Alabama nurses in VDAP

I don't quite understand what or why or how............ "The Board seems to think the treatment facility will not recommend for you to practice" Who is the BON? Is that every member on it? Is it 2 of the 7 members? 50 percent of the BON? Im not sure what your statement means. The BON members are not addiction or substance abuse experts. They consist of some 2 year, 4 year, Masters Prepared and some DNP nurse members that are a mixture of all nursing fields such as OR nursing, ICU, Community Health, NPs, etc. They are not the substance abuse experts and their "prediction," LOL just has no relevance.

It is Your Monitoring Program that has the advanced trained people in substance abuse.  Its not about the BON "picking who they think wins the game" LOL. Its simply about..........What the Treatment Facilty (the actual substance abuse experts) think and decide. If you are taking your medication as prescribed and you are followed by pain management regularly, you will be OK, but there is a high chance that the Treatment Facility could recommend 1 year or 2 years of monitoring or senior monitoring for the first or 2nd year of when you start practicing as an NP BECAUSE you are still on chronic pain meds (I assume opiates or some form of opiates like Tramadol.) That is considered high risk. I think your chances of being completely cleared and no monitoring as an NP go very high IF.....you get off of opiates including tramadol. If you get on a regimen such as Neurontin, Lyrica, NSAIDS, Magnesium, Muscle Relaxers, and multi modal analgesia in place of opiates, then this sends your chances through the roof. 

You didn't specify what "chronic pain meds" you were on. I am assuming opiates are involved in some form. Whether its Subutex, Tramadol, or any opiate, the Treatment Center Evaluators see a new NP who now has prescription authority and a history of substance use issues and that is considered very very high risk for any treatment center evaluator in America IF.....IF....you are still on any type of opiates. Take opiates out of the equation and you become Very Low Risk. It will be hard to evade monitoring or some form of monitoring for at least some time once you get your NP/prescription authority IF you are still on an opiate, regardless of whether you are followed by pain management. Im being honest with you from personal experience

In basically ANY field where public safety is in play from truck driving to pilots to NPs who have prescription authority, to nuclear power plant operators to dentists to attorneys, if you are already on the Boards radar (whatever your profession and who regulates it is) you are simply not going to be allowed to take opiates in the professions listed above (and many more professions( without some form of monitoring. Again, if people in the professions above are not on their Board or Regulating Agencies radar, then many people take opiates chronically all over the country and their Board or Regulating Agency does not know it, but once you arrive on the BONs radar with a history of substance use issues or any professions Regulating agency like some examples above, you WILL be monitored IF....IF.....you continue to take opiates. That's simply standard and common across the country and there is no getting around it. How to avoid monitoring and get off the radar? Get off the opiates.Stay on the opiates and......you will stay monitored.