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Now that I've completed my contract, what's next?

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Hello, I am an RN who recently completed my 3 year contract with my state's BON. It was a confidential, non-disciplinary, informal consent that required regular attendance at 12-step meetings, random UAs, meeting with a therapist and a psychiatrist, and quarterly reports. It was a long and expensive 3 years but I completed it and I'm proud of that. At the initial interview with my BON's contact (who has since retired), I was told that once I complete my enrollment, the matter would be closed and my information gets deleted from the system. But now, when I apply for a license in other states, I get asked if I have ever been part of an alternative to discipline program and I'm unsure how to answer. I don't want to mislead anyone but, honestly, I'd like nothing more than to close that chapter of my life and I'm afraid that disclosing my participation will come with new requirements and costs. And that will affect whether I decide I move. It might not be worth it, after all. Has anyone here ever encountered this situation? Thanks for reading!

I have been curious about this myself! I will be in the same position as you once I complete my contract. One suggestion is to shell out some money for a lawyer who works with professional licenses/the monitoring program in that state and get their advice. That way you are legally covered, but surely there has got to be someone on this board who has done it so I am following this post for updates! My worst fear is that I will be honest and check yes and I will land myself another monitoring contract in that state.

Hey there! Thanks for your reply and advice. So here’s where I am today. I asked my contact at the Board in my home state about this and she wasn’t sure so she asked one of the compliance officers (lawyer) from the Board who replied I absolutely had to disclose despite the fact that it’s confidential from the public. Not disclosing it could get me in hot water. I think it’s BS that they even ask this question and it looks like a way for them to get around the confidentiality of the Agreement. I mean, who’s going to challenge them, right?

Next, I found out who the Alternative to Discipline contact is in the “new” state and emailed her. (I know this seems dicey but I have nothing to hide and am not about to start shelling out money just to get a question answered.) She asked me what my current state is and I told her and am now waiting her reply. My guess is she’s looking into the whole “Compact State” thing. I don’t live in a compact state so we’ll see how that affects things, if at all. I completed my fulfillment here in my home state without any incidents. I’m not a criminal. And I don’t have to move there if I don’t want to.

Hey, congratulations on finishing your contract! It’s SUCH a serious weight taken off your shoulders. I wish you the best and please let me know what you find out if you’re planning to relocate as well.

somedudeinarizona, BSN

Specializes in Emergency/Trauma. Has 11 years experience.

Unfortunately, this is a hard pill to swallow. But state boards are looking to see if there were any disciplinary issues that occurred while in ATD, monitoring, etc. If someone has relapsed multiple times, or anything else come up, they may reject the licensure in that state. I wholeheartedly agree that if the fulfillment of the requirements are completed, then it should be over on that day of fulfillment. Prospective employers should not be privy to that information, but it does make one feel a bit paranoid that the board in a new state has that information.

I think it will be okay. My contact at my home state reassured me she would provide anything I needed and put in a supportive word for me. Thanks for your reply!

catsmeow1972, BSN, RN

Specializes in OR. Has 15 years experience.


making someone repeat a punishment/sentence after successful completion in a different state is just a money grab. I think it’s called ‘double jeopardy’ or something like that. Supposedly these things are about ‘ensuring/ proving that a person is safe to practice. Well, if you successfully complete one, does that not prove that you are safe to practice? What would be the purpose in having to do it over again? Oh yeah, cha-Ching!! I can see disclosing it, fine, but getting punished for your ‘crimes’ again? Ridiculous? Yep. Does it happen? Sadly, more than we probably know.

CSCRNP, MSN, NP

Specializes in CRNP. Has 17 years experience.

Sivraj, 

I am wondering about the process after I complete my program in my state,  how hard is it to obtain licensure in another state. Have you had any updates?