RAMP NJ

[FedUpWithTheBsBON]

So I worked for clipboard an agency for about a year. Never had one complaint or problem while working. I go to one of these run of the mill Rehab/LTC facility in Newark, NJ. The place was absolutely GHETTO, I only went because the pay was good. Half of the staff including nurses and management had some type of issue. I find out that one of the "great" supervisors was really a snake out to destroy reputations. She would bully people into doing things and the DON allowed because I believe she was either scared of her or probably in love with her. Which is cool if that's your thing. I was told to fix my MAR, without ever receiving proper training. Was then told I committed a documentation error. They reported me to the board months after I stopped working with them. Now RAMP wants me to comply with their *** and my thing is even if I was getting high/ drunk whatever, which I never was and wasn't the allegation against me, what would that have to do with my life now vs then? (Long sentence sorry) I honestly don't believe they work in your favor, I contacted the BON they had no knowledge of the accusations or RAMP investigation/involvement. They say it's voluntary but if you refuse they say your NOT COMPLYING, I never was accused of diverting, being inebriated on shift, or any other serious activity.

I want to tell RAMP AND BON to shove it up they ***, NURSING IS MY PROFESSION, ITS NOT MY WHOLE LIFE! They want to push you to the brink so you will have some form of reason to stay on the program. ALL PARTICIPANTS PAY FOR THEIR WAY OF LIVING, NO PEOPLE TO RECRUIT... NO PAY! I want to sue for defamation, so maybe my lavish lifestyle they assume all nurses live like would be fully paid for. I know for a fact, they will NOT let you go after the 90 day evaluation, if so why have you pay for a year, if they don't know if your going to be with them that long? 
 

ANY SUGGESTIONS?

[PaddedCellLPN, LPN]

What was messed up on the MAR? I'm assuming narcotics, but please correct me if I'm wrong. 

[NurseJackie69]

PaddedCellLPN said:

What was messed up on the MAR? I'm assuming narcotics, but please correct me if I'm wrong. 

Get an attorney. At this point it does not matter what part of the MAR was messed up. What matters is that the complaint has been made and the BON will investigate. That investigation will end with the BON attempting to get you an SUD eval.

1. Get a lawyer. Delay for time.

2. Absolutely stop all alcohol and drugs/weed now because when the very likely time comes for that eval, you test negative on a hair test. Not 1 drink of alcohol or weed at this point.

3. Answer how you want. For SUD eval answers, an answer that is critical is that you have never in your life used an illegal substance and you have never had over 2 drinks on one occasion in your life and you never drink over 2 drinks per week. An answer of 3 drinks per week lands you an alcohol SUD diagnosis "or concern" to land you on monitoring.

Answer how you want. Your call.

[NurseJackie69]

Most of then lay public and even nurses have no clue how easy it is to meet the criteria for SUD. The gold standard, in addition initial drug testing is the SASSI interview. It doesn't have to be a written piece of paper given to the nurse for this eval either, the evaluator is/will often ask critical questions that are part of the SASSI and just those verbal answers commonly given by the nurse are enough to get an SUD diagnosis without the evaluator even needing to have you complete the entire SASSI questionnaire. 

Common questions. Have you ever been drunk? Have you ever smoked weed over 5 times? How many drinks per week for example, you don't drink over 10 drinks per week do you? Do you ever had 5 at a time on rare occasions or just 3 or 4 at most? One wrong answer gets you a diagnosis or a "concern" in which they recommend monitoring.

They are all set up questions above. The "concern point" for weed is 3 times in your life and they ask "over 5 times" because a nurse will likely say, "no, maybe 3 or 4." They got you. When asked on drinking, the nurse answers she doesn't have over 5 at a time, maybe 3 or 4 woth friends. They got you. More than 2 is the cutoff. On the drinks per week, when asked if you drinks more than 10 per week, they know the natural response is to cut it in half and say, "maybe 5. " They got you. A max of 4 is the cutoff.

The above doesn't happen in every situation, but it is a common theme and the nurse likely doesn't have an SUD, but the diagnostic criteria is alarming EASY to meet with very low thresholds for alcohol and the average nurse has no idea.

 

[FedUpWithTheBsBON]

PaddedCellLPN said:

What was messed up on the MAR? I'm assuming narcotics, but please correct me if I'm wrong. 

I had clicked administered on an abuse deterrent, with no clear way of documenting not given, the patient frequently left the floor and it was brought to their attention, not in writing, verbally, where is where I think I messed up too. The deterrent was narcotic. Which is what created the RAMP referral. But 6 months later... why??