JustBreatheRN

Did you apply for a different job when you left? Do you have to start narc restrictions all over again if u leave the job before the year long period? The narc restrictions are what really make it hard to find woek

Unfortunately it won't let me pm you. Can you pm me or is there a way I can navigate this? Edit: I do have home health experience

I was just approved to start working again as a nurse. I'm reading a lot of horror stories on here and I'm scared to death about not finding work. Anyone know of any TPAPN friendly employers in Austin??

So I thought I would post an update. TPAPN only requires specific information from rehabs and IOPs. These are specific forms I have to turn in at due times. They do not contact the rehab/IOP demanding results for all your Is a. They mainly just require an assessment form, updates regarding prescriptions, and discharge summary. My therapist told me she will not report me to TPAPN and will not mention my positive UA on any of my paperwork to be turned in. I'm just posting this update in case this happens to any other nurses in TPAPN. I can't vouch for any other states.

Thank you so much for the advice. I'll definitely look into it. I don't have the energy to leave the house most days so I hope it helps.

What reports other than specific items requested (such as the patient progress reports the psych fills out, medication forms, ect) would this be reported on? TPAPN asks for specific forms but I havent heard them requesting information without me having to consult the rehab or IOP. I'm just worried about being honest and f***ing myself over. Edit: Are you in TX as well?

This is my first post, so please excuse me if I am breaching any forum etiquette. I am currently in TPAPN and have been since March 6 of this year. I was fired from my job for diverting dilaudid. I was also using heroin but never disclosed that to my employer when I was fired. I went to detox, then to a 30 day treatment center. Now I am in IOP and have been since March 6th (same day I officially started TPAPN). I have been severely struggling with lethargy, apathy, anhedonia, and just a complete disinterest in life. A friend I met in recovery stated I may be suffering from Post-Acute Withdrawal Syndrome. It also doesn't help I was taking Vyvanse every day (as prescribed...I never abused this medication) for the past 5 years and before that I was prescribed Ritalin since I was 15 (I'm 29 now). So pretty much acute withdrawal from stimulant medications and opiates. So, essentially, I feel like ass. I have no energy or motivation to do anything...even though I'm on a non-stimulant ADHD medication (Straterra) and an SSRI (Trintellix). This same friend suggested I try a supplement called Kratom. Yes, I know, it is not allowed through TPAPN but I figured it wasn't tested for since it is not on a standard drug panel and only 2 labs in the United States test for this supplement (stupid addict thinking, I know). So...I tried the Kratom and lo and behold I had energy, motivation, didn't feel high...just felt rested and motivated. I used this daily for about 2 weeks. What I didn't expect was that my IOP tests for Kratom. Today I was called in by my counselor at my IOP and informed I tested positive. I did a UA for TPAPN March 29 so I'm assuming they do not test for this...if they do, I will have to face my case manager. But...I'm assuming they don't here...with that assumption...do I need to inform my case manager that I tested positive for Kratom while I am still in treatment? What I am worried about is being open and honest with my CM and it completely backfiring on me vs not telling her and hoping it never gets brought up. I'm just really not sure what to do here. You can belittle me and tell me how stupid I am...I already know. I'm honestly hesitant to even post this on here because I've seen so many nurses posting just looking for help and getting completely berated. I'm just looking for some advice. Obviously, if my UA for TPAPN comes back dirty, I know I will have some explaining to do. But for now, I'm just not sure what to do. I feel so hopeless.