Defending Against Substance Abuse Allegations: Missouri Nurses’ Rights and Options

Allegations of substance abuse are among the most serious threats to a nurse’s license in Missouri. The Missouri State Board of Nursing (MSBN) views drug or alcohol impairment as a direct risk to patient safety and will not hesitate to investigate even unverified claims. For nurses, understanding their rights and available defense options is critical to protecting their careers.Why Substance Abuse Allegations AriseComplaints may originate from employer reports, patient observations, coworker suspicions, or failed workplace drug screens. Sometimes, even a single mistake—such as appearing fatigued or disoriented on shift—can spark an accusation. The Board treats all such complaints seriously because the Missouri Nurse Practice Act mandates safe, competent, and unimpaired practice.How the Board InvestigatesWhen the MSBN receives a substance abuse complaint, they typically request documentation such as workplace incident reports, drug test results, and witness statements. They may also order an independent evaluation to determine if substance use is affecting your ability to practice.Investigations can lead to:

Probation with strict monitoringRequired participation in rehabilitation programsTemporary suspension of the licenseFull revocation in severe cases

The Missouri Alternative ProgramFor nurses who struggle with substance use disorders, Missouri offers an Alternative Program that allows participants to seek recovery without immediate license revocation. While the program is not available in every case, it can provide a lifeline for nurses who want to continue practicing after rehabilitation.Building a DefenseNot all allegations are valid. False positives in drug testing, retaliation from employers, or misunderstandings about prescription medications can all lead to unfounded complaints. A defense attorney can challenge test results, present evidence of compliance with treatment, and argue against disciplinary action that is disproportionate to the facts.Why Legal Representation MattersSubstance abuse allegations carry both professional and personal consequences. Without representation, nurses risk signing consent agreements that severely limit their practice or agreeing to terms that are nearly impossible to meet. An attorney ensures your rights are preserved and your career is protected

If you’re a Missouri nurse facing substance abuse allegations, your license and livelihood are at stake. Contact Sanger Law Office, LLC today at (816) 520-8040 for a confidential consultation. Attorney Danielle R. Sanger provides experienced defense for Missouri nurses and can help you explore your options, including entry into the Alternative Program.