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 positive screens after routine testing. In many hospitals across Springfield, Kansas City, and St. Louis, internal policies require automatic reporting even if the result was due to a prescription. I investigate these details before the Board acts.

If the Board suspects substance misuse, it may order evaluations or require participation in the Missouri Alternative Program for Nurses (MAP). MAP offers rehabilitation without formal discipline, but enrollment terms are strict—missed tests or reporting errors can trigger termination from the program and immediate formal charges.

My defense strategy emphasizes verified treatment compliance, documented sobriety, and supportive employment records. We demonstrate that you are safe to practice and that disciplinary measures would harm both your career and the healthcare workforce shortage Missouri faces.

For nurses struggling with substance use, confidentiality is key. Missouri law allows early self-reporting to access MAP before an employer complaint leads to harsher sanctions. I counsel clients on the safest way to disclose issues while maintaining control of the process.

Call Us Today!

If you’re a Missouri nurse accused of substance abuse or impairment, call Sanger Law Office, LLC at (816) 520-8040. I’ll protect your rights and help you pursue rehabilitation-based outcomes that preserve your future in nursing.