I've been away from the forum for a few days so I apologize for the late response. I've been in PNAP for years now and I will tell you upfront I have nothing good to say about the program or experience so if you are looking for some "the program saved my life", born again, twelve step loving Pollyanna land nonsense skip this post. I will share my experience with you folks new to this purgatory because I've been where you are at.
Ok first things first. This program is nonsense and of the many, many nurses I've met in the program exactly one might have been helped. This is an overbroad program that has two purposes. First to punish you. The worst enemy of a nurse is another nurse. We rejoice in seeing others fail and copious amount of pain inflicted upon them. PNAP was created by nurses to inflict pain on other nurses. Second purpose is to separate you and your insurance carrier from as much money as humanly possible. Contrary to the PNAP website this program is an economic disaster on anybody stuck in it. In my three plus years I figure between lost wages, copays and out of pocket expenses the program has cost me a little over $60k in my three plus years and my insurance many more thousands of dollars. Ok that's the reality. Why did I start with this monologue of doom? Because it's the simple truth and you need to accept it and not descend into self loathing. In short you don't have to love this poop sandwich but you got to eat it if you are gonna keep your license.
The first year is the worst. You most likely won't be able to work until you do 90 idiotic 12 step meetings in 90 days. You also have to complete "treatment" which maybe in and or outpatient which in my case lasted four or five months and only stopped when my insurance company refused to pay for more. No working during this time of bleeding money coming from God knows where. When they let you go back to work you can't work in critical care, the er or anywhere without an on-site supervisor for a longer period of time of about a year. At this point most nurses who get gainful employment do so in long term care or dialysis. Most hate it but it keeps a roof over the head and food in the stomach. During this time you also have to attend "nurse support groups" at first weekly then every two weeks and finally monthly that you have to pay for. When you go to these meetings my advice is to sing the company song about how you love your new life, being sober, your sponsor. Blah blah blah.... Do not EVER share any real problems you maybe having staying sober because these meeting are not treatment and have no confidentiality in them. Don't worry these are annoying and mostly simple whining sessions but harmless if expensive.
More tips. Once you have accepted the reality of the black hole you are in you have a simple choice. First you can tell the BON to pound their generous offer up their collective rear ends. This may sound like a foolhardy choice but the harsh truth is if will not or cannit comply completely for whatever reason you will not make it through. Can't afford your pee test? It's like in the movie goodfellas "blank u pay me", gonna get fired because u gotta go to treatment "blank u go". Well u get the idea. If you decide you are gonna do this the only way out is complete compliance. You can hate this programs and the "treatment professional" attached to it as I do but you need to stay under the radar and not miss or worse fail your pre test. Pay off the costs that you cannot afford and be vigilant daily about staying within the rules. Fail a pee test? You start at day one. I've seen this "three year" program take close to a decade.
Finally it's not a three year program. It's more like a four year program because you are expected to comply immediately and completely. However the BON and the PNAP folks can take as long as they want to process and approve your paperwork.
I truly wish you all luck. I'm not trying to scare anybody. I'm nothing special and I'm getting through this. You can also. It's miserable and nonsensical but if being a nurse is worth it to you (and it really better be worth it because this process will extract a bloody pound of flesh) then make the commitment and do it.
Good luck all