Can I be a nurse if I admit I abused alcohol?

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!

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Would I have restrictions on my future nursing license if I admit that I have abused alcohol? If I have to do meetings and drug tests, would that have to be told to my work? I am afraid I will not be able to work at the bedside in a hospital which is my desire. Background: I went to a 6 month recovery program on my own, have no criminal history, already doing counseling/recovery groups, being proactive by taking drug tests, can get letter of recommendations from previous work place and recovery program, and would have almost two years sobriety by the time I apply for my license.

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3 Answers

Specializes in Tele, ICU, Staff Development.

Congratulations on your recovery!

The meetings and drug testing will not be reported, but self-disclosure and transparency are key to your nursing license application.

Failing to disclose a history of substance abuse if asked on your nursing license application could result in license denial or disciplinary action if discovered later. 

 However, the proactive steps you've taken—completing a recovery program, engaging in counseling, and participating in support groups—are significant positives that work in your favor.

Given your commitment to sobriety and the support you've lined up, you have a strong case. Having letters of recommendation from both your previous workplace and the recovery program helps demonstrate your readiness for nursing practice. It's also essential to have an open line of communication with your state's nursing board, as they can provide guidance tailored to your circumstances.

Ultimately, with nearly two years of sobriety and your proactive approach, you are hopefully well-positioned for licensure. 

When you apply to a hospital, they are not going to ask about substance abuse, just criminal offenses.

Best wishes,

Nurse Beth

Specializes in ICU,CCU,Med/Surg,LTC.

Congratulations on your Recovery!

I'm going to share an unpopular opinion.

If you have no criminal record and you feel you are solid in your recovery then I would keep that information to myself.

Reason being: Once you disclose that information to the BON they will almost certainly make sure you are placed in a monitoring program for nurses. That program will require you to attend AA and peer recovery meetings and have evaluations by addictionologists. You will have to check in daily for random drug screens which can include urine, blood, hair, and nails-all of which you will pay for. And, make no mistake, your employer will have to know about the meetings and drug screens because you will have to have a worksite monitor to complete quarterly paperwork. Being in such a program will make it more difficult to find work. You may also have to start out with a license on probation until you complete the program which can take 1-5 years. 

Specializes in Geriatrics, Dialysis.

I agree with  jadedRN04's opinion. If there are no charges or convictions related to your alcohol abuse and if there was no court ordered rehab that would leave a paper trail no way would I disclose in that situation. If you went through treatment and recovery of your own volition that should be private information.

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