Quickstepper

It looks like this forum has been pretty quiet since last year, so I hope someone from Southern California can help me with my search. I'm an RN currently working in a large treatment and behavioral health facility in Southern Florida. I will be moving to Southern California (Los Angeles County) and looking for a position in a treatment center. I've been searching for jobs online, and it seems that most of these facilities are looking for LVN's rather than RN's. Is this actually the case? Where can I find positions for RN's? Any advice in my search?

The normal test for Kratom will only look for 7-OH if the preliminary test was positive for Kratom. Much of the highly concentrated 7-OH has no Kratom (mitragynine) in it, so any negative test for Kratom wouldn't be sent on to look for 7-OH. This is truly a horrible drug.... I work in treatment and people are coming in addicted to 7-OH and the withdrawals are horrible. It's harder to come off from than opiates.

After some research, I suspect that this is an add-on to detect 7-OH, or mitragynine pseudoindoxyl (MP).

That would be strange. The total price for mine was $96. When I get tested for Kratom and a normal UDS it's about $147, with the Kratom part $83. This leaves $13 as the cost of the add on. I've never had any test that cheap. Does this make sense?

This may be a new code, O-791296. It came up this morning added to the code O-791975 Has anyone gotten the 0-791296 one before? With so many new synthetic street drugs out there, I was wondering what this might be. The total cost was $96 for both tests together.

Hoping someone else knows.

How many people all got that code? I wonder if it's something to do with a designer drug? I get tested for Kratom regularly but I've never gotten this code.

So you're saying that you got both codes as well, O-791296 and 0-791975? My charge was $92.

Thank you. Yes I've had that one before but never O-791296. Could it be an observed code?

Can anyone tell me what test O-791296 might be?

Wait... this must be really expensive?!?

Thank you! I don't have anything to worry about then !

Does anyone know what labs IPN requires or typically requests at the end of a contract? I've been told they end up costing a lot and include hair, urine and blood. I'm wondering what panels they draw in addition to the regular ones they run during monitoring. Any surprises?

Was your license actually under a discipline order? I think that's what is the main issue. I would think that any board of nursing would have that information posted on their website.

I suggest you consult with an attorney before speaking to anyone else.

Good plan. I doubt you're on the radar for being potentially dangerous to the public. They would have contacted you right away. Stop being anxious. Don't pay interest on a debt you don't owe.

I wouldn't do anything right now. I can't see self-reporting doing you any good unless you were arrested or committed a crime - something that you would be required to report on your renewal. What I would do is, preemptively, contact a very good attorney who specializes in nursing licensure issues in your state. It's worth it to pay for an initial consultation. They attorney will probably give you the best advice based on your circumstances. Just be sure the attorney has extensive experience working these cases and is very familiar with your state board. Unless you feel you cannot maintain sobriety on your own, or have am on-going substance abuse issue which you need accountability and help with, I would not recommend self-reporting. These programs are a nightmare and can actually cause more damage than good. It's not true in all cases though. For some nurses with serious addiction issues It's a godsend and can be the thing that changes their life for the better. Only you know if that's what you need or not.

Which state do you live in? What are your monitoring requirements? How long is your contract for? What type of nursing do you have experience in and how long have you been a nurse? Knowing this information will help to offer some suggestions.

I've done quite a bit of teaching both in the academic setting and in hospitals. My first question is why you would need to take a refresher? In order to teach its preferable to have had at least a couple years of recent practice. Read the job description and requirements carefully. It also depends on what conditions are included in your contract. If you are talking about teaching clinical, you may have issues around the supervision requirements. You might want to consider teaching in a nursing assistant program. I've taught advanced skills to CNAs and absolutely loved working with them.

I thought someone had put together a spread sheet for codes? Is that still available? If not, we need to make another one up.

And this is what the CA BON choose? Why isn't there public outrage?

I didn't know that there was such a thing as this! what are the details?

Can anyone update us on the new California monitoring program since the BRN ended their contract with Maximus?

This article came out today- 12/24/24. I commend the nurses who spoke up as well as the journalists covering it. When will other states follow suit? We as nurses need to push this our to the public and not be held back by fear of retribution. Please take time to check it out and share it. https://www.kqed.org/news/12019189/its-living-hell-nurses-say-a-california-addiction-recovery-program-ended-their-careers