DistressedRN

In my state you would have to immediately cease practice until they say you can return; most likely get another evaluation and possibly repeat inpatient or IOP; and definitely have increased frequency of testing.

Unfortunately, in TN the way the state guidelines for office based opioid treatment are written, it says observed drug screens.

Before Covid, in TN we had to do three a week, and had to have our location turned on and check in on the Spectrum app and check out at the end. They were big on us sharing location, but I didn't always and my case manager never said a word. I can'...

TNPAP does not require you to serve the time at the end. However, the only time I requested an actual break in testing was when I was on a cruise and once when we were in a remote area hiking. Any time we went to the beach or to Disney or anywhere ...

I wish that the TN BON and TNPAP would get on board and recognize that recovery with MAT is evidence-based and beneficial to nurses who have had substance use disorders. I do know that they are slowly changing their attitudes toward it, and I have h...

I'm interested to know how that ended as well. A lot of these situations sound like they were so unfairly handled.

Dialysis, blood banks, plasma centers, ‘shot nurse’ jobs, pre-admission testing, non-bedside positions like chart review all are decent jobs for nurses with narcotic restrictions/board orders. You may have to humble yourself a little and take a job ...

So you can frame this as a positive thing. Tell your employer that you worked in a toxic/unsafe/whatever environment and there were allegations that were unproven/untrue. However, you wanted to avoid a long, drawn out expensive legal process where ...

My office has a regular urine door that is propped open that we observe through. and while our sink is functional, it isn’t allowed to be turned on before I have the urine in hand. We don’t do DOT or legal chain of custody urine drug screens at my ...

Well, if HR and the CNO are coming, they’re going to be prepared with Pyxis or Omnicell reports that have been pulled. Every time you touched the machine is going to be in a neat little printout. Is this something you’ve been expecting? Or a total ...

All I had to do was email the BON in my state (TN) after I finished my monitoring program and request they reinstate my compact status. Took less than 48 hours.

ams0822 I hope you had a good outcome. I saw this post and was wondering the same thing a few weeks ago.

Then I’d absolutely fight it with every ounce of my being, because TnPap will definitely be more expensive than a lawyer. Best of luck to you.

I just completed a TNPap contract and the advice remains the same. If it’s true and you have the money, then fight it, but I would still expect some consequences for not handling narcotics appropriately. Fines, maybe a public reprimand, conti...

Wellbutrin (Bupropron) is absolutely 100% allowed under a TNPap monitoring program. Buprenorphine is not.

So as I was entering my recovery journey after self reporting, the worst part was the complete lack of information online about what was happening, what was going to happen, my next steps, etc. I just sat at home detoxing while I waited on the peer ...

I’m in TNPap and have missed five or six over the last couple of years. I never realize it until much, much later, when I’m looking at my history. Usually mine have been over a weekend or a holiday when I wouldn’t have gotten chosen anyway, thank g...

Is there anyway you can work some kind of arrangement out with the staff there? I go to the same LabCorp every time I get chosen, and they know my situation and work hours, and they will take me as soon as I check in, even if someone else is there b...

I think a lot of it depends on the program and the case manager. I’ve never gotten in trouble or had any repercussions from my abnormal urine screens. She’s like, ‘drink more water’ and that’s it. I’ve been in over 2 years with no positive screens...

I had my first hair follicle test four months into my TNPap contract. We usually have two of those (or a nail test) per year, four blood draws, and twenty urine drug screens per year if opiates were your DOC. Nurses in for alcohol get Peth tests th...

I agree with the above. Don’t tell anyone at rehab you’re a nurse. If you think you’ll slip up and mention you work in healthcare, say you answer the phones or set appointments, ANYTHING besides something that needs a license. That being sai...

We use these in my clinic and any line, no matter how faint, is a negative.

What was the testing code? It is usually something like H-737675 or something similar. I will say that Option 12 is normally the whole blood collection for peth. Also, O-792070 is definitely a whole blood peth test.

I’ve had $130 tests that weren’t Peth. If they do fingersticks and blot them on paper, that’s a peth. If it’s just a blood draw, that isn’t. How much of the spiked drink did you have?

I honestly think you’ll be okay now that we are four days out from the drink and you couldn’t possibly be tested til Monday, IF you got selected. I collect urine and blood for Affinity where I work (I’m not allowed to test there, I only do it for l...