5yrs

Healer555 · Mar 22

NurseJackie69 said:

Jumping off a cliff at 40 feet compared to 100 feet is "different based on height," but the general consensus is, most people don't survive a 35 foot fall or 100 foot fall. Because its "different" doesnt change the majority or overehelming outcome. Some on occasion survive the 35 foot fall because it's "different". Fact is, the overwhelming majority of nurses who move from a 5 year monitoring state to a 3 year monitoring state are on the hook for the 5 years in the state they moved from, and because it's "different in different states" doesn't change that fact. It's very very RARE that someone will get a monitoring contract decreased from 5 to 3 years because they moved and BONs know this, otherwise everyone would be moving.

I've met 2 nurses that had monitoring reduced when they moved. That was in 2017 and 2019. I've met over 100 who have moved and they were still on the hook for the 5 years from the state they moved from and not only that, their situation ADDED stress because tout of those approximate 100 nurses, over 95% now found themselves with 2 consent orders/contracts instead of one.

I have never met anyone with a monitoring agreement in 2 states. Im not saying it doesn't happen but its not common. Usually the new state takes over. After they are done in the second state the original state either says the person is done.

Perhaps don't post like you know it all because you don't. I know for sure if I moved my state would let the new state take over and report to them when I finished.

NurseJackie69 · Mar 22

Healer555 said:

I have never met anyone with a monitoring agreement in 2 states. Im not saying it doesn't happen but its not common. Usually the new state takes over. After they are done in the second state the original state either says the person is done.

Perhaps don't post like you know it all because you don't. I know for sure if I moved my state would let the new state take over and report to them when I finished.

"I've never met anyone." Again, not a great source of research or data when going by "whether you have met someone." This is the danger of putting out info on a message board when you are going by hearsay or "who you have met." The standard or solid source for accurate info is....What do BON's Do. Do you work with monitoring programs and recovery resources and nurses involved in consent agreements? No, you DO NOT. I do. Many on this Board do. I know over 150 nurses literally, right now, that have Consent Orders in 2 states or MORE. It's extremely common.

The info you are putting out is FLAT OUT WRONG because you simply don't seem to have the ability to read a post and grasp any form of reason. For all people reading this thread, again, pay ZERO attention to Healer555's statement Regarding monitoring agreements/consent orders. She literally does not have a clue about what she is talking about (again) but simply meets a nurse in the break room, the nurse tells her something verbally, and she uses it as Gospel. Here is how it works and to clear up the WRONG information that Healer555 is yet once again, WRONG about.

She used the words Monitoring Agreements and purposely muddied the water with Monitoring Agreements and Consent Orders. Those 2 aren't the same, but they are similar. Here's the common example. We will use 2 random states for example.

Nurse is licensed in Texas and gets in trouble. Gets 5 years in Texas for CONSENT ORDER by the BON and a 5 year monitoring agreement by the monitoring-peer-program in Texas. The nurse tells Texas she is moving to North Dakota. North Dakota tells the nurse that her monitoring agreement is 3 years and that her consent order with the BON is 3 years. The nurse moves to North Dakota. What happens? Texas doesn't care. The nurse signed a 5 year monitoring agreement and consent order with Texas. Will Texas ALLOW North Dakota to do the monitoring for the nurse and will Texas ALLOW North Dakota to do the drug testing and accept it? Yes, they will. They will require the North Dakota Monitoring Program to send Texas a quarterly report. That's great, but again, when the nurse has done her 3 years in North Dakota and all is finished, the Texas BON doesn't simply say, "congrats, you are done now and your BON Consent Order is over." The Texas BON will make the nurse do the remaining 2 years, EVEN in North Dakota, the nurse will have to drug test for those 2 years because the Nurse is STILL licensed in Texas and under that 5 year Consent Order. Check this out, some states are so picky that they won't even allow another state to send a quarterly report. I literally know over 20 nurses right now, literally on my cell phone right now, that Test in two states. That's right, they wake up and check in everyday in TWO states. This is uncommon though. Most states ALLOW one state to do the monitoring and they will require the monitoring state to send a report quarterly, but again, this doesn't ALTER the time.

When a nurse gets in trouble and they are licensed in 2 or 3 or 4 or 5 states, and this happens a lot with APN's. I'm an NP. I was licensed in 3 states when I got in trouble. I was under consent order in 3 states. Why? When you get in trouble, you simply can't NOT renew your license and allow it to expire, if the BON is aware of your trouble/investigation while you are licensed, so you are on the Hook. I had 3 states I was in trouble in. I was under consent order in 3 states at 1 time (3 different BON's). My home state did the Monitoring Agreement and the other 2 states I was licensed in ALLOWED my home state to do my monitoring/drug testing and these 2 states accepted quarterly reports from my home state monitoring case manager. I was STILL on the hook with the consent orders though. That means, I still had to do peer review meetings that were specific to Each State because even though a state accepts your drug testing from another, you are still on the hook for requirements such as peer support meetings for that individual state.

What I'm getting at is this. If you have a 5 year Consent Order-Monitoring Agreement in State A, and you move to State B which gives you a 3 year Consent Order-Monitoring Agreement, you are STILL on the hook with State A when those 3 years in State B are done. You still have 2 more. Additionally, many states require peer support meetings for Advanced Practice Meetings that are required WITHIN that state either in person or on zoom. There are HUNDREDS of nurses across the country, especially APN's that are doing Peer Support Zoom meetings in 1 state while living 800 miles away to meet the other states meeting requirements.

I'm warning you ahead of time for anyone reading. Remember this, when you get into trouble and are licensed in 2 or 3 or 4 states, you can not let those licenses lapse while under consent order or you license is suspended or revoked. You literally, by law, have to renew it once an investigation opens and for the duration of your consent order. This also applies to the first example above. If you get in trouble in Texas and are only licensed in Texas and get 5 years Consent Order and Monitoring Agreement and you then move to North Dakota. You STILL have to maintain that Texas license for those 5 years EVEN THOUGH you moved to North Dakota. You are not allowed to let it expire and if you do, it's considered non-compliance and your license is suspended or revoked.

Back in the day, nurses would commonly move to states with 3 year agreements from a state that had a 5 year agreement and many of them would get through and do 3 years in the new state and the old 5 year state allowed them to be done. This simply DOES NOT happen anymore. Again, for the example above, if you get a 5 year agreement and consent order in State A and move to State B which has a 3 year agreement/consent order, you STILL have to maintain the license in State A and that BON will NOT ALLOW you to let it lapse. When you are 3 years are done in the new state that you moved to, the 5 year State will STILL require you do complete their remaining 2 years of monitoring EVEN though you may live 700 miles from that state. You will be checking in for the remaining 2 years BECAUSE you agreed by law/you signed a 5 year agreement/consent order in State A, REGARDLESS of where you move to. When you signed that consent order, you can GUARANTEE that somewhere in that consent order, it will say you are REQUIRED to maintain/renew your license for the duration of the consent order.

Hope this Helps

PaNurse2023 · Mar 22

NurseJackie69 said:

Hi despite the arguing that this post has caused im truly sorry about that btw is anyone able to point me in the direction of an approved virtual IOP that may do payment arrangements without insurance my insurance will not be active until may so I'm stuck between a rock and a hard place

Healer555 · Mar 22

NurseJackie69 said:

"I've never met anyone." Again, not a great source of research or data when going by "whether you have met someone." This is the danger of putting out info on a message board when you are going by hearsay or "who you have met." The standard or solid source for accurate info is....What do BON's Do. Do you work with monitoring programs and recovery resources and nurses involved in consent agreements? No, you DO NOT. I do. Many on this Board do. I know over 150 nurses literally, right now, that have Consent Orders in 2 states or MORE. It's extremely common.

The info you are putting out is FLAT OUT WRONG because you simply don't seem to have the ability to read a post and grasp any form of reason. For all people reading this thread, again, pay ZERO attention to Healer555's statement Regarding monitoring agreements/consent orders. She literally does not have a clue about what she is talking about (again) but simply meets a nurse in the break room, the nurse tells her something verbally, and she uses it as Gospel. Here is how it works and to clear up the WRONG information that Healer555 is yet once again, WRONG about.

She used the words Monitoring Agreements and purposely muddied the water with Monitoring Agreements and Consent Orders. Those 2 aren't the same, but they are similar. Here's the common example. We will use 2 random states for example.

Nurse is licensed in Texas and gets in trouble. Gets 5 years in Texas for CONSENT ORDER by the BON and a 5 year monitoring agreement by the monitoring-peer-program in Texas. The nurse tells Texas she is moving to North Dakota. North Dakota tells the nurse that her monitoring agreement is 3 years and that her consent order with the BON is 3 years. The nurse moves to North Dakota. What happens? Texas doesn't care. The nurse signed a 5 year monitoring agreement and consent order with Texas. Will Texas ALLOW North Dakota to do the monitoring for the nurse and will Texas ALLOW North Dakota to do the drug testing and accept it? Yes, they will. They will require the North Dakota Monitoring Program to send Texas a quarterly report. That's great, but again, when the nurse has done her 3 years in North Dakota and all is finished, the Texas BON doesn't simply say, "congrats, you are done now and your BON Consent Order is over." The Texas BON will make the nurse do the remaining 2 years, EVEN in North Dakota, the nurse will have to drug test for those 2 years because the Nurse is STILL licensed in Texas and under that 5 year Consent Order. Check this out, some states are so picky that they won't even allow another state to send a quarterly report. I literally know over 20 nurses right now, literally on my cell phone right now, that Test in two states. That's right, they wake up and check in everyday in TWO states. This is uncommon though. Most states ALLOW one state to do the monitoring and they will require the monitoring state to send a report quarterly, but again, this doesn't ALTER the time.

When a nurse gets in trouble and they are licensed in 2 or 3 or 4 or 5 states, and this happens a lot with APN's. I'm an NP. I was licensed in 3 states when I got in trouble. I was under consent order in 3 states. Why? When you get in trouble, you simply can't NOT renew your license and allow it to expire, if the BON is aware of your trouble/investigation while you are licensed, so you are on the Hook. I had 3 states I was in trouble in. I was under consent order in 3 states at 1 time (3 different BON's). My home state did the Monitoring Agreement and the other 2 states I was licensed in ALLOWED my home state to do my monitoring/drug testing and these 2 states accepted quarterly reports from my home state monitoring case manager. I was STILL on the hook with the consent orders though. That means, I still had to do peer review meetings that were specific to Each State because even though a state accepts your drug testing from another, you are still on the hook for requirements such as peer support meetings for that individual state.

What I'm getting at is this. If you have a 5 year Consent Order-Monitoring Agreement in State A, and you move to State B which gives you a 3 year Consent Order-Monitoring Agreement, you are STILL on the hook with State A when those 3 years in State B are done. You still have 2 more. Additionally, many states require peer support meetings for Advanced Practice Meetings that are required WITHIN that state either in person or on zoom. There are HUNDREDS of nurses across the country, especially APN's that are doing Peer Support Zoom meetings in 1 state while living 800 miles away to meet the other states meeting requirements.

I'm warning you ahead of time for anyone reading. Remember this, when you get into trouble and are licensed in 2 or 3 or 4 states, you can not let those licenses lapse while under consent order or you license is suspended or revoked. You literally, by law, have to renew it once an investigation opens and for the duration of your consent order. This also applies to the first example above. If you get in trouble in Texas and are only licensed in Texas and get 5 years Consent Order and Monitoring Agreement and you then move to North Dakota. You STILL have to maintain that Texas license for those 5 years EVEN THOUGH you moved to North Dakota. You are not allowed to let it expire and if you do, it's considered non-compliance and your license is suspended or revoked.

Back in the day, nurses would commonly move to states with 3 year agreements from a state that had a 5 year agreement and many of them would get through and do 3 years in the new state and the old 5 year state allowed them to be done. This simply DOES NOT happen anymore. Again, for the example above, if you get a 5 year agreement and consent order in State A and move to State B which has a 3 year agreement/consent order, you STILL have to maintain the license in State A and that BON will NOT ALLOW you to let it lapse. When you are 3 years are done in the new state that you moved to, the 5 year State will STILL require you do complete their remaining 2 years of monitoring EVEN though you may live 700 miles from that state. You will be checking in for the remaining 2 years BECAUSE you agreed by law/you signed a 5 year agreement/consent order in State A, REGARDLESS of where you move to. When you signed that consent order, you can GUARANTEE that somewhere in that consent order, it will say you are REQUIRED to maintain/renew your license for the duration of the consent order.

Hope this Helps

This will be the last time I reply to your. Theres not sn option to block you so ill just ignore you because it does derail things. Not all of us have a consent order. People can and do tell the state with the 5 year agreement to go to blazes after they finish their 3 year agreement and it doesn't impact them. All states are different. It sickens me that you write like you're an expert because you aren't. I worry people will take things you say at face value Youre talking about people you know and so am I..Neiyher either of us are experts. . To everyone I really suggest getting informed from your case manager or someone similar. This is a good starting point for advice but not definitiv advice. All states are different and many situations are different comment all you want to my posts even use capita letters, ridiculous analogies with posts that are way too long if you choose but don't expect a reply.

To the OP I don't know where you can go. I wish you luck. This is really an awful situation to be in.

Healer555 · Mar 22

PaNurse2023 said:

Hi despite the arguing that this post has caused im truly sorry about that btw is anyone able to point me in the direction of an approved virtual IOP that may do payment arrangements without insurance my insurance will not be active until may so I'm stuck between a rock and a hard place

Sometimes the BON will help with the cost. Wouldn't hurt to ask. Could you get COBRA?

NurseJackie69 · Mar 22

Healer555 said:

This will be the last time I reply to your. Theres not sn option to block you so ill just ignore you because it does derail things. Not all of us have a consent order. People can and do tell the state with the 5 year agreement to go to blazes after they finish their 3 year agreement and it doesn't impact them. All states are different. It sickens me that you write like you're an expert because you aren't. I worry people will take things you say at face value Youre talking about people you know and so am I..Neiyher either of us are experts. . To everyone I really suggest getting informed from your case manager or someone similar. This is a good starting point for advice but not definitiv advice. All states are different and many situations are different comment all you want to my posts even use capita letters, ridiculous analogies with posts that are way too long if you choose but don't expect a reply.

To the OP I don't know where you can go. I wish you luck. This is really an awful situation to be in.

Don't post false and stupid and inaccurate Information that can actually HARM other humans and you will not be called out. Continue to post false information and you will continue to be called out because I will NOT let you hurt other people. Be NORMAL. Post factual info that HELPS people and not INFO that you ASSume to be true when in reality, you have ZERO clue as to what you are talking about.

NurseJackie69 · Mar 22

PaNurse2023 said:

Hi despite the arguing that this post has caused im truly sorry about that btw is anyone able to point me in the direction of an approved virtual IOP that may do payment arrangements without insurance my insurance will not be active until may so I'm stuck between a rock and a hard place

I sent you a message on 2 virtual IOP programs that offer payment options. YOU didn't cause an argument by the way. A typical narcissist caused the argument because every board ALWAYS has one and that's simply what they do. The scary part is when you get a narcissist that's not very smart. Those are the dangerous ones.