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  1. Recovering_RN

    So much for "step down year" in TPAPN!

    My last year was once a month except for two months it was twice a month. I had 14 tests in my last year.
  2. Recovering_RN

    It's Official!

  3. Recovering_RN


    I never did Botox, but I dyed my hair the whole 3 years I was in TPAPN. I always use the semi-permanent hair color, but only because I think it's less damaging to my hair and because I have to color every 6-8 weeks anyway to take care of my roots, I always figured there was no reason to use permanent. Idk if permanent color has any problem ingredients, probably not, but I do know my semi-permanent color never caused me problems.
  4. Recovering_RN

    Quitting IPN

    I totally understand wanting to be out from under their thumb, I really do. But I would hate to see you regret it later. You're already 2 1/2 years in to a 5 year contract. You're 1/2 way there! If you take the non nursing job, it seems to me that it would just make completing the contract that much easier, since your employer doesn't need to be involved at all as far as quarterly reports etc. It does of course mean continued random drug tests and daily check ins, I get how hard that is. I only had to do it for 3 years and was always grateful my c tract wasn't 5 years like so many other people. But just don't give it up lightly. Why don't you consider trying to complete the 5 years while not in a nursing job. Then if you ever wanted to go back to nursing, you could. For me, my contract required a full year, 12 consecutive months, in a nursing job in order to successfully complete my program. The remaining 2 years could've been working anywhere, or not working at all. But once I got the nursing job I just stuck with it. So after 2 1/2 years, you've got that part covered, right? Don't burn your bridges.
  5. Recovering_RN

    Supervision while working in Plasma collection center.

    Well if they are recovery friendly, then they should have some experience to offer in how they dealt with other monitored nurses. My first job in monitoring was a home health agency that already had one TPAPN nurse, so they knew more than I did about the requirements and paperwork required by TPAPN! So maybe even if the particular location you're interviewing with hasn't dealt with a monitored nurse, they may have affiliate locations they can contact that have and can offer guidance on how they've managed the requirements.
  6. Recovering_RN

    Supervision while working in Plasma collection center.

    I have not worked in a place like this, but I did work as the only RN at a free standing ER. I was night shift so my manager was not there. My case manager agreed to allow the doc who was working with me to act as "supervisor", since on nights we only have one nurse, one doc, one tech and one radiology tech. I work with different docs every shift, but they allowed all the docs to be considered my "supervisor". I think as long as there is somebody around that is aware that you are in monitoring, that's all they want. So maybe this would be something to bring up to your case manager prior to your interview? Is there someone who's there all the time, that could be informed of your monitoring contract and act as supervisor? I was in TPAPN (Texas).
  7. Recovering_RN

    IPN and working

    I would just skip the flu shot job this year. I have no idea if IPN would find out about it, I can't see how they would really, but it isn't worth getting kicked out of IPN over. You aren't allowed to have multiple employers, so telling IPN probably won't help, they'd just say no. I personally had a side gig working for the federal government during disasters. It was very rare that I would actually be deployed, more often it was just training trips. But when I got into tpapn my case manager said I could not do those trips anymore. Two years later, with full tpapn compliance, never late on reports, no positive drug screens, etc, I asked tpapn again, and that time they DID allow me to do those trips again! I was surprised that they didn't require me to tell my side gig about tpapn or sign forms or anything, but they didn't. Just needed me to check in every day as usual. No drug tests until my trip was over and I got back home. So for now I think you should just skip the flu shot job, but to be perfectly honest, I don't think IPN would find out.
  8. Recovering_RN

    recovery with a side of criminal charges, anyone?

    Don't sign anything admitting guilt! Doesn't matter what you've already said if they have nothing in writing. You're fired, can't go back on that, but legally they have nothing. Be prepared for any phone calls, I've heard of people being asked to come in and make a statement or even over the phone. That's ridiculous! There's no reason for you to incriminate yourself. Or you may get something by mail, asking you to write down the situation. Obviously, again, don't put anything in writing!
  9. Recovering_RN

    recovery with a side of criminal charges, anyone?

    I was fired for diversion, but I never admitted to anything. However my drug test came back positive. No criminal charges were brought against me. I went to a nurse support group, none of the nurses in my group had to deal with legal charges. I don't think it's that common. Did you actually sign anything admitting it? If not, they have nothing, would be pretty hard to prove legally. Definitely get a lawyer if they do charge you, but from what I've seen and read, most employers report you to the BON but that's all.
  10. Recovering_RN

    ETOH based hand sanitizer

    I didn't have any problems, but then I tried not to use it very often. I was told straight out by my monitoring board to avoid it. I just washed my hands with soap and water and also bought some non alcohol based hand sanitizer online. I believe it's more about you inhaling the fumes rather than anything soaking into your skin, I've read that anyway but can't confirm for sure. So if I were you, I'd just try to avoid using it and if you can't avoid it once it awhile, hold your breath!
  11. Recovering_RN

    Working non nursing jobs while in contract

    My case manager allowed the doctors to be considered "supervisor" for me, since I work night shift and am the only nurse there. My manager strictly works daytime hours. I was not allowed even to witness waste of narcotics, though, when I was still under my narc restriction, but that was written out specifically in my contract. I couldn't have done my current job while I was still under narc restriction. I don't know how open to discussion your case manager is, but maybe you could mention things like cameras in the med rooms and pharmacy audits too. At my free standing ER, our techs are allowed to witness narcotic wastes. Even our radiology techs can witness. Maybe that's an option?
  12. Recovering_RN

    I am livid!

    That's ridiculous. In TPAPN I was allowed to go to Puerto Rico to help with the hurricane, with the assumption that I wouldn't be able to test and wouldn't even be able to call to check in! I was amazed that they agreed but they did (I didn't end up going, but I was approved to go by tpapn). And many people have been allowed out of country trips and cruises! WTH?
  13. Recovering_RN

    narcotic restrictions- can you witness wastes?

    Yep, just do it. You can argue your case if you ever have to, but you won't have to. My first job in monitoring was home health, and my manager knew the drill because she had had another TPAPN nurse before me. Technically I was not to be assigned any patient who had narcs on their home meds list. We never actually administered meds, their family/caregivers did that, but we did review their meds and I was in their home where the meds were available. Nobody was ever going to know if one little old lady had hydrocodone on her list of meds, unless I made a big deal out of it! So it happened, some of my patients had Xanax or codeine or whatever, but I never administered it, I never said a word and that job got me through my narc restriction.
  14. Recovering_RN

    narcotic restrictions- can you witness wastes?

    Honestly, if it's gray, I always did it and figured I'd debate my way out of it if I got caught. Nothing bad, mind you, just like for example, I wasn't allowed to work "overtime", however I did pick up a few extra shifts here and there, when they were paying double time. I figured if you average the 2 weeks for the pay period, the extra 12 hours wouldn't really put me into "overtime". I work 36 hours per week, an extra shift is 12 hours. That's 84 hours, however I always leave right at 7:00 or sometimes even earlier, depending on when the day shift nurse arrives (all we have to do is count narcotics, there's never any patients to give report on at 7 am! It's a very small facility). My employer takes 30 minutes out of my pay each shift, to account for my lunch break.....so add up all those 11.5 hour shifts and I'm pretty much right at 80 hours for 2 weeks. No "overtime". I also picked up a couple of shifts at another location (same employer, multiple locations). I worried about doing this, because even though it's not technically working for multiple employers, which is against ,y contract, it is sort of "floating" which is also not allowed. During ,y contract I did that twice, but I worried about it, it certainly would not be worth getting kicked out of the program over an extra shift or two! So I stopped doing it. BUT, the thing is, how is tpapn ever going to know, unless my manager tells them? And why would she? She needed someone to cover those shifts! So I don't want to advise you to break any rules, but if you can argue your case, based on what they have in writing, seriously, who is going to contact your monitoring board and tell them?
  15. Recovering_RN

    narcotic restrictions- can you witness wastes?

    This was from the TPAPN handbook under practice restrictions. Your program should have a similar section. Participants agree NOT TO: 9. Have access to controlled substances during the first six months of work in nursing. No access includes: a. Not counting or administering controlled substances. b. Not witnessing wastage, signing pharmacy receipts for controlled substances, or having the ability to access storage areas for controlled substances. c. Not calling, faxing, or otherwise electronically authorizing prescriptions for controlled substances.