Facing Board Probation as a Missouri Nurse: What You Need to Know

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A Practical Guide to Understanding and Complying With Nursing License Probation in Missouri

If the Missouri State Board of Nursing has placed you on probation, it means they believe you’re capable of continuing to practice—but only under strict conditions. While probation is far better than suspension or revocation, it still brings serious implications for your nursing license, your job, and your future in the profession.

At Sanger Law Office, LLC, we help Missouri nurses understand the terms of their probation, stay in compliance, and avoid costly missteps that could lead to further discipline. If you’re a nurse currently facing Board-imposed probation, this guide explains what probation means, how to stay compliant, and what to do if problems arise during your probationary period.

What Is Nursing License Probation in Missouri?

Probation is a disciplinary action imposed by the Missouri State Board of Nursing under RSMo § 335.066. It allows you to keep your license and continue practicing as a nurse, but you must agree to certain conditions and be subject to Board monitoring.

Probation is typically ordered in cases where:

  • There is evidence of substance use or chemical dependency
  • A nurse has committed a first-time criminal offense, such as DUI or theft
  • The Board finds unprofessional conduct, but not to the level of suspension
  • A nurse is returning to practice after suspension or reinstatement

The Board may place a nurse on probation for months or years, depending on the seriousness of the violation and the terms of any consent agreement or Board order.

Common Terms and Conditions of Missouri Nursing Probation

While the terms of probation can vary widely from case to case, common conditions include:

  • Abstaining from all alcohol and controlled substances
  • Random drug and/or alcohol testing
  • Attending substance abuse counseling or therapy
  • Submitting quarterly reports from employers, therapists, or probation officers
  • Restricted practice settings (e.g., no night shifts, no access to narcotics)
  • Prohibition on supervision of other nurses or students
  • Participation in the Missouri Alternative Program, if eligible
  • No new criminal charges or arrests
  • Continued compliance with any criminal probation or court orders

You must comply with all terms of the order exactly as written—or risk further action from the Board.

What Can Happen If You Violate Probation Terms

Violating any condition of your probation—even unintentionally—can lead to:

  • Extended probation periods
  • License suspension or revocation
  • Public disciplinary action or reports to NURSYS
  • Additional fines, continuing education, or restrictions
  • Criminal contempt or charges, in some cases

Even missing a single drug test, failing to report a job change, or forgetting to submit a required quarterly report can be treated as a serious offense. That’s why legal support during probation is often essential—especially when terms are unclear or burdensome.

Pitfalls to Avoid During Board Probation

Many nurses on probation unintentionally make mistakes that lead to further discipline. Some of the most common include:

❌ Failing to Understand the Terms Fully

Some orders are long and filled with legal language. Misinterpreting just one condition can lead to a violation.

❌ Missing Deadlines or Appointments

Drug tests, therapist reports, employer evaluations, or check-ins with Board staff all have deadlines. Missing even one can be a violation.

❌ Taking on New Employment Without Notifying the Board

Most probation orders require Board notification and sometimes approval before starting a new job—even within nursing.

❌ Working in Prohibited Roles or Settings

Some orders restrict nurses from agency work, night shifts, or supervisory roles. Violating those limits, even with employer permission, puts your license at risk.

❌ Failing to Maintain Professional Conduct

If another complaint is filed during your probation—even one that normally wouldn’t result in discipline—the Board may treat it as a major violation.

Your Legal Rights While on Probation

Even while on probation, you still have important legal rights:

  • The right to understand and question the terms of your order
  • The right to be represented by an attorney in communications with the Board
  • The right to challenge violations or appeal disciplinary findings
  • The right to petition for early termination of probation, in some cases

If your probation terms are unclear, overly burdensome, or impacting your ability to work, your attorney can file motions or petitions with the Board to request clarification or modification.

How Sanger Law Office, LLC Helps Nurses on Probation

At Sanger Law Office, LLC, we support Missouri nurses at every stage of probation. We offer:

  • Review of probation terms to help you fully understand your obligations
  • Clarification and compliance planning so you stay on track and avoid violations
  • Representation in communication with the Board, including requests for modifications
  • Defense if you are accused of violating your probation
  • Petitions to terminate probation early, when permitted under Board rules
  • Assistance with reinstatement and reentry into full, unrestricted practice

We understand how stressful probation can be—and how easy it is to make a mistake when you’re trying to follow complex rules while continuing to work and manage your life.

Call Danielle Sanger Today!

If you’re a Missouri nurse facing probation or already under a Board order, don’t leave your license to chance. With the right legal support, you can stay in compliance, avoid unnecessary discipline, and eventually return to unrestricted practice.

📞 Call Sanger Law Office, LLC today for a free consultation:
(816) 520-8040 for Missouri
(785) 979-4353 for Kansas

We’re here to protect your license, defend your future, and guide you through every step of the probation process with confidence.