This can be a hard pill to swallow especially if you have never been impaired at work. Some have diverted from work and were caught. Others come in for a variety of mental health reasons that have nothing to do with substance abuse. The last group are those who got a DUI long before they became nurses, have addressed their legal and addiction issue and have been successfully sober since (they never even had a chance to be a nurse - much less and impaired one)! So now what do you do? STEP 1: The BON is not your friend. Their mandate is to protect public safety and your sobriety is their concern because of that mandate. They don't actually care if you don't get better. They will sure keep you from being a nurse if you fail the program. STEP 2: Consult An Attorney So do not go before the BON without consulting an attorney who specializes in professional practice issues. A good place to start is The American Assoc. of Nurse Attorneys found at TAANA.org STEP 3: Decide How To Move Forward Once you have seen an attorney you can decide what you want to do. You may want to ask for an administrative hearing. Or you may choose an alternative to discipline program. Otherwise you will likely go into a probation program. STEP 4: Learn The Requirements All of these programs have similar requirements. They are anywhere from 3 to 5 years long and require an expensive "Evaluation" , costly in-patient treatment followed by several years of mandatory testing, AA meetings and nurse support groups as well as workplace monitoring and a mandatory period where you are not allowed to work. By the time you are through it will cost you upwards of 30K to 40K. Once you are in a program there is no way out. I have only seen 1 participant successfully petition for early release and win. STEP 5: Follow The Rules There will be rules that have to be followed. Any push back or deviation on your part will be seen as relapse behavior and may get you more time so follow the rules. Most if not all programs require total abstinence: So wrap your mind around that. Don't think you can sneak and occasional drink in without getting caught? Sooner or later you will be found out and there will be repercussions. So just don't drink. Testing is random and I was tested sometimes two days in a row lest I thought I could drink after a test. STEP 6: Memorize the Alcoholics Anonymous Book Memorize the book, attend the meetings, and learn to walk the walk and talk the talk even if you don't agree with it. Boards are looking for sincere humility and will accept nothing less. STEP 7: Don't draw attention to yourself. As you progress and get more time in as a compliant person in recovery you can ask for stipulations to be removed and privileges granted. I was allowed to go to work at 9 months, got my narc keys after 6 months on the job, Was allowed to take a trip to Hawaii in year three and a car vacation as well both without testing. I did attend a really cool AA meeting on Hanalei Beach on Maui. When you are given permission to seek work look at places like dialysis clinics and Psych facilities they are more forgiving and understand the value of second chances. STEP 8: When you are done... Don't do anything rash until you receive your completion papers and you are no longer required to call in. I still have all my paperwork from my program which I completed in 2007. When you feel you just can't take it anymore tell yourself "This too shall pass. " Keep on keeping on!" It doesn't last forever. 1 Down Vote Up Vote × About hppygr8ful, ASN, RN, EMT-I (allnurses Guide) 4 Articles 5,184 Posts Share this post Share on other sites