LMRN2003

Yes, I went into people's homes. I did not have that restriction in my stipulated settlement.

Hi! I worked as a home health hospice RN Case Manager while in monitoring. Once I met the 6 month 24 hrs/wk requirement, I switched to working only on the weekends. Completed monitoring and have since switched companies, but I still love and work in hospice. ?

It depends on your stipulated settlement. Both myself and another RN that I met through NSG were allowed to work for home health/hospice while on probation. Neither of us had DUIs, though. We were both being monitored (conditions 1-19) though and had regular urine drug screens. Another person mentioned that probation requires supervision and that another RN has to always be present. That is maximum level supervision and not always the level of supervision that is used. When I began my hospice job, I had to show up in person at the main office and check in with a supervisor. I then had to call them to check in later in the afternoon. My coworker had to do the same, but had an additional daily telephone call/check in. Supervisor also had to go out on visits with us every other week for the first 3 months and then down to monthly for 3 months and then not required. This level of supervision was also eliminated after 6 months. So to answer your question, YES, it is possible to do hospice/home health while on probation. It depends on your stipulated settlement. This was in CA, btw, which has a pretty strict BRN.

Are they referring to the OIG list? Would definitely be a good idea to know whether or not you're on that list, since most institutions deal with Medicare/Medicaid.

@Healer555 Congratulations on being almost done! ???

I completely understand! ❤️

You can definitely get pedicures! Acetone should not be an issue at all since the urine tests screen for ETG specifically. I definitely used acetone intermittently throughout monitoring and had zero issues.

What was it that led to your probation? Have you tried dialysis, hospice, agency positions?

Seeing as these are two totally different licensing agencies and career paths, I wouldn't think one would really affect another in this particular situation; especially since you mentioned not having any criminal background. THAT would be the only thing that I imagine would be a potential issue. I can't imagine why a real estate licensing agency would look up your nursing license.

Probably the best explanation I have ever seen on here. 100% accurate. Well said! ??????????

Honestly, if it was one drink 5 days ago, it may not even produce a positive result. As far as punishment, I'm not sure what they will do, exactly, because I wasn't in a Diversion program, but I had folks in my group that were. I imagine they will add time to your overall program and may have you refrain from working for a short period of time. They will also likely have you write a statement. Don't beat yourself up over this as we all have relapses. Not really sure how I feel about your sponsor "reprimanding" you, either, as if they've never had a slip up. It happens. We are all human. Forgive yourself, learn from this, move on. You are not alone and please reach out if you need someone to vent to or talk to. I will certainly not reprimand you. Ridiculous.

I asked my probation monitor this while on probation and he said if you take vacation, doesn't affect it. I literally took a week off almost every month for 8 months for baby bonding during that time (yep, I got pregnant and gave birth while on probation. Good times. LOL). So yes, like a normal person, you can take vacation and it should not affect anything. I also had 6 weeks of excused drug testing after I gave birth. I didn't have to make up this time, like some people (at the time) were telling me would probably happen.

Yes. But it depends on what led to your probation. I was able to secure a job doing home health hospice while on probation, but I didn't have a DUI nor legal charges (not sure if you have these), and it was allowable in my probation order/contract.

I definitely consumed cake and donuts with icing, etc., during probation and never had an issue. People must be consuming exorbitant amounts.

It depends on your probation stipulation, your monitor, and the NEC that is reviewing and either approving/disproving your job. Like I mentioned before, not everyone is allowed to do home health. As long as your order says you may work home health, it SHOULD be approved, and will likely be something similar to my supervision that I had (supervisor doing a ride along every two weeks, daily check ins at the beginning of my shift, phone call check in during the day, etc).

Hi there, I went through probation in CA and became pregnant about 2 months into the program. I was able to have a normal pregnancy and my OBGYN wrote me a letter requesting for me to be excused from testing 6 weeks postpartum, which was granted. I was very communicative with my monitor and he did ask me to obtain a record of everything given to me in the hospital. I don't understand why it is being suggested that you request to not have Fentanyl in your epidural? Honestly, that should be up to you and your care providers. I had an epidural that contained fentanyl, and there were no issues as it is a typical treatment for pain during what is one of the most painful things to experience. I did NOT have any time added to my probation (was actually granted early termination about 8 months early). This was my experience and I know every state is different. Probation and Diversion are very different as are monitors/case managers. My case manager was great and fair/understanding. I also followed all the rules, never missed a meeting or a check in, never had a positive test or anything. They DID Peth test me as soon as I resumed testing after the 6 weeks off.

You would have to consume/use an excess amount of these things to produce a positive Peth as well as a positive test for alcohol in your urine. Just try to avoid things like Kombucha, poppy seeds (I know someone who popped positive for opiates d/t consuming significant amounts of poppy seed bagels), and you should be fine. The amounts of "cooked" vanilla extract that are used in traditional baking goods are not going to cause you to be positive.

Lots of folks do DaVita, SNFs. I highly recommend hospice as it is not nearly as laborious as SNF and kidney dialysis. Lots of charting and psychosocial stuff with patients and families, but I love it. Your contact has to say that you are allowed to do home health. May I ask what led to your probation?

The lawyer is typically only used for the beginning to assist with communication with the board. After that, they are not necessary unless you mess up.

Hi there, I had a friend who completed her BSN while on probation in CA. She had to get permission from the "NEC," (Nurse Education Consultant), which is also the person who approves employment. It took awhile, but they approved it. ?

I have had to do this at one of the testing sites I used to go to. I don't remember if I had to spin 360 or not, but It definitely felt a bit invasive; however, I don't feel it was too bad overall. I was previously in the Navy where they observed EVERYONE do urine tests at random and sometimes the rooms were super small, so yeah. Fun times.

Like others have said, the programs sound a lot worse than they actually are. After awhile, you become used to the routine and it does go by fast. I didn't do a diversion program (it was offered to me, but I declined it because I erroneously believed that since no charges were going to be filed and my incident had nothing to do with nursing, that the board would not be able to do anything to my license. I was arrested for domestic violence when my husband and I got into a fight (after a long night of drinking) and he threatened to call my mom and was saying messed up stuff to provoke me, so I tried to get the phone from him and he was accidentally scratched (we both didn't realize he was scratched). He called the police to try and get them to make me leave, but when they arrived and saw the scratch, they arrested me ?. Long story short, the arrest was bogus and didn't even get sent to the DA. However, since I had been drinking the night before and admitted to the police that I had struggled previously with alcohol (because of a lot of tragedy/trauma I experienced in college), the board placed my license on probation for 3 years. I was able to get early termination of probation at 2 years old 4 months, thankfully. Like someone above mentioned, the board seems to have a one size fits all approach. The beginning of being in monitoring is overwhelming but it does get better. I found friends on this forum that were all from my state and we were all kind of going through the process at the same time so it was helpful to have peer support. I highly recommend reaching out to folks on here for guidance/ support. You WILL get through this. ❤️

I feel like CA does this or something very similar. My monitor didn't tell me they do this specifically, but he did tell me that he will know if I'm working for a job that isn't approved.

I understand how you feel. I hated discussing my issues with health care folks. I still do. I think a lot of it (at least for me) is because I feel embarrassed because I am a health professional myself and I feel like I should "know better." I also know how badly people with substance abuse issues get judged/treated by the majority of the healthcare community. However, you need to just be honest with your doctor (even though it's tough).

Did you ever find something?