Working with stipulations

NurseJackie69 · Mar 25

Joaquin64 said:

Hi

Hello @ back to work. I am currently in the same situation as you were. I have a stip on my TX license with no restrictions other than to work for 1 yr without issues and no supervision, yet I haven't been able to find a job since Sept 2023. Please help me. Where did you find work? I am currently living in Dallas TX. Thank you.

Joaquin64, I hope you find work in Texas, but you have to understand my friend, this thread started nearly 1.5 DECADES ago and "back to work" has not posted in nearly 13 years. This poster might still be working, but might have retired, and possibly....might have died. 13 years is a long time.

Never stop 98 · Mar 25

I would suggest applying to UHS facilities. They are hiring in psych. There is several through out the DFW. Stipulation friendly.

Joaquin64 · Mar 25

Never stop 98 said:

I would suggest applying to UHS facilities. They are hiring in psych. There is several through out the DFW. Stipulation friendly.

I realize this is such an old post but any information helps, anything at all. I am a very good nurse and been searching for work for a long time now since the stipulation. Thank you so much. I will apply to UHS right away!

NurseJackie69 · Mar 25

Joaquin64 said:

I realize this is such an old post but any information helps, anything at all. I am a very good nurse and been searching for work for a long time now since the stipulation. Thank you so much. I will apply to UHS right away!

Awesome Joaquin64. It sucks, but don't be afraid, if possible, to move. Each person's situation is different and some people absolutely can't move, but if you can, it broadens your application area. You have to also weigh the cost of moving (let's say 10 grand) versus the money you get back from working as a nurse compared to what you make now outside of the field of nursing. Usually, you make up that moving cost pretty quickly with a nursing salary. Plus, it gets your foot back in the door and that is worth thousands as it's peace of mind and lowers anxiety and that is worth 5 thousand right there. Texas is big and that's one advantage of living in a supersized state and being in monitoring and looking for a job.

UHS is friendly nationwide. Aside from IHS facilities or in addition to UHS facilities, Google search Houston, San Antonio, Austin, DFW and search for low income medical clinics. These are outpatient Doctors offices/cimmunity type clinics that offer low cost, sometimes free care to underserved populations and they usually have a need. They also usually don't have narcs in the building, so that also takes care of any narc restrictions because nurses will not pass them in these facilities anyway. These clinics are generally urban based. They don't pay a ton of money and they are generally pretty busy, but it's a job back in nursing and you have your foot back in. After a year, you can then easily look for more appealing jobs and move on and even move back home (if you had to move to start with). These jobs are generally super friendly to nurses in recovery and have a higher percentage of nurses, NPs, and even physicians with a recovery background that work there compared to most other places in the medical field.

I would recommend searching and applying for 10 places. Don't limit yourself to 1 or 2 applications and then wait a month or 2 to hear something as time passes by. FLOOD the market with about 10 applications and if you get 2 offers, that's a GOOD problem to have in deciding which one you choose.

Just.Blessed.RN, BSN, RN · May 3

I know this is an old thread, but just wondering if anyone gained employment with UHS?

Big Blondie, ASN, BSN, MSN, APRN · May 8

I disagree to working at a reduced rate. You are a valuable member of the team and your expertise does not come at a reduced rate because of accommodations. I didn't read all the posts, but many diagnosis are protected through the ADA. You will get a job. There are thousands who have gone before you and done it. Sell your skill, yourself, what you will contribute. Don't sell yourself as half off due to monitoring. Most companies have a salary range for RNs that doesn't include reducing their pay because of accommodations. This could land them in hot water later by being accused of discrimination, and asking them to do so is asking them to do something shady prior to even being hired. Good luck!

NurseJackie69 · May 9

The overwhelming majority of places will pay you based on a pay scale when hired and will not penalize you with decreased pay because of a substance abuse background. But, they can possibly and legally pay a lower rate if they are accommodating you in a way that they are NOT accommodating others such as guaranteeing you can get out to go pee that day if selected, or guaranteeing you will not float, or work past 7pm, etc. The employer is also making some sacrifices when they do this. Even with all of this, the odds of them paying you less because of these things is not likely.

Lastly. Remember you just need your foot in the door. Get that first job! Work a year and opportunities open up and because you have worked a year without issues, far more of the "good jobs" become willing to hire you. I always recommend nurses take that first job back whatever it is. You have the mental freedom to know that in 365 days, you can move on. Just my opinion though. To each is their own.

If we are NOT talking about the first job back in nursing, then I am for sure selling my skills and NOT taking less pay, but as it relates to that First job back in nursing which is hard to come by, I wouldn't be picky. I went into a terrible job when returning to practice as I had applied at about 50 places. I couodnt find anything as 4 months went by. It paid horribly. But, I knew as soon as I started that job, my narc restriction would end in 12 months and I knew that all I had to do was wake up 365 times, and I could move on.

At 365 days of working at that first job, I emailed the BON and they lifted my restriction within 24 hours. I immediately applied at 10 jobs and 5 of those 10 offered and all 5 were good jobs. I placed my notice from my initial entry job and upon leaving, they offered a 19,000 per year pay raise. I told them no thanks and moved on.

Just.Blessed.RN, BSN, RN · May 16

NurseJackie69 said:

The overwhelming majority of places will pay you based on a pay scale when hired and will not penalize you with decreased pay because of a substance abuse background. But, they can possibly and legally pay a lower rate if they are accommodating you in a way that they are NOT accommodating others such as guaranteeing you can get out to go pee that day if selected, or guaranteeing you will not float, or work past 7pm, etc. The employer is also making some sacrifices when they do this. Even with all of this, the odds of them paying you less because of these things is not likely.

Lastly. Remember you just need your foot in the door. Get that first job! Work a year and opportunities open up and because you have worked a year without issues, far more of the "good jobs" become willing to hire you. I always recommend nurses take that first job back whatever it is. You have the mental freedom to know that in 365 days, you can move on. Just my opinion though. To each is their own.

If we are NOT talking about the first job back in nursing, then I am for sure selling my skills and NOT taking less pay, but as it relates to that First job back in nursing which is hard to come by, I wouldn't be picky. I went into a terrible job when returning to practice as I had applied at about 50 places. I couodnt find anything as 4 months went by. It paid horribly. But, I knew as soon as I started that job, my narc restriction would end in 12 months and I knew that all I had to do was wake up 365 times, and I could move on.

At 365 days of working at that first job, I emailed the BON and they lifted my restriction within 24 hours. I immediately applied at 10 jobs and 5 of those 10 offered and all 5 were good jobs. I placed my notice from my initial entry job and upon leaving, they offered a 19,000 per year pay raise. I told them no thanks and moved on.

Hey 👋🏽, thanks for this information. You are absolutely correct about pay. I meant that I know I'll have to take the 1st crappy job with a crappy pay rate once my license is changed. I just don't want to be forced out of nursing.. I have been a nurse for a decade and had plans to do 3 to 4 more decades before I retire. I'm distraught at the idea that I'll be unable to find employment and forced to do something else in order to feed my small children. This just sucks.

Can you tell me more about getting stipulations lifted after 12 months and how thay affected your job outlook?