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Defending Against Substance-Abuse Allegations Before the Missouri Board of Nursing

Substance-related allegations are among the most serious threats to a nursing license. Under RSMo § 335.066(7), the Board can discipline a nurse whose ability to practice safely is impaired by alcohol, controlled substances, or medications. But impairment is not always addiction—and not every accusation is true. Often, allegations arise from coworker reports, missing medication counts, or […]

When the Board Orders a Psychological Evaluation: What Missouri Nurses Should Expect

The Missouri State Board of Nursing (MSBN) may order a psychological or psychiatric evaluation under RSMo § 335.066(8) whenever there’s concern about a nurse’s emotional stability, judgment, or ability to practice safely. These evaluations are serious because their findings often decide whether you keep your license, face probation, or are suspended outright. As a Missouri Nursing License Defense Lawyer, I’ve […]

The Importance of Accurate Documentation Under Missouri Law

Accurate documentation isn’t just a best practice—it’s a legal obligation under RSMo § 335.066(6), which defines falsification or omission of records as unprofessional conduct. Hospitals in St. Louis, Kansas City, and Columbia rely on meticulous charting to ensure patient safety and continuity of care. When records are missing, late, or inconsistent, the MSBN assumes negligence or dishonesty. How […]

How to Appeal a Missouri Nursing Board Decision

When the MSBN issues a disciplinary order, nurses have the right to seek judicial review under RSMo § 621.145. An appeal is not a new trial—it’s a review to ensure the Board followed proper procedures, respected your rights, and based its decision on substantial evidence. The 30-Day Rule Timing is critical. You must file your petition for review […]

Protecting Your Missouri Nursing License After an Employer Complaint

Employer reports are the most common source of Board investigations in Missouri. Under RSMo § 335.066(10), hospitals and nursing homes must notify the Board of any termination, resignation in lieu of termination, or conduct endangering patients. That report automatically triggers review—even if your employer told you the matter was “handled internally.”Understanding the ProcessOnce the Board receives […]

Missouri Nursing License Reinstatement After Suspension or Revocation

Losing your license is devastating—but it doesn’t have to end your career. Under RSMo § 335.066(15), Missouri nurses may petition the Board for reinstatement after demonstrating rehabilitation and compliance with prior orders. The process demands thorough preparation and persuasive documentation. Eligibility and Requirements Before applying, you must complete all disciplinary conditions: substance-use monitoring, probation, or continuing-education […]

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