Have I proceeded correctly?

Nurses Recovery

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I just had a positive test for Alcohol. I didn't drink.

I'm almost 3 years in to a 5 year contract in Fl's IPN.

I'm not a delicate flower. I didn't dissolve into tears, I was LIVID. Immediately upon hearing what she had to say, I asked for a pEth test. I was told 'no' and that the protocol for a positive etoh is to test specimen B of the split screen and go for an eval. I have NEVER in my entire LIFE tested positive for alcohol. Alcohol is just not my thing and never was.

I told her I would think about it and hung up on her! Immediately I got my own order for a pEth test and self urine tested, just for overkill. I have support systems in place and discussed all of this with my group, we met the same night for our regular weekly group. I kept raging and got a lot of good feedback on how to keep this in perspective and to remember that it was my actions that put me here. That helped me, because despite how angry I am, staying in a 'victim' spot is never a good choice for me.

I've been at this long enough so that although I do carry a degree of guilt and shame, I don't let it keep me from standing up for myself when I truly feel something is not right. One of the suggestions I got from my group was to go ahead and have the split screen tested. I was operating with the notion that if I hadn't drank, it must be contamination. And if they retested, would they use a second specimen to try and hang me. Then I learned about 'incidental' exposure. And I had taken Apple Cider Vinegar for joint pain and inflammation. There is no ALCOHOL listed on the label. A friend of mine in group had tested positive for etoh in treatment from red wine vinegar. I contacted my case manager who always very kind ( she's not the one I hung up on ) and deposited the additional $55 dollars in Affinity to cover the cost of the split screen. Spent $249 in less than 24 hours attempting to prove my innocence.

I was told later to do any test I wanted, no test result from this point on was going to negate a positive etoh. Which is fine. I'm not looking to negate the positive, I'm looking to establish a 'look back' through a pEth so that the time the specimen was submitted is surrounded by other days, before and after. If I didn't act then, that time would elapse and it would be easier for them to try and say I'm drinking. And, I'm in the process of setting up the eval. They will request a hair test, another pEth, fingernail and urine. That is all a ok. I am one of the fortunate that can withstand the cost of anything they throw at me. And I'm convinced that's what it takes.

I had an email war going. I asked them why it took 8 days to report a positive urine? Weren't they supposed to be protecting the public from me? I asked them what has my urine been doing for 8 days, fermenting? After that last message, I was given THAT day only to retest the rescreen. I didn't get the message till 6pm. So, I missed the window. What was my urine doing for 8 days? Why did it take them so long to notify a nurse who had a positive for etoh? I could've been on an 8 day bender! I wasn't, but that's beside the point. And, they wanted to retest the same urine. Something is weird about this.

I'm in the process of setting up the eval. I started calling THAT day, the person in my area has yet to return my phone call. So, I'll probably have to go a city away. It's impossible to do this stuff quickly. Then, once I get an appointment, I have to give IPN 72 business hours to fax the info to the person I selected. SO glad I had that pEth test done myself, mind you. Time is ticking away... Time to let them look back during the time the positive screen was collected.

Can you think of anything else I can do to be proactive? I do not mind being tested, I do not mind another evaluation. But I would be devastated if I lost my time in monitoring. I would like to say here that the person who is my full time case manager is very kind. Just the battle axe who covered for her on her day off was not and I gave as well as I got. The way I see it is, I'm required to comply. There is nothing in my contract that implies I'm a whipping boy. So, I stood up for myself and I always come out swinging.

Reading the SAMHSA advisory materials tells me that these Etg tests should NOT be used as stand-alone proof that somebody drank because of the chance of incidental exposure (among other things). Truthfully without some confirmation this test doesn't seem to be reliable enough to prove anything. I think this is why they push so hard for a corresponding confession even when the nurse maintains that they didn't drink. I think if pushed far enough (Court) they may have to drop this kind of testing as a stand-alone method of proving guilt. You would think that given this state they would immediately want a corresponding Peth test to confirm. They aren't interested in the truth or recovery. They just want another excuse to continue punishing a nurse. God Bless you for standing up to these cretins.

The thing I was most hurt by is that I didn't feel they hoped I was innocent. Why wouldn't they be for me pulling out all the stops? They weren't. It wasn't just an unbiased, no contact referral for evaluation. It was withholding my numbers, not wanting me to get a PEth, initially asking me if I didn't want to wait for the results of the split screen? Then saying I needed to hurry up and get the evaluation, before it could come back. I don't know what to make of that. It feels "off" somehow.

Yeah it stinks!!!! It looks that by excluding information they should be chasing (Peth), withholding information and simultaneously dragging their feet and rushing you when it suits them they are trying to paint you into a corner. I'm sure they want you to admit to something you didn't do and they are pressuring you to do so because the truth is very inconvenient & that is they merely want to punish and bankrupt nurses. This smells like another money-grab to me. These folks in the monitoring business and rehab business need to maintain the status quo to keep their jobs and the money flowing & the nurses / public they "serve" be damned. We nurses are truly, truly a pathetic lot. If they tried this garbage with any other profession their would be litigation and bloody revolution not so with us. Pathetic

Specializes in OR.

This is the kind of stuff that, when you try to explain it to non nursing folk, are shocked as to how it can even be legal. I honestly don't think most of it is. But when they are holding everything you've spent your life working for by the you-know-what's......

Perhaps I am biased from being on the inside but from what I've experienced and read here, Florida wins the prize for the most corrupt and draconian program in the country.

Specializes in Med/Surg, Women's Health, LTC.

Hang in there. We are all pulling for you.

Persephone,

I have a question. Do you routinely use alcohol based hand sanitizers? I just read a really interesting study that studied the Etg test and hand sanitizer...about 50% tested positive for the etg 24 hours after using hand sanitizer 8 times in 8 hours. It was unusual because they tested people using it under a vented hood and then using it without a hood. Turns out nobody tested positive when the hood was used and about 50% tested positive without a hood... which basically shows that it's the vapors that can trigger a positive etg with sanitizer, NOT the absorption.

Just a random thought about what could be an incidental exposure. Probably not, but just a shot in the dark. But it was interesting to read about how just chronic exposure to vapors can make you positive...

Specializes in OR.

I always wonder about that idea because number one, we already know that 'supposedly' in absence of anything else awry, a stand alone +etg should not be indicative of relapse (though apparently that gets selectively ignored, as in this case) and number two, exactly how is a nurse supposed to practice without utilizing hand sanitizer. You'd be washing your hands for about 2 hours out of your shift and you'd never get anything done.

Persephone,

I have a question. Do you routinely use alcohol based hand sanitizers? I just read a really interesting study that studied the Etg test and hand sanitizer...about 50% tested positive for the etg 24 hours after using hand sanitizer 8 times in 8 hours. It was unusual because they tested people using it under a vented hood and then using it without a hood. Turns out nobody tested positive when the hood was used and about 50% tested positive without a hood... which basically shows that it's the vapors that can trigger a positive etg with sanitizer, NOT the absorption.

Just a random thought about what could be an incidental exposure. Probably not, but just a shot in the dark. But it was interesting to read about how just chronic exposure to vapors can make you positive...

I've read that too, that it's inhaling the vapors rather than absorbing through the skin. Interesting!

I'm very lucky. My facility doesn't use alcohol based sanitizer anymore...they had a sentinel event where a patient coded after drinking hand sanitizer off the wall in their room, so they switched out the entire facility. Thankfully, I don't have to choose. That would be hard. I guess I would probably buy my own if I had to.

Hi Eris, I don't use a lot of hand sanitizer. The only time I ever use it is in a pinch, when I pump gas (germs) or go to a doc's office, etc. I do remember them saying to avoid it.

The interesting part of this was that I had a theory that maybe it was the apple cider vinegar. And one of the first thing s the evaluator said to me was, " I hear you think it's the vinegar, it's not." So, I stopped offering up anything. I got the feeling they thought I was trying to explain away a legitimate positive. And I just thought, "why am I doing this?" My problem is that I have a positive urine for alcohol, not that I drank. When I thought about that, it made me feel less scared. I was going in there scared and ashamed of how my urine came out. Total mind ****, sorry for cursing.

I don't know what happened. Thanks for the info though. I'm going to be so careful, paranoid, etc..

Specializes in Med/Surg, Women's Health, LTC.

Any word, Persephone? We are all pulling for you!!!

Not yet... I'm waiting on my PEth results to come in on Requestatest.com, as soon as they do I'll send them to my evaluator, IPN and then update here. I've been emailing customer service daily...

Then, I guess I wait some more.

Thanks for your support. It helps to see a message on this thread.

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