Put an end to The Pennsylvania Nurse Peer Assistance Program (PNAP)

PNAP assumes a healthcare professional is guilty without an investigation.

We, the undersigned, are writing in hopes of bringing to your attention a dire misjustice that is occurring in our state as well as many others across the US. Laws enacted to protect the patient population of America are overlooking the rights of healthcare professionals to defend themselves against false accusations of drug and alcohol use by anonymous calls placed to the board of nursing. PNAP (The Pennsylvania Nurse Peer Assistance Program) is using unethical methods to entrap nurses into their program by using past infractions such as DUI's that may be 8 years old or more to force the nurse into joblessness and financial ruin by making the nurse pay for all evaluations and testing. Nurses who do enter the program are forced to call the case worker daily for three years to see if a drug screen is need. Drug screens have been ordered on some nurses 12 times a month at their own cost. Sometimes costing tens of thousands of dollars. The burden of proof is being thrown out and the simple word of the accuser is being taken without question, many times without the accused even being allowed to speak. Our wish is that these laws be revisited and indications made to to allow for criminal and civil prosecution when someone has misused these laws in a vindictive and cunning way. We also would ask that public attorneys, and judges be forced to recognize the precept that the accused is innocent until proven guilty. Often times thes nurses are the sole providers for their families are unable to afford attorney's and are rendered jobless after on phone call to the board of nursing. We ask that persons who make such accusations identify themselves. If reported accusations are unfounded then the accuser should be charged, fined and incarcerated. Furthermore such charges filed against a nurse whether innocent or guilty remain on their professional record until the day they die. We are asking that programs such as this be abolished in all states and that nurses be treated fairly and with respect.

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Public Comments (625)
May 30th, 2019
Someone from Coal Township, PA writes:
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This is by far the worst Cash for Nurses scheme under the guise of helping professionals when it will lead you into bankruptcy, humility and worst of all poor self -esteem and shame. They never see you face to face, only give you access to evaluators they choose and treat everyone like a criminal. I assure you there is more help for prisoners than professionals and they are not punished as severely as program punishes you...they make the demands impossible especially if you are the sole provider. Over $7, 000 in less than a year for this LPN...NOT WORTH ANOTHER DIME!
Feb 17th, 2019
Someone from Wormleysburg, PA writes:
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I got my 1st DUI. I self reported and entered the voluntary program. I completed my ARD and my nursing license is active. Ive been in the program for two years with clean urines the whole time. I had a motorcycle accident in September and have been tortured by these people since then. I was asked right after the accident why I couldnt attend meetings or go to have urine tests done. I had a head injury and could not drive. I was randomly selected to give a urine the day after I went back to work. Coincidence I think not. Due to my medications I have been unable to give urine specimens four times. I sent them documentation on the side effects from these meds and now they want to extend my punishment and make me start all over again. Where are our rights and is there no one controlling them. I am so tired of being treated like I am still drinking when I havent had any alcohol in two years.
Jan 17th, 2019
Someone from Mount Union, PA signed.
Oct 21st, 2018
Jill M. from Cranberry Township, PA writes:
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I just wrote a letter to PNAP to withdrawal my participation in this program. I feel as if it violates constitutional rights on so many levels that it should be heard. As an atheist, I am to attend 3 meetings a week which recommend that I fall to my knees every morning pray to a higher power in order for a "spiritual awakening" and "promises" . I pay close to 200 a month for drug screens that require me to urinate in a cup while being observed by a younger "new" nurse at labcorp. She tries to make light of the uncomfortable situation by saying "wow, I cant believe they "MAKE" you do this. I was an exceptional RN that began coping with drugs and alcohol, I knew I needed help as I never wanted my behavior to jeapordize a patient. I self reported, and I also resigned from a position that I loved. I have sought help through counseling and psychiatry, CBT, became a marathon runner. In 2009 I finished a PNAP program and have worked as a RN until May of 2017 I had a slip up and now have to do this over again. I have put 6 months in and have decided that it is not worth what little pride I have left. I am a single mother, one if my sons is special needs. I cant afford the costs and I feel that AA/NA is not the only option out there to help those with addiction. It is mind control. Thankfully my co-workers, family and friends have been supportive through this and understand why I am handing it all over to the state. I worked hard to get a BSN over 20 years ago. This is the hardest thing I have ever done, but it is a violation of my rights. There must be something done to help nurses in need. I went to my last AA meeting last night, suck to my stomach, surrounded by old men that want to sleep with me and 3 young nurses that are mandated to be there by PNAP. It is wrong. Other options myst be provided based on the severity of the disease process and also religious beliefs. Please stop PNAP.
Oct 4th, 2018
Someone from Erie, PA writes:
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I have 3 generation of nurses in my immediate family system... By history I was child abuse investigator and child welfare worker... This PNAP is the new era of KIDS FOR CASH case in Pennsylvania named NURSES FOR CASH... My close friend is a victim of NURSES FOR CASH in P.A... My friend has no criminal convictions as charges were dropped nor allegations to be forced into this PNAP scam...
Jan 9th, 2018
Someone from Peach Bottom, PA signed.
Jan 9th, 2018
Someone from Peach Bottom, PA signed.
Dec 28th, 2017
Someone from Bethlehem, PA writes:
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I got a DUI recently and refused VRP. I hired attorney Richard Hark and the board of nursing closed my case. Don't let the BON bully you into VRP.
Nov 27th, 2017
Kyle H. from Lancaster, PA signed.
Nov 6th, 2017
Someone from Cherry Hill, NJ writes:
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CORPUS CHRISTI - Patients put their lives in the hands of their doctors, and now one woman is raising concerns about the troubled past of her surgeon. The doctor in question has been convicted of driving while intoxicated. Dr. Melissa Macias was arrested for drunk driving in Wisconsin in March of last year, but that was not her first DWI, it was her third. She also has DWI convictions in 2014 and 1991. However, none of those arrests show up on her Texas Medical Board record. Dr. Macias is employed by South Texas Brain & Spine Center and practices at various Corpus Christi hospitals, but just a little over a year ago she worked at the Aurora St. Luke's Medical Center in Milwaukee, Wisconsin. The morning of March 2nd, Macias was scheduled to perform two surgeries, but instead she was behind bars for her third DWI. "Call the office at 8 a.m. and tell them that I've had...I don't know f***ing what to say," Macias said in a phone conversation from jail. Brookfield police body camera footage shows the doctor in Wisconsin, in her scrubs, struggling during a field sobriety test. "Would you like to perform the test for me, so we can get this over with?" an officer asked. "Guys look, I am a neurosurgeon here," Macias replied. The same night police responded to a call at a hair salon, where employees said Macias got belligerent, knocked down a display, and left without paying. "The way that she was acting was absolutely, I'm not kidding you, crazy," one salon employee said. However a few weeks after her arrest, Macias was performing a cervical spinal fusion in Milwaukee on patient Darshell Garner. "The hospital practices all this HIPAA, and they protect their patients and everything. I'm like, how did they not protect me?" Garner, a Milwaukee resident, told KRIS 6 News. Garner says she knew nothing about her doctor's history, but she felt excruciating pain after her surgery and Macias lashed out at her when she brought it up. "She would raise her voice and get like real upset," Garner said. Macias was fired from the Wisconsin hospital in August of 2016, and got a job with South Texas Brain and Spine Center in Corpus Christi in the fall. Patients that check the Texas Medical Board website will see that Dr. Macias reports having no criminal history and no history of discipline by other state boards. The Texas Medical Board says physician profiles are self-reported and updated during the physician's renewal, and would not confirm whether or not Macias reported her convictions. Macias told Wisconsin state investigators she was off duty at the time of her DWI arrest, and has not endangered the safety of patients. It is not enough for Garner, who says her pain is ongoing and worries about Macias still performing surgeries. "That is scary!" Garner said. "The first thing I thought, this woman has got to be stopped. She has people's lives in her hands." Neither Macias or her employer South Texas Brain and Spine Center responded to requests for comment on Monday. Macias has been subject to half a dozen complaints since 2004. One of those came from Garner, and there will be a hearing about that complaint Tuesday.

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