In an ideal world, criminal background checks wouldn't be necessary for licensure or employment but we don't live in an ideal world do we?
Before you spend $30-$50K on the nursing diploma or degree and the privilege for the ATT and sit for the NCLEX-RN exam or NCLEX-PN examination, please do the following if you have a history of substance abuse, mental health, and/or criminal convictions (felony and/or misdemeanors):
1. Where are you planning to apply for a license? Take the time to review the State Nursing Board Application for Licensure by Examination NOW.
2. Look online NOW at a few healthcare employer applications for employment.
3. Speak with a representative at the Nursing Program about your history before you apply for admission into the Program. You need to know "point blank" if you will have issues with certain clinical sites;
4. Contact your State Student Nurses Association and/or the National Association of Student Nurses and speak with an advisor about your situation and ask for guidance and direction (notice I didn't say advice);
5. Contact your State Nurses Association. Maybe the Association can assist you with questions you may have; and
6. Lastly speak with a license defense attorney and have the attorney review your criminal, mental health, or treatment records. You want to have a frank discussion with the attorney about your suitability for licensure and your employability in healthcare especially with criminal convictions.
This is why its so important to speak with an administrative law attorney when you have a pending complaint with the State Nursing Board. If you have a complaint filed against your license, speak with an attorney to review the allegations and your course of action. Research law firms and attorneys online and schedule an appt. with an attorney to further discuss your case. What is the benefit in waiting a few weeks or months to speak with attorney when a complaint is filed against your license?
I spoke with a nurse this week who has two pending State Nursing Board complaints against his license related to allegations of drug diversion and the State Nursing Board suspended his license (without a hearing as permitted to do so by law when a nurse is threat to public safety; this is an emergency measure) after the 2nd complaint was filed.
Pull the money out of the mattress because you are going to need it in these types of cases. Two State Nursing Board complaints ain't double fresh, double fun, or double smooth but it will cost you double money.
I am an RN who made a medication error at work and it was reported to the supervisor. They "investigated" my narcotic administration and said that it was "suspicious" that I gave meds out to other nurses patients. I was unable to prove that these nurses were either on break or needed help at the time and I was fired for this, and my file was sent the the Pennsylvania BON. I decided to join the VRP and am just disgusted with it and i'm wondering if i have violated anything with my license that i couldnt prove to the BON? They thought i was stealing medications but i havent done this and dont feel i have done anything unethical. The VRP program does not care about me from anybody else and i can rarely get in contact with them which is why i cant to quit. I also want to consider going back to school but if my license does get suspended or revoked am i able to be licensed as a physical therapist or pharmacist for example?
Thank you for your comment on my blog. You were terminated by your employer for suspicious narcotic administration . Your employer filed a complaint against you with the State Nursing Board and to resolve the pending complaint you requested participation in a Voluntary Recovery Program(VRP) the State Nursing Board or State Nurses Association offers for nurses with a substance use and abuse disorder.
Okay, now that I have the facts straight.
1. You really need to speak with a license defense attorney in your State ASAP about your situation.
I decided to use your comment as a post to discuss the importance of having legal advice and counseling before one moves forward with a Nurse Recovery Program, VRP, or an Alternative to Discipline Program for substance use and abuse or mental health issues. Of course, I haven't reviewed your VRP contract but it sounds as if you could use some help sorting out the issues here.
2. A nurse license defense attorney in your State can also answer your specific questions about what happens if your nursing license is suspended or revoked and then you start and complete training to practice in another health discipline. In general, anytime action is taken against one license in healthcare it has to be reported to another healthcare licensing board. It depends on the wording in the Application for Licensure as a Pharmacist or PT but I would dare to say most applications for licensure ask about the discipline, revocation, or surrender of another healthcare license. Why? Because its relevant and a factor to be considered when reviewing one's application for licensure to practice in any given occupation or profession.
3. The role of the VRP, Nurse Recovery Program, or Alternative to Discipline Program is to protect the public from unsafe nursing care; its role isn't to advocate for the nurse or to counsel and advise you on what to do in your given situation. So many of us as nurses confuse the role of the State Nursing Board with the role of a State Nurses Association, which is to advocate for nurses. This is why you really should consider legal representation, counseling, and advising to steer you through this process. An attorney who practices before your State Nursing Board can be an asset to you throughout this long process. Admin Law cases don't resolve in a day or two and you need an attorney who is going to be with you throughout your case. I don't know what your finances are of course but I would suggest you consider retaining a license defense attorney to assist you with your issues with the VRP. See www.taana.org to find a license defense attorney in your state.
This form was updated on June 17, 2010.
See also Download AP%20FAQs.
If you are accepted into the Ohio Alternative Program for Chemical Dependency:
* This is good news!
* Congratulations and we wish you success in your recovery.
* If you need attorney representation, counseling, or advising while you are in Program, we can assist you.
If you are denied acceptance into the Ohio Alternative Program for Chemical Dependency:
* You should retain a nurse license defense attorney to assist you in the disciplinary and adjudicative process.
If you are terminated from the Ohio Alternative Program for Chemical Dependency:
*You should retain a nurse license defense attorney to assist you with the disciplinary and adjudicative process.
Before you sign up for a Nurse Monitoring Progam affiliated with a State Nursing Board, you should really consult with a nurse license defense attorney before you sign on the dotted line to discuss and review the pros and cons of the Agreement and the Program with you. You need to obtain legal advice from a license defense attorney about your situation.
What is a Nurse Monitoring or Alternative to Discipline Program?
I spoke with a nurse over the weekend who signed a 5 year agreement for monitoring with a State Nursing Board and who is having second and third thoughts about the Program after only 60 days of monitoring in the Program. The best time to ask questions about a Nurse Monitoring Program is before you sign and make a legal commitment.
Nurses, we really need to be proactive and not reactive when licensure, career, legal, criminal, employment, clinical, professional practice, ethical, moral, and regulatory issues arise in our nursing practice. We operate in a society based on law and order and it should not come as a surprise when legal or law related circumstances present in your nursing practice. Don't panic just seek assistance and counseling. You owe this to yourself.
There are far too many nurses, nursing students, and NCLEX-Applicants who still confuse the role of the State Nursing Board with the role of a State Nursing Association and the distinction between the two is mission critical.For example see http://www.wepapers.com/Papers/55541/The_Role_of_The_State_Board_of_Nursing
I participated in a webinar this afternoon discussing drug testing and drug testing monitoring program. It was an excellent webinar sponsored by CLEAR. http://www.clearhq.org/. I would dare say this was the best CLEAR webinar I attended thus far. The content was interesting and far from basic or being to technical as both presenters are experts in the drug testing and monitoring field.
My question was the last question answered:
What do you see at the future of drug testing with healthcare professionals with a substance use/abuse disorder?
Both presenters indicated UDS (urine drug screens) would be an intergral part of drug testing for healthcare professional monitoring programs and were an important consideration for public protection, which is of course the role of a state regulatory board like the Board of Nursing.
One of the speakers mentioned relying on the science of drug testing and monitoring is important and its also important to look at the big picture of the recovery of a specific individual when making licensing, reinstatement, and monitoring decisions.
I remind my clients, prospective clients, and individuals who contact my firm that I have been doing this for a while. I started my law practice representing individual healthcare professionals in 2001 and started to focus primarily on nursing in 2003. So I have heard it all and seen it all when it comes to nurse license defense because I practice law in three states and I am on the frontlines, baby. I won't say I have done it all because that sounds just plain ornery.
But anyway, if you are planning to hire an attorney to represent you honesty is the best policy. What is being honest? Providing your defense attorney with an accurate account of the incident, facts, and the complaint. Just say it as I tell my nephews. Keep it real and tell the truth. If you fracked up just say it and move on!
I personally have more respect for someone who says this is what I did and tell me what I am facing than someone who makes me "dance" to obtain an accurate picture of the facts and information in the case. Guess what I have learned to dance in my 13 years of law practice and I will dance my a%# off if necessary, then fire you.
When I have to dance to get to the bottom of a cess pool of lies, factual inaccuracies, rehearsed stories that sound like a Disney Fairy Tale, and just plain bull sh**, I am angry. Maybe I need counseling and therapy! It bothers me when when I am representing, counseling, and advising a client based on the information provided only to discover a different set of facts, circumstances, and information later. For me, I have to step back remind myself, the case and the license belongs to the client.
There are alot of nurses in the closet who abuse and misuse street and prescription drugs. These nurses would rather die (which may happen if they don't receive help) or live in a fantasy world and keep their use and abuse from friends, family, and significant others. These nurses don't want to be labeled as "dependent" or a "substance user" because they feel its the end of a nursing career. Its not an end unless you make it an ending, it can be a new beginning like Star Trek if you seek the right assistance in a timely manner.
A license to practice nursing is a privilege, not a right. You do not have a right to practice nursing. Its a privilege conditioned upon you meeting the terms/conditions set forth in your State Nurse Practice Act and Board of Nursing regulations. There is always a provision in a State NPA addressing safe nursing practice, impairment, and dependency. You are gambling with your life, your license, your livelihood, and your career and you may crap out.
IMO the nursing community has a long way to go as far as accepting nurses especially APRNs with substance use and abuse issues, chemical dependency, or mental health issues. The first step is however acknowledging you need help and realizing you are not fooling anyone but yourself. Usually family, friends, and others may already suspect something is amiss but they just can't put their finger in it.
Guess What? If I am representing you, you ain't "foolin" me.
I recommend this recorded webinar. Its Managing Risks when a Nurse takes Prescribed Medication. See www.centerforamericannurses.org.
i have an ex-husband who's a nurse who's been fired half a dozen times in the last four years for stealing narcotics from the hospitals that employs him. and time and time again, he gets a restricted license, jumps through the hoops of rehab and sporadic drug testing and has been able to find work AS A NURSE. it blows my mind. you people seriously deserve oscars for playing the victim roles so perfectly. has it ever crossed your mind that the patient is your number one priority, not YOUR JOB??? i am appalled then any of you, or any type of person LIKE you could be taking care of me, my family, my friends and other loved ones in the hospital. all of you obviously care about your own self interest and will do whatever it takes to avoid responsibility. GET OUT OF THE NURSING PROFESSION. WE DON'T WANT YOU TAKING CARE OF US! take responsibility for you actions for once in your life.
Thank you for your comment. You sound very angry. Also its not pc and its just plain "rude" to refer to others as "you people."
Addiction is a disease and relapse and recovery is part of the disease process. I think everyone deserves a second chance and maybe a third or possibly a fourth but not a fifth at returning to practice. However I agree with you at some point patient safety and public protection outweigh the privilege of any licensed healthcare professional to practice if there is a repeated pattern of drug use and abuse. Its a privilege to practice nursing not a right.
Nine years of license defense has showed me returning to nursing practice is just not a realistic option for everyone struggling with drug use and abuse. However, I have faith and compassion and I as a RN and defense attorney will never give up on my clients. I am willing to work with nurses who are trying to return to practice because there are alot of hurdles to jump and tree branches to duck in this process.
Nursing Boards are becoming more sensitive to this in my opinion and are disciplining and monitoring more and more nurses every year and making it tougher to return to practice. This coupled with employers not really wanting to hire nurses with a restricted license or monitoring agreement make it almost impossible for some nurses to return to practice after treatment.
I am communicating with more of us as nurses who have issues with prescription medication use, misuse, and abuse which then leads to issues with employment, licensure, and possible criminal investigations.
Don't get hung up on the textbook definitions. You know what you are doing and if you are doing things you are not supposed to do like:
1. Buying legal or illegal drugs from a dealer, friend, or family member;
2. Using a family members meds whether its one time or consistently;
3. Taking waste from work;
4. Documenting 2 pills given to a patient but only giving 1 and pocketing the other for your own consumption;
5. Hoarding prescription medications;
6. Doctor shopping: you have your PCP, dentist, psychiatrist, pain specialist, and a surgeon(s) writing scripts;
7. Having docs or prescribers at work write you scripts and you rationalize why this is okay or works for you with your busy schedule;
8. Writing your own scripts from a pad where you work and having these filled at one or more pharmacies;
9. Substituting at work; and/or
10. Borrowing meds from co-workers and peers.
You have a problem. What is the problem? I don't know but damn it you have a problem or issue and its going to turn into a legal matter and health crisis if you don't get a handle on it NOW.
Take this quiz. http://kbn.ky.gov/conprotect/compliance/drugtest.htm
But the bottom line is you need to seek help to get healthy. You also need to be ready to deal with anything forthcoming legal issues.
There are way too many nurses practicing and providing hands-on nursing care in a variety of settings from ICUs to home care to clinics to LTC to travel nursing who are taking way too many prescription medications. This is what I have learned in my 9 years of license defense and its scary.
Are you safe to practice and provide patient care based on your use, misuse, and/or abuse of prescription medication?
I would highly recommend any nurse who pops prescription meds like Apple flavored Now and Laters http://en.wikipedia.org/wiki/Now_and_Later prior to work, during work, after work, and/or at bedtime purchase this CD:
Managing Risks When a Nurse Takes Prescribed Medication by my buddy Kim Thomas, BSN, JD. See
See State v. Knepper, 184 Ohio App.3d 416, 2009-Ohio-5159 at http://www.supremecourt.ohio.gov/rod/docs/pdf/9/2009/2009-ohio-5159.pdf
You can also download here. Download 2009-ohio-5159
Addiction is disease and nurses who are indicted or using drugs in Ohio will be less likely to come forward for treatment if Treatment in Lieu of Conviction is not available for felony theft of drugs or illegal processing of drug documents criminal indictments and charges. This is a good decision for nurses struggling with addiction.
I had planned to add more of a discussion here but I have to watch what I say on this blog because I know there is at least one attorney in Kentucky in the license defense area who monitors this blog for information on how to represent, counsel and advise nurses. This Kentucky attorney reported a blog post to the Kentucky Bar Association when I mentioned that I knew a nurse who I suspected was practicing law without a license and advising nurses in Kentucky Nursing Board matters.
WTF. Get a life. Why are you monitoring my blog that closely anyway? Also as a professional courtesy, attorney to attorney, you could have contacted me if you had concerns. No, you print the blog post and forward to the Kentucky Bar Association.
I don't know who you are and I don't care who are you, but you my friend are a Hater with a capital "H."
FYI, if I wanted to report something to the Kentucky Bar Association, I know the telephone number for UPL complaints, pumpkin. Also I have my own attorney who advises me on legal ethics, thank you for very much.
How funny! Just a parting remark for the Kentucky attorney who drinks Hateraid in the morning and before bedtime. http://www.urbandictionary.com/define.php?term=hateraid
If you want to learn the ropes with nurse license defense, then do your marketing and advertising, speak/write, develop a business plan, and work your own cases. Stop monitoring my blog and don't hate on me or my law practice.
This isn't legal advice but I am putting this out here for anyone involved in a State Nursing Board complaint, investigation, and/or adjudication for drugs and/or alcohol or in a State Nursing Board Alternative to Discipline Program for Chemical Dependency. I am not a drug & alcohol counselor or therapist.
A prospective client told me this and I had to pause. In general, there is nothing wrong with a little alcohol and yes as a highly educated and licensed professional I know alcohol is legal. But there are alot of exceptions to just a little alcohol. However if:
1. You are being monitored in a State Nursing Board alternative to discipline program for Chemical Dependency (you voluntarily entered into this program); or
2. You are being monitored by the State Nursing Board and agreed to or had action taken against your license after a hearing
A. You agreed to or you are required to:
1. Abstain from drinking alcohol;
2. Abstain from using illegal drugs; and
3. Abstain from ingesting any prescription medication unless you have a legally valid prescription
B. If the basis for action or your involvement in an alternative program involves drugs and/or alcohol. There is a daily call in process for alcohol/drug screening as a condition of licensure that you agreed to or that was imposed upon you after a hearing.
As unfair as it may seem or as difficult as it may be to understand you cannot drink alcohol and be monitored by the State Nursing Board whether its via the discipline route or alternative program route if the basis for monitoring and the underlying issue involves drugs and/or alcohol. If you drink alcohol, you will violate test positive at some point and this is a violation of the agreement, contract, or order you have. Your nursing license will be suspended pursuant to the agreement, contract, or order you have. Read it!!!!
My suggestions are as follows:
1. You need a lawyer. I told you this on the phone and I am telling you again. It doesn't have to be me but you need a lawyer ASAP to assist you with your license issues and "keep it real" with you;
2. You need to speak with a chemical dependency counselor or therapist ASAP to get a handle on how and why you are where you are now; and
3. You will be okay and don't despair. But you need to seek assistance and help now. Please reach out and get the help you need now to start the recovery process.
More drug testing may not be a "bad thing" but it will certainly be more expensive for nurses in the Alternative to Discipline Programs adminstered by the CA Board of Nursing and for nurses who are on probation with the CA Board of Nursing and required to undergo drug testing and monitoring.
The cost of a "urine drop" varies and may run from $35.00 to $95.00 each time you drop.
If you ever had any question about the role of a State Nursing Board, here it is and its in your face:
"The bottom line is we're in the business of protecting consumers," said Brian Stiger, director of the state Department of Consumer Affairs, which announced the rules Thursday. "We're not in the business of rehabilitation."
My question is where are the national, state, and specialty nursing associations in this very public debate in California on nursing regulation and drug addiction in nursing?
I don't know where to start with this post so I will begin and end by saying if you are a CRNA and you are stealing medications, self-administering medications, abusing alcohol, or diverting medications:
1. You may have a chemical dependency and you should be evaluated ASAP;
2. You may need a criminal defense attorney if you are stealing medications; theft of drugs is usually a felony in most states and jurisdictions; and
3. You may need a nursing license defense attorney to assist you with the State Nursing Board. Talk to your license defense attorney about your State's Alternative to Discipline Program for Chemical Dependency.
If you are a CRNA and you are stealing drugs or impaired at work, then the State Nursing Board will be involved at some point because of patient safety issues and public protection. This is a no brainer.
Local law enforcement and the State Nursing Board really go through these types of cases with a fine tooth comb for public protection and safety. Some states and counties really "go hard and play hard" when licensed healthcare professionals (whether its a nurse, physician, or pharmacist) steal medication. The disease of addiction takes a back seat or gets placed in the trunk of a fast moving Chevy and protecting the health, safety, and welfare of patients and the public is in the driver's seat with the pedal to the metal. I watched the Fast and Furious last night on DVD!
CRNAs, addiction, and the State Nursing Board. These cases can be much more complicated than your typical (if there is a such thing as a typical case before the State Nursing Board) nurse dependency case because CRNAs have much more autonomy and prescriptive authority than RNs and other advanced practice nurses. With CRNAs more autonomy means more money (CRNAs can do the money dance because most are making the big bucks) AND also more responsibility, accountability, and the potential for more liability.
Take the bricks out of your shoes and do one of more of the following:
1. Contact your Anethetists in Recovery (AIR) or state peer advisors for AANA. See http://www.aana.com/Resources.aspx?ucNavMenu_TSMenuTargetID=154&ucNavMenu_TSMenuTargetType=4&ucNavMenu_TSMenuID=6&id=191
Call the Peer Assistance Hotline at (800) 654-5167
2. Get yourself evaluated by an CD evaluator or an addictionologist and get treatment ASAP;
3. Talk to a criminal defense attorney in your state or jurisdiction and confess your soul because whatever you say is confidential;
4. Talk to a nursing license defense attorney in your state or jurisdiction and confess your soul because whatever you say is confidential; and/or
5. Call Jack at 513-328-7253 and confess your soul. Jack loves to talk and he will listen. Jack is former CRNA who is in recovery and works with me as a Recovery Assistant. Whatever you say to Jack is confidential because he is working at the direction of an attorney. Jack is not an attorney and cannot provide you with legal advice but he will listen and provide alot of hand holding and referrals.
Call someone or do something but get the help you need now. Today can be the first day of the rest of your life and the best day for your nursing career, license, and livelihood.
Here is the cut and paste from the Roanoke Times (I get scared just saying Roanoke after watching the Stephen King's Storm of Century):
By Mike Gangloff
A nurse anesthetist whose career in the New River Valley spanned decades will serve a six-month prison sentence for taking drugs meant for patients.
Alvin Earl Parkes, 62, had pleaded guilty in June to two counts of possessing a controlled substance tied to his theft of fentanyl citrate, a synthetic opiod used to treat pain. In U.S. District Court in Roanoke on Wednesday, he was given the longest prison term recommended by federal sentencing guidelines and fined $3,000.
An emotional Parkes apologized for what he described as an ill-considered bid to ease the strain of long shifts and tough hospital conditions. He said his working life had begun as a child and he had just wanted to stay at his current job long enough to pay down the debt on his farm in Draper.
"All I know is work," Parkes said.
Trained in the U.S. Air Force in the 1970s, Parkes said in June that he came to Pulaski in 1979 and worked most of the time since then at the town's hospital.
The charges against Parkes resulted from his stealing drugs at Pulaski Community Hospital between July and September 2008. A document filed by the prosecution stated that two years earlier, Parkes similarly took fentanyl while working at Carilion New River Valley Medical Center.
Parkes said Wednesday that the amount of painkiller to be administered to each patient was determined on a moment-to-moment basis by a nurse anesthetist and a supervising anesthesiologist, a medical doctor who would oversee several patients' surgeries or other treatments simultaneously. Various monitoring equipment also tracked bodily functions that would be interpreted as signs of increased pain, Parkes said.
He said he kept the fentanyl not needed by patients, administering it to himself by an injection in his wrist, where his watchband would cover it.
He said he never felt impaired by the drug but admitted that once he found himself signing a hospital form in an unusually tiny, precise script and realized he was more affected than he had anticipated.
Assistant U.S. Attorney Charlene Day said there was no evidence that patients suffered because of not receiving sufficient drugs.
Parkes said he sometimes filled vials with distilled water to help conceal his actions but kept track of which vials were water and which were fentanyl.
Day said in June that hospital staff became aware of Parkes' activities because he began reporting a much higher rate of broken vials to explain the missing drugs.
Several witnesses, including Parkes' daughter, testified Monday that stealing and using drugs was out of character for him.
A longtime co-worker, Judy Dalton, praised his manner with patients, saying he had been part of her own medical team when she underwent two procedures.
"Patients still come through and ask for him," Dalton said.
Judge Samuel Wilson said he recognized that Parkes had led "an otherwise exemplary life" but said the problem of drug diversion within the health care industry is a serious one. He opted for the upper end of sentencing guidelines that ranged from no incarceration to six months behind bars. Wilson said that Parkes will be supervised by the federal probation office for a year after his release.
Parkes has given up his license to practice medicine.
If you are in an alternative program for dependency with a State Nursing Board, congrats on getting help and moving forward with your recovery.
I am being contacted by more and more nurses in Ohio, Kentucky, and Indiana as well as other states where I don't practice law about State Nursing Board Alternative Program for Chemical Dependency compliance issues and monitoring.
Here is something quick to consider:
1. An alternative to discipline program is wonderful because it allows you to be monitored and for the Nursing Board not to propose disciplinary action against your license for your violation of the Nurse Practice Act;
2. Read the agreement or contract and then read it again;
3. You MUST strictly comply with the Alternative Program contract or agreement. Partial or substantial compliance isn't enough;
4. Failure to complete the program may result in a suspension of your license or your case being referred for a disciplinary investigation;
5. These programs are not "quick fixes" and require long-term compliance and monitoring of 3years to 5 years;
6. Consider having attorney representation, counseling, and advising while you are in the program. You will have questions and concerns and these are things you can discuss with your attorney. Hire an attorney with experience in State Nursing Board cases and familiarity with addiction and nursing practice; and
7. If you relapse, report your relapse in accordance with the contract or agreement you signed. Don't look for avenues, ways and excuses not to self-report your relapse. I have been contacted by more than one nurse seeking to "get around" not self-reporting a relapse and trying to "knit pick" the definition of a relapse. Addiction is a disease and relapse isn't uncommon. Report your relapse as required by the agreement or contract you signed. Failing to report a relapse can result in your termination from the program;
8. Before you enter into a State Nursing Board Alternative to Discipline Program for Addiction, speak with a nurse license defense attorney in your state or jurisdiction. Even if you don't retain the attorney, at least have a consultation with the attorney to review the terms and conditions in the agreement/contract with you before you sign the agreement/contract;
9. If you are in an alternative program in State A and State B and you want to apply for a license in State C and also apply to State C's alternative program, contact a nursing license defense attorney in State C before you start this process. Each State Nursing Board alternative to discipine program for addiction is different and all states don't have an "open admission" process; and
10. Don't despair because its a process and you will get through this also. Continue to work your recovery plan. Don't be afraid to ask for assistance from family, friends, and colleagues. Don't be to frugal to pay an attorney for a consultation or legal representation if you are hitting a brick wall and need counseling and advising on navigating the system. Yes, it costs money to hire an attorney and you may have to borrow the money or tap a retirement account. But this may be money that it well spent.
I am speaking with more and more nurses navigating a combination of the State Nursing Board alternative program enrollment, termination, and/or license suspension phases (depending on where you are in the program and how long you have been enrolled before the termination) for 3-5 years which may then be referred to the State Nursing Board for the discipline, reinstatement, and monitoring process which may be another 5-10 years (if you count the alternative program time or sometimes in addition to the alternative program time) without much success. Hire a nursing license defense attorney to work with you.
Does your State Board of Nursing have an Alternative to Discipline Program for Chemical Dependency?