Jump to content

Violation of privacy

Posted
sissykim sissykim (Member)

Specializes in Med Surg,.

I recently received a letter from the board of nursing informing me that the process for collecting urine. Now the tech. will have to actually watch as I void. I understand some people may cheat but not every body. Is this a violation of my rights to privacy? If it is so very important for the lab to be certain of specimen processing than why not take blood? Can I fight here, have my constitutional rights being violated?

It is standard practice in many (most? all?) drug/alcohol treatment programs that urine specimen collection for drug screens be monitored in order to maintain the chain of custody of the specimen. In my opinion and experience, that's a reasonable requirement for the BON to set.

When we did urine tests in the military, they were witnessed. I believe that is common practice.

sissykim

Specializes in Med Surg,.

So they actually watch? If chain of custody is a concern, why not take blood?

Do not know why they don't take blood. Perhaps urine tests are cheaper. Most people who are "witnessing" will require that the bathroom stall door be open but they don't necessarily stare at you while you pee.

sissykim

Specializes in Med Surg,.

Thank you for answering and the sight. My other concern with the tech watching, it will cost an extra $26.00. Twenty-six dollars is a whole lot of watchfullness. I pray to never again find myself in this position. I am not a druggie nor substance abuser and lott of hair could have proven my case. If I have to pay for testing I should have a say in what type of testing. Why won't the boards use hair? Doesn't hair date back longer periods and tell the history of abusive behaviors?

If I have to pay for testing I should have a say in what type of testing.

I have no personal experience with BON impaired nurse programs, but my understanding of how they work is that you have to meet the program's requirements if you want to get your license back (or restrictions lifted, or whatever). It's not a negotiation. Have you looked over some of the other threads here about various state impaired nurse programs? There are lots of people who post here who are in programs in different states.

catmom1, BSN, RN

Specializes in LTC, Psych, Med/Surg.

I recently received a letter from the board of nursing informing me that the process for collecting urine. Now the tech. will have to actually watch as I void. I understand some people may cheat but not every body. Is this a violation of my rights to privacy? If it is so very important for the lab to be certain of specimen processing than why not take blood? Can I fight here, have my constitutional rights being violated?

I have been monitored now for over four years. Up until about a year ago, they just left the bathroom door open when I peed.

Suddenly, the tech just came in with me & shut the door. :mad: I never got a letter informing me that this would now be the practice and I asked: "What's next, body cavity searches?!" I have calmed down about it now and suspect that someone, somewhere being monitored with the "open door" procedure, tried to pull some kind of fast one. So, all of us being monitored have to suffer further indignities.

We have zero say in how any of this goes.

Catmom :paw:

sissykim

Specializes in Med Surg,.

I think we should began to fight the system. I would prefer my blood be examed as opposed to some trick watching me void. Take my hair every three months something just don't degrade me for some urine. I have not tested postive and won't. I am just about ticked off enough to say hell no I won't go take this lisence and shove it. I am in foreclosure, my car is soon to be repoed, no one wants to hire me. I just took a job and was so afraid of being reported for nothing that I self reported for nothing. I was taken off the case before my first check another doctor hired me and never paid me a dime. As a probationee the know I have little fight left.

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 27 years experience.

I would think that you would just want to follow the rules and get on with your life.

Agree, that's its not too cool to have someone watch you pee, but as another poster says, it happens in the military all the time. I was in the Navy in the late 70's and pregnant to boot and still had to have a "monitor" watch me pee! Ugh.

Fighting this will probably get you nowhere and nowhere near a job.

sissykim

Specializes in Med Surg,.

Thank you Trauma and all repliers. I was just saying. I truely believe next it is going to become standard to have bladder catherizations for urine collections. I will pee, infact I have been selected to void today. I am on my way. My problem with the techy watching, it is going to cost an extra $26.00. For what? What exta work? Are you kidding me twenty-six smack-a-roos? Is it ten dollars to open the door, five for each eye to visually inspect the process, what is the other $6.00 for? She has to flush afterwards anyway. See this is the problem with health care. I hope it falls so hard so fast and no one gets paid. It is a rip off. A rip off out of my foreclosed, repoed, empty pockets. I am peed off.

luvche

Specializes in Med/Surg/Ortho, Oncology, PACU. Has 8 years experience.

I didn't know there were any programs for IPN/PEER/ETC that didn't observe the specimen being voided.

But as far as hair and blood? ha! I heard of a nurse that got an extra year added on. She had a procedure done close to her date to be released from the program. She did everything right. All healthcar providers faxed all logs of every med she got from start to finish of hospital stay. She was tested 3 days later.....not ONE of those drugs showed in her system....but temazepam (or something like that) did! So she thought "well surely one of the drugs they gave me wasnt listed". Nope. She never got Temazepam. Plus..why did NONE of the other drugs from surgery and after show up? I think a specimen got mishandled.

She took a HAIR FOLLICLE test that proved she never had that drug in her system. Got a lawyer too.

Peer didn't care. It's their program. We have to jump through the hoops or lose our license. That's the choice. Not that it doesn't suck....but it's how it is.

Unfortunately you just smile, nod...and get through it best you can. I joke with the lady at my test site now. Tell her i can hardly squeeze a drop out without a cup and a voyeur :D

catmom1, BSN, RN

Specializes in LTC, Psych, Med/Surg.

I would think that you would just want to follow the rules and get on with your life.

Agree, that's its not too cool to have someone watch you pee, but as another poster says, it happens in the military all the time. I was in the Navy in the late 70's and pregnant to boot and still had to have a "monitor" watch me pee! Ugh.

Fighting this will probably get you nowhere and nowhere near a job.

You are absolutely correct. Either do what they say or surrender your license. That is the reality.

Catmom :paw:

LilRedRN1973

Specializes in ICU, psych, corrections. Has 8 years experience.

I have never been observed during my specimen collections. Ever. Been in this monitoring program since August 2008. I guess each state has their own rules about collecting urines. I would be quite angry about the extra $26 fee....in my program, that would amount to $76 a month for the testing, which is a lot when you add up the monthly fees paid to the BON, the fees for the nurse support group, fees for Aftercare, fees for counseling, etc. Especially if one is not working!

sissykim

Specializes in Med Surg,.

That is my point exactly, another $26.00 for what? To watdh me void? This is a rip off. I will abide but what will be the next rule the lab and the baords cohort to drum up business and extra expenses to the poor struggling nurses.

waldo_1984

Has 4 years experience.

i don't know your full background but let’s consider the facts...you're being monitored for a reason. maybe for you the reason is unjustifiable? but the bon obviously disagrees. if i was being monitored, i'd be jumping through any hoop that would save my license! i have worked far too hard to earn it and wouldn't want to lose it over a technicality that simply "****** me off" (sorry for the pun).

recovery is about finding humility, not to be confused with humiliation. the quality of recovery is directly proportional to the quality of one’s ability to surrender. from the outside looking in, you might be still fighting for control. let go, change your perspective, this is a short term thing while it might seem like forever right now, the truth is it’s not. one door might have closed but another will open...in the mean time, it tends to be "hell in the hallway." hang in there, do your drops and walk in with integrity.

how many times as a nurse have you had to take a urine sample from a patient or place a foley, and inside they felt the same way you do in regards to this situation? the humiliation, specifically?

you can do this, and it will get better. just adjust your perspective!!

ralph waldo emerson once said; "life is not so much a matter of position as of disposition."

ARAIT

Specializes in ER, ICU. Has 9 years experience.

I just received the same letter and I like you have lost EVERYTHING (car's already gone), can't find a nursing job so the increased price bothers me more than anything. Unfortunately we are not at a "negotiating table" with the bon and we have to follow the rules that they set for us. You have come this far don't let this new collection method stop you from achieving your goal. I agree with the others when they say fighting this is useless save your fight for something else!

sissykim

Specializes in Med Surg,.

Of course I will abide, I will give up my pee, allow all to watch, pay my penitence, stay clear of hand sanitizer, food coloring, soy sauce, fabreeze, all sorts of controlled substances, alcoholic beverages, call in every day, get my employer to write what ever of my performance, report to the board as told to, but I will never stop complaining about the way nurses allow other nurses to get dogged. Nurses are the worst for standing-up and defending their peers. We would just assume see them pay with their lives, their dignity, and did some one say humility. What other profession speaks this doggedly about their peers.