PNAP 41 conditions



I am going into nursing school in two months. After I returned from Iraq in 2006 I started drinking. Since then I have two dui's. I am going to enter the pnap program and was hoping someone could tell me what the 41 conditions are. I realize that I will have to get drug tested and have to go to AA meetings. But I do not know what the others will be. I heard that there are limitations on where you can practice I wanted to know if anyone knows what they are. Please let me know what the 41 conditions are and anymore info you think I should know about this program.

Thank you

Whispera, MSN, RN

3,458 Posts

Specializes in psych, addictions, hospice, education.

I don't know what PNAP stands for. Please spell it out. I found some articles online about PNAP but they didn't specify what the 41 conditions are. How about asking the PNAP people?

Trauma Columnist

traumaRUs, MSN, APRN

153 Articles; 21,229 Posts

Specializes in Nephrology, Cardiology, ER, ICU. Has 31 years experience.

Moved to Nursing and Recovery.

Specializes in LTC, Psych, Med/Surg.

My guess is PNAP is a monitoring program through the OP's BON. I would suggest that Dean222 contact the BON directly. You should be provided with everything in writing if you are going to be monitored. In addition, folks usually have an assigned compliance monitor who can answer all questions about the program and its requirements.

Hope this helps.

Catmom :paw:


106 Posts

Does anyone know who makes decisions regarding information provided to PNAP...psych evals...they go to the case manager but who else sees that info?


510 Posts

Hi dean2222, welcome to the site! First and foremost- thank you for serving our country, I can only imagine what you experienced and how that lead you to drinking. We all have experiences that bring us to this point and the miracle is what we had in common- fighting to stay sober and find a way to live life fully and with joy and gratitude. You will b okay and congratulations on nursing school! One big thing that will help you on this journey is changing the "have to"s to "get to"s. I know it sounds lame but truely, it helps. I'm getting ready to start treatment after having almost 6mo sobriety- changing it to "getting to" helps me see it as an opportunity rather than an obligation that I must get through. After all- our lives are on a continueum. There are many nurses here who are getting ready to start, are in the process of, or have complete PNAP. You're in qualified hands:). Once again, welcome


106 Posts

Hi Dean,

Most PNAP contracts are usually 3 to 5 year contracts sometimes less, there are narcotic restrictions, you must work under another supervisor, three month reports from your supervisor, cannot work in er, icu, homecare, etc., must attend support group meetings, monthly ua's, cannot leave state for more than 20 days, monthly reports to case manager, therapist appointments, doctor appointments, and many more...I would advise you to call hark and hark in Philadelphia before signing the agreement and bestowing yourself to the Pnap which also I might add is at your expense for the ua's( $50-65), the appts, and the administrative fees which are 300.00 per year...AND ON IT GOES....


299 Posts

The restrictions are supposed to be individualized- but there really is a baseline of terms in the contract. In my state everyone gets a no narcotics for 6 months; mine was a year. Everyone is limited to 1 workplace and 40 hours a week. etc...

PNAP can seem expensive, my testing is over $100 dollars a pop. Last month my bill was almost $1000. It has given me license to somewhat go into debt while in this program (The first thing I did when I got a job was bought a nice new car). It also gives me license to do self care (massage, counseling). I have tried to make it work for me instead of hating it.

I have to say that 2 years into it I am tired of the program, a long contract is not scientifically supported (Failure rate after 2 years is 0%)- I realize there is money to be made by monitoring me, and it is a relatively small price to pay for my life (I was going towards death at exponential speed).

Make it work for you, not against you- the time will go faster and faster- hopefully you will come out the other side a healthier person.


23 Posts

Specializes in Special Education (children/adults).

Question about the PNAP program... If you have been clean for 2 years and currently do not have a problem how does PNAP help you? From what I have read, it looks as though that program is for people who are currently having issues with drugs or alcohol. If that does not apply to you, why do you have to go through the program? I'm on methadone, which does not impair me in any way (not words out of my mouth, what it's actually considered when legally spoken about) and I have been clean for 2 years. I see a therapist at the place I get my methadone, I attend EVERY day and get monthly drug screens. I'm detoxing, currently on 37 mg's (average is 100mg or more). Before I went into school for LPN I had contacted the monitoring program and they wouldn't even take me because I was on methadone and wouldn't give a end date to when I would be off it. I explained to them that I can't be off of the medication on a certain date because that would put my recovery at risk. I'm confused, and really can't afford the monitoring program EVEN if I do work, WITH restrictions. Speaking of restrictions, I've passed narcs on many occasions while in a clinical setting. Ahhh, I need help, advice... I wouldn't mind being drug tested but everything else is just pushing me backwards in my recovery. I've done all that they want... I don't belong where they will be putting me, or that is how I feel.


299 Posts

The PNAP programs are not there to help you- that is a side effect. The programs are there to protect the public from impaired providers. The program is supposed to be individualized, but it is not really that way. Sounds like they are wanting you to be off methadone, and so at some point you might find yourself choosing between the recovery that has been working for you, and a new recovery program....