What happens when you decide not to move forward with IPN's recommendations?

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Hey guys, I haven't posted in some time. Short version: I got caught diverting and had a positive urine screen. Admitted diversion and entered IPN. I saw my facilitator and complied with their recommendations for treatment. I have a history of PTSD, major depression with anxiety and panic disorder, for which became the major focus of my therapy. And I needed that, I have to say getting caught was the best thing that could have happened for me. I agreed to 3 months in rehab once I reached the recommended 30 days because I was making major progress with my PTSD. IPN is getting weekly updates from my therapy team. I am on medications which IPN has been aware of throughout the entirety of my progress. I go see my facilitator while still at my treatment facility prior to my discharge. My facilitators office tells me I am positive for alcohol, which is absolutely impossible and I had a negative test immediately upon returning to my treatment facility. My facilitator determines he is pleased with my progress but wants me to go to one of his facilities to be taken off of all of my medications, including antidepressants, under his care, since I originally chose to go to a facility outside the ones recommended by IPN specifically. IPN approved the facility after telling me I was not limited to the ones on the list they provided me. My insurance covered my entire 90 day treatment and is now refusing to cover more treatment (understandably). I have been home, not practicing, and clean since November. IPN has given me several opportunities to comply with my facilitators recommendations to repeat 6 weeks of treatment at one of 3 facilities "recommended" by my facilitator. I, however, have come to resent this process, sadly, and realize how much happier I am now that I'm not practicing. Sad because at one point I was incredibly passionate about this career. But at this point in time I am choosing to nurture my mental health and do what makes me happy. So my question is, what happens when I tell IPN I am voluntarily forfeiting my license? What are the reprocucsions from the DOH and BON? Can they legally come after you if I'm willingly giving up my license? I have no desire to fight for it, as sad as that sounds. I'm just wondering what to expect. Has anyone else walked away? Thanks everyone! I appreciate your advice. You were all very helpful when I was terrified after awaiting my "sentence". I have just lost all the desire to fight when I know that even if I do exactly as they ask (again) it may not be enough and then I will be punished for choosing to pursue what therapy suits me best at a facility that isn't affiliated.

Sure thing, that 15 post minimum is annoying lol. Feel free to ask me any questions on here. Regarding the questions you’ve already asked, I’ll try to answer as best I can but if you’re on diversion (as opposed to probation) it might be a little different for you.

You’ll have to test an average of 3-4 times a month your first 6 months, and then they start tapering off a bit after that as long as you don’t have positives. There’s no rhyme or reason to the days and it’s totally possible to get 3 in the same week. There’s testing sites all over the Central Coast, if you’re a female you can pretty much go anywhere but if you’re a male you should call before hand as we have to be observed by someone of the same gender at most of these sites. Prices can also vary for the collection fee anywhere from $20-$50. Once you enroll on the labs site you’ll be able to see where the testing sites are.

For probation, you only have to meet once with the monitor at the beginning of probation, and then once at the end. My meeting was in Irvine at 8 a.m. so don’t count on it being close and they won’t make accommodations for you. After that, you’ll have to do 1 AA meeting weekly and 1 nurse support group weekly. There’s support groups in Ventura, Atascadero and Pismo and you’ll have to alter your work schedule for these days as there’s no way of getting out of it (my mom passed away while I was in probation and I was only exempted from meetings that week by sending a copy of my mom’s obituary to my monitor)

I didn’t have to do treatment as both the medical review and psychological review they made me do stated that I did not have a substance abuse disorder. You’ll need to tell the MD to explicitly state that in the report if they feel you don’t need treatment, otherwise you’re looking at 6 months of outpatient treatment. I went to an MD in Santa Barbara for my report but due to the regulations on this board I can’t provide you with a name.

Its a lot. I have a BSN and am working towards a masters in a non-nursing field so I ultimately decided I was done and surrendered my license. I’m not in anyway recommending anyone do that as it was the choice that was right for me, but no matter what you will get through this. This board was a great source of support through the whole ordeal.

Send me your Email?

I have a tone of questions and don't want to bombard this page. Plus im very thankful there is a local that has knowledge of these proceedings. Its reassuring and helpful. I like to be prepared, know what im walking into step by step. Of course there may be a curved ball but i won't sideswiped

Specializes in 18 years in a hospital.

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