I should jump through these hoops or as the program director if my case worker can actually do this. I have 5 months left. 

Specializes in Psychiatry.
Sphi_6688 said:

Thank you for your reply. Yes, because I had too many missed check ins over time my case worker is requiring I have a higher level of testing at discharge. I read nails go back 6 months? I'm good either way I'm just wondering if I should jump through these hoops or as the program director if my case worker can actually do this. I have 5 months left. 

So mire or different tests in the last 5 months?  The powers that be can do anything they want. If they didn't extend your time I'd do anything they ask assuming you didn't take anything you weren't supposed to. If you did  maybe it won't show.

I'm guessing the logic is that they want to catch anything that may have been missed or you may not have checked in because you know you took something you weren't supposed to. In my program they test everyone must test more right before they get their lives back. Congrats for being almost done. 

Specializes in Psych, BH, LTC, Rehab, Detox.
Healer555 said:

You will need a higher level of testing before discharge? I thought the testing ended at the end of the monitoring agreement? 

Hair tests go back up to 3 months or more. They cut about the width of a straw. They test the newest growth. Nail tests go back the same amount of time. They take about a quarter size width from all 10 fingernails. 

What happens if you have fake nails.? Like SNS nails done all the time? 

Specializes in Psychiatry.
PsychRNXXX said:

What happens if you have fake nails.? Like SNS nails done all the time? 

You need to remove them. 

Specializes in Psych, BH, LTC, Rehab, Detox.
Healer555 said:

You need to remove them. 

Well I guess I will if they request it LOL. 

Specializes in Psychiatry.
PsychRNXXX said:

Well I guess I will if they request it LOL. 

They really don't care about us and stuff like that 

Sphi_6688 said:

Thank you for your reply. Yes, because I had too many missed check ins over time my case worker is requiring I have a higher level of testing at discharge. I read nails go back 6 months? I'm good either way I'm just wondering if I should jump through these hoops or as the program director if my case worker can actually do this. I have 5 months left. 

Yes they can do that and you are extremely lucky that they didn't extend you or close your case and refer you back to the board. I would be doing whatever they asked if they're still going to let you be done on time. 

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