The mission of NOAP is to promote public safety through participation of potentially impaired healthcare professionals in monitored rehabilitation and recovery as an alternative to license discipline, emphasizing fitness to practice and retention of competent professionals. NOAP is committed to working in cooperation with regulatory and professional organizations toward this objective.

Member Forum is Active

26 Mar 2019 9:10 AM | NOAP Executive Office (Administrator)

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  • 31 Mar 2019 12:18 PM | Rhonda Ruby
    Hello NOAP.....I am from the Iowa Program. Our program is fairly new as we started the program approximately two years ago. We are still navigating the many complex aspects of ATD programs. One of the issues we are struggling with is criminal convictions.I would love to know how other states handle criminal convictions with their participants. Does that disqualify them from the program? Does the Board review them and take action? Does the Board discipline them? Does the Board allow the ATD to use their discretion? Please discuss and make recommendations. Thank You. Rhonda Ruby
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    • 02 Apr 2019 1:52 PM | Heidi LaMonica
      Many of our licensing Board referrals in Maine are due to past criminal convictions, and even arrests, and Consent Agreements are often the end result, depending. To go a step further, some Boards (but not all) require that we (MPHP) notify them of any new arrests and convictions for those already participating in our program, and even for those who self-refer due to an OUI or other offense, which has created a dilemma for us as our reporting requirements have become blurred and sometimes over-stated. Other licensing Boards recognize that reporting arrests and/or convictions is not the responsibility of the program, but that of the participant. For us, this is a hot topic debate that we plan to discuss with all of the licensing Boards at our quarterly meeting this month.
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    • 12 Apr 2019 9:32 AM | Jenny Barnhouse
      Rhonda- Here is a statement from the Oklahoma Nurse Practice Act under the Peer Assistance Program section: "A nurse's participation in the peer assistance program in no way precludes additional proceedings by the Board for acts or omissions of acts not specifically related to the circumstances resulting in the nurse's entry into the program. However, in the event the nurse defaults from the program, the Board may discipline the nurse for those acts which led to the nurse entering the program." Here is a statement from the Oklahoma Rules: "To be eligible for participation in the Peer Assistance Program, each applicant must- have no pending felony charge or conviction that would prevent the nurse from practicing." The nurse must work 1 year in nursing practice at the level in which he/she is licensed and under supervision without any issues to be eligible for completion of the program. If the nurse is accepted into the Program, he/she will be required to agree to the following contract item: "I will submit to the Board written documentation of all unreported, previous and/or current criminal charges or legal proceedings related to these criminal charges by (due date) and within 7 days of any future occurrence."
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  • 01 Apr 2019 10:37 AM | Jenny Barnhouse
    Hi NOAP members- I am the Coordinator for Oklahoma's Program. I am reaching out to inquire if any programs allow the nurse participant to take Medication Assisted Treatment (MAT) while working under supervision? Also, if you know of any research re: MAT and safety-sensitive positions, will you please share? Thank you. Jenny
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    • 03 Apr 2019 7:58 AM | Jennifer Delano
      The Maine PHP (MPHP) does support individuals on Medication Assisted Treatment. Per our policy, we allow individuals prescribed Suboxone, Naltrexone, and Vivatrol to keep working provided they are being appropriately followed by a treating professional. And they almost always have a work monitor. Currently, our policy does require those who enter already on Methadone to come off within 3 months of entering- that policy is under review. We do not support individuals on medicinal marijuana. The research just does not stand behind use and in fact states that individuals on medicinal marijuana are more at risk of developing an opioid disorder within 3 years.

      MAT is actually a hot bed topic within the FSPHP. Some states allow MAT use while others do not allow their program participants to work while on it.

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      • 12 Apr 2019 9:15 AM | Jenny Barnhouse
        Amy- Thank you very much for your response to my question and sharing about Maine's program. Traditionally, our program does not approve the nurse to work in nursing until he/she has been medically tapered off the MAT. I have been challenged about this in recent months so am checking to see what other programs are doing and if studies support safe practice among healthcare professionals while taking MAT (not sure it exists.)
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