False positive

PaNurse2023 said:

They want another Inpatient evaluation

Of course.  They want $. You have your honest story.. tell your story. Use the name date and time you spoke to the person who said you could take the medication.  Im assuming its on your phone? Hopefully you'll have a good outcome.  This sucks. You gotta do this to keep your license.  Play their games..

Did they tell you what you're positive for? 

I was at 29 ncg on alcohol the cutoffoff is 20 the MRO who called me told me that

PaNurse2023 said:

I was at 29 ncg on alcohol the cutoffoff is 20 the MRO who called me told me that

It was probably your food.  I'd bring any receipts pictures and articles proving thar the food had alcohol 

None of that matters they're sending me for an evaluation regardless 

PaNurse2023 said:

None of that matters they're sending me for an evaluation regardless 

I.know

 Take evidence to your evaluation.  You don't want more time added to your monitoring agreement. The evaluation is bad enough. 

PaNurse2023 said:

None of that matters they're sending me for an evaluation regardless 

Which is why you want a negative hair test and toenail test negative results in hand when you show up for the eval and hand it to them and let them know your lawyer already has a copy. Will they test you again? Sure, but it completely changes or alters the mindset of the evaluator when a human undergoing an SUD eval brings a recent hair/nail test to the eval. Does that mean they automatically believe you or side with you? Of course not but it dramatically increases your odds that they will why? How many human beings bring a recent negative hair and nail test to an SUD eval? 1 in 100 maybe? It makes you Different from what the SUD evaluator is use to seeing and you want that.

The place I'm going to requires a peth and hair test before admission 

PaNurse2023 said:

The place I'm going to requires a peth and hair test before admission 

Such a money grab that you need to be admitted for an evaluation. Totally for money. 

Im completely aware my first evaluation did not yield a diagnosis and neither will this one 

Was your initial peth and the retest exactly 29?  

Healer555 said:

Such a money grab that you need to be admitted for an evaluation. Totally for money. 

It is a money grab and sucks, but it also is huge in that nurses favor if she comes out with an Eval stating no SUD.  That's SLAM dunk evidence and the BON relents and goes away when they see these from an inpatient eval place.  Evals places are NOT all the same.  During an inpatient eval, the drug test for hair and urine is 5% of it.  The other 95% is often a battery of surveys/questions/assessments that are given on paper or electronically and they are heavily weighted tests backed by research to predict SUD and they are weighted to predict false answers because they ask a bunch of questions in a similar manner to weigh your own answers and compared them to each other for consistency.  The SASSI is one of those.  A person is tested for 2 things.  The likelihood of an SUD and the likelihood that they are presenting themselves in an abnormally positive light, and if a nurse fells one of the 2 things above, they are going to be recommended for monitoring. 

Many outpatient evals that nurses have to do are being given an oral version of the SASSI in their interview.  The nurse doesn't know this, but many of the questions being asked by the SUD evaluator during an outpatient SUD eval are verbal questions from the SASSI that are key "triggering" or "high scoring" questions that if answered wrong by the nurse, the evaluator can basically stop the verbal questioning regarding the rest of the SASSI because the nurse has already surpassed the threshold for SUD diagnosis.  Whenever you hear that a nurse went for an eval, and it was an outpatient eval, and that the nurse was asked a few questions and the nurse thought they did well, and that the interview wasn't very long, and then the evaluator still recommends monitoring a day or 2 later, in the majority of these cases, the nurse has answered wrong or answered in a way verbally that triggers/crosses the threshold for SASSI diagnostic SUD criteria.   The nurse goes through 3 or 5 years of monitoring and completes it and has no clue, even at the 5 year mark as to how the SUD evaluator recommended monitoring with such a fairly short verbal exam in an outpatient setting.  The above is exactly how.  SASSI exam.  It's the goldstandard and very tricky and it can detect not just SUD, but it can detect if the nurse is presenting themself in an overly positive light which is taken as dishonesty, and so either way, the nurse gets monitoring.

My initial evaluation had no diagnosis and they put me on a 1yr rule out monitoring program 2 months in they are claiming that I failed a blood test and even with mro saying it's from food that doesn't matter "a positive test requires an evaluation"  so I'll do another evaluation which is going to be no evidence for a diagnosis as well so hopefully this will be the end of it all