So much anger

Nurses Recovery

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When I first came to this forum in 2015 I was already done with my monitoring program but was hoping I could add some experience, strength and hope to help others get through this process, There was a lot of real support that I don't see now. There's a lot of anger some of it very justified by people who were never impaired at work, who got in some kind of trouble prior to even becoming a nurse or for people sucked in due to mental health issues.You know who you are and this is not aimed at you. I myself was never impaired at work but I was a garden variety arm chair alcoholic that was slowly spinning out of control and I have no doubt it would have spilled over into my work eventually. I self-referred to my states program after a failed suicide attempt. Ultimately I did need the discipline the program provided and I feel I would be dead today if things had happened differently.

If you are here for diversion of narcotics it might interest you to know that this was considered a felony before these monitoring programs started. Nurses were stripped of their licenses, prosecuted and sent to prison, sometimes for as long as three years.

For those of us who battle addiction it's important to remember that addiction is a disease of self-will run riot. Those who suffer from it have 2 character flaws in common, anger and resentment. My therapist was a nasty woman who told me that I needed to start living or get on with dying. I had to let go of all my anger and resentment in order to reclaim my life. I followed every rule, went to every meeting, got an approved job and always asked for some stipulation or another to be lessened or canceled every time I went in front of the diversion enforcement committee. So much so that I had my narcotic privileges within a year. I was never bullied, belittled or made to feel less than because of my addiction and by choosing to be open with friends about my circumstances, I learned who my friends really were.

I never burned any bridge with anyone.

Today I am happy, grateful and free of the clutches of my addiction. The job I got while in monitoring ignited a passion for Mental Health Nursing that has become a career I love. It always hurts me to see my profession so looked down upon by nurses who think they are better than psych nursing. Frankly Psych nursing requires a lot of outside the box thinking.

There's always a time to complain and B & M. But instead of egging on people's anger and despair maybe we should be trying to help by giving real examples of how to deal with the situation described.

Hppy

Specializes in OR.

I suppose that a means of introductions would be what I am thinking. We are all professionals. We're nurses. We're college educated professionals. We know how to write resumes and we know to not pick our noses in a job interview. The hurdle that we need help in jumping is the the gauntlet of HR. As it stands, at least in my state, periodically jobs are posted on the email system (Affinity) or the case manager might know something. It is in essence a patchwork that is not very reliable.

For example, were I this person, I would connect with the participant, review thier contract, stipulations, interests, history, things like ability to relocate, etc. From that interview I might use my statewide database of contacts to connect them with potential positions. I could make first contact for them in the way a professional headhunter might. "Hi, ms. Recruiter, I see you are looking to fill x position. I'd like to submit a candidate....etc." With something like this, a lot of stress and fear would be eliminated.

I do think a participant would have to meet certain criteria, like being cleared for safe practice. I don't know that every participant would be appropriate for this sort of thing or even need it, but it's a thought.

I don't know if it's realistic because implementing such a thing would require the programs (I am speaking generally, I realize that some programs are more harsh than others.) to make some structural changes and indirectly acknowledging that the claim to "advocate for the impaired nurse" is bull cookies.

I don't know how to address the inappropriate use of the evaluation process. I don't even know where to begin with that truly malignant issue.

I think what some of you guts are starting to discuss is a program that might actually do some good. Perhaps an individual nurse who was similarly situated and has been through this to guide you outta the woods. Testing would no doubt be involved for most of us as abuse of some substance got us in this circumstance. The nurses with mental health issues should probably have their own program with their own guidelines and with even stricter confidentially requirements as they have never committed a crime attachable to a public record. Making their medical history available via a BON website is really an unacceptable violation of their right to privacy.

Wanna remove the anger and the hate then remove what's causing it. Have a hard look at the close ties with the rehab industry. Lets face it they are making huge $$$ by placing people in facilities for as long as the money keeps flowing. Consider not forcing people into rehab or 12 step programs at all. If they can stay clean without such interventions why jump to them immediately without at least giving the nurse the ability to show they can stay clean on their own. If that doesn't work well rehab away. Don't destroy people financially. It took me 1 1/2 years to get back to my job and cost me tens of thousands of dollars. I'm bankrupt in all things but a court paper. Is that a good rehab plan? As long as the nurse is clean and they can demonstrate it then let them practice their profession. How about a statute of limitations? Some Nursing student who was charged with possession or a DUI years before coming a nurse shouldn't be shoved into this meat-grinder. Don't label and shame people for life. Once they have completed the program (at least for a first offense) their record should be sealed. Stop with the cookie cutter nonsense. Every nurse in these programs doesn't have the same history or need the same level of treatment. Finally, stop with the whole punishment thing. We have a criminal justice system for that. If a nurse committed a crime then let them face the consequences. Its not like any BON can stop any District Attorney from filing charges in any event.

Specializes in OR.

What I am creating in my mind I think would be a position that is restricted to assisting participants in getting thier foot in the door. Rather than leaving said participant to file 100 applications and never hearing a thing, not knowing if it's due to the contract or not, The 'liason' gets the application looked at, explains the particulars of the program, helps determine if the participant is a fit for the position. Once that hurdle is leapt, the interview is gotten...the liaison's services end. Then, if a decision to hire is made the person's case manager gets with nurse manager, etc. etc.

I also think it would have to be made clear that by submitting candidates for consideration, the program is not taking responsibility if they relapse. I should think that this service would not be appropriate for a participant who may have used it once and lost the job due to relapse (like diverting again.)

Hppy's original point of there being so much anger? Oh yes! I fully admit to being extremely bitter and angry and I know it shows in many of my posts. I am bitter and angry for myself and for what I see done to others. When I am told to "let go of the resentment?" That just inflames the anger more. It's very difficult to let go of something that has destroyed the better part of the last 5 years of my life and isn't done yet. I get that there are countless things wrong with these programs. If I started listing them, my fingers would be nubs by the time I was done typing. I said before we can do petitions, etc. but I wonder if we'd be better starting from the inside.

I've seen here where people say that the docs that wind up in this boat get more support from thier colleagues. They get back to practice faster and don't get financially raped. Why don't we start by really trying to support each other? In my state, ive seen vacancies on the BON. I'm loud and opinionated. Maybe here's an idea......hmmmm....I wonder...

Go get em Cats!!!

Specializes in Med/Surg/Infection Control/Geriatrics.

I have great respect for you and what you have accomplished! I think working in Mental Health is one of the hardest jobs in the world. But, clearly due to your own journey, you bring compassion and strength and hope to others.

God bless you!

Specializes in Psych ICU, addictions.
I know you probably read people saying all the time "I'd never do psych"

I remember once saying that I'd never do psych. Uh...yeah...we all know how that turned out.

These monitoring programs are supposed to help nurses...and overall, I suppose they do.

But what I would love is for the creators of the program to ACTUALLY GO THROUGH the program themselves. Get treated like an addict, regardless of whether you are actually one. The hassle of calling every day to see if you have to take a drug screen. And the joy of having to shell out the cash for all this testing. Having to bring proof of attendance at recovery meetings. Being told you can't have champagne at your own wedding, or not able to take the meds your MD prescribes for a bona-fide medical need. See what it's like to try to get a job when you have stips. And then feel the embarrassment when people learn you are in such a program, because let's face it: it's hard to keep your enrollment a secret, especially when you have to disclose stips and such to employers...and people talk. And have to meet requirements that are difficult--if not impossible--to meet.

And do all of this with little support...though God forbid you miss a call/meeting/appointment or have a false positive!

Perhaps if the creators were subject to the program themselves, they might be more understanding about what the nurses in it have to deal with. And maybe they'd realize that this heavy-handed cookie-cutter approach isn't necessarily the best for every single person.

Specializes in ICU/community health/school nursing.
Perhaps if the creators were subject to the program themselves, they might be more understanding about what the nurses in it have to deal with. And maybe they'd realize that this heavy-handed cookie-cutter approach isn't necessarily the best for every single person.

Amen!

Specializes in LTC, Rehab.

Hey, just glad for you, and I for one don't look down on any kind of nursing, period.

Specializes in Psych, Addictions, SOL (Student of Life).

For those of you paying tons of cash for all the tests, therapists. rehab etc..... All of these are 100% deductible medical expenses on your income tax save those receipts

Hppy

Hppy, that is wonderful advice!!! It can take the edge off some of these expenses if the nurse itemizes their deductions. I'm a wage earner who rents so I'm a standard deduction kind of guy but it may help many. Thank You!!!

I do like to jump on the bitter bandwagon sometimes on these boards, I admit it. Sometimes it helps to vent and I am glad we have this place to do it because I certainly have no one else to complain to that truly understands.

I do not know the answer to what to do with impaired nurses. But, I know that what is going on is not the answer. It should not be a cookie cutter program for everyone. There is so much stigma, being a nurse in monitoring. There should be protection for nurses that are in monitoring and are offered a job and end up having it rescinded because of an HR policy. We are left with the worst of the worst jobs out there a lot of the time. I know this isn't always the case, but I also know that many have not found work and there aren't many helpful resources.

Specializes in Emergency.
For those of you paying tons of cash for all the tests, therapists. rehab etc..... All of these are 100% deductible medical expenses on your income tax save those receipts

Hppy

This is false...check current law. Like many forced into 12 step fairy tail land...each person and scenario are "individual" please don't muddy the water any more with uninformed "cookie cutter" statements. Thx

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