My advice is to request a leave of absence NOW, and after you're granted leave, THEN self report. I know that recovery involved honesty, but I was honest when I self reported, and I lost my job, and now I'm a 50 yr old single woman, with no job, no savings, and soon, no home. So protect your patients, and protect yourself. Get out of there before you kill someone, but use common sense and protect yourself, too.