It's not nonsense you have to follows the rules to keep your license. My story is on my applying for initial nursing license, I had previous DUI many years in the past in another state. I contacted the BON this was in Indiana I was directed to ISNAP, their impaired nursing program. I explained my situation, I was told to come to next board meeting in Indianapolis. When I got there the group with similar issues was taken out of main room to a private venue and the program was explained. Basically, you agree to by randomly monitored for a year in exchange for an unencumbered license. Unencumbered is the key word, you draw out your own narcotics. Anyway, it is for a year dial a number and it's either pee in the cup day or it's not. You get a completion letter at the end and it goes away. The only person I was obligated to inform was my direct manager, not the corporation, hospital, or anyone else. To complete my comment, there was one guy there that was adamant he was not going to participate in the program and wanted to go before the board. The person in charge basically wished him luck in his next career. Not participating is not an option. Oh, this was over 15 years ago and I have unencumbered licenses in two states.