This is a tricky topic. For one, yes, the nurses who need the accountability and strict rules can/do (in most cases) benefit. For others, it may be an unwarranted ticket to stress, loss of money, and frustration beyond our imaginations.
I am an alcoholic, in recovery now for 14 years. I earned my seat on this ride, and I will do my time with a smile on my face and gratefulness in my heart. I am allowed to be a nurse again.
However, as Perse mentioned, there are nurses in monitoring, who are here because of a DUI many moons before being a nurse, and in some cases, before ever going to college. Even if the cases were sealed, etc, those nurses, wanting to be truthful, mark yes on their initial app, and wham, slapped with 3-5 years of monitoring, the expense of evaluations, pee tests, etc. I hope there are nurses out there who get the eval and are able to move on, but, most of us do not know of any. They probably (likely) do not scour these forums for support.
We have heard stories of nurses falsely accused by a disgruntled ex, or former co-worker. Not being a party to that persons private life, we can only take what we hear here on face value. But, those nurses have stated, even without ANY evidence (clean tests, negative evals), they are hit with a monitoring program, because, for lack of a better way to put it, better safe than sorry, in the eyes of BON (or monitoring programs).
There are those, too, who may have a mental health issue, but are forced into the one size fits all program. Drug screens, evals, IOP, etc.
What most people here are saying, I think, is that the programs are useful and DO protect the public --- WHEN WARRANTED. But, for those stuck for something that happened waaaayyyy before they donned the white cap, they feel persecuted and punished unfairly.
We hear of monitored nurses who have vindictive case managers. Who have had one thing told to them, and turn around to find something totally different is done/required.
Again, I , myself, earned my seat and I am grateful to be allowed the chance to be a nurse again. But, I sympathize with those who are thrown in for some past transgression, or who have uncaring case managers, and receive inconsistent communications.
Just my two cents...