A positive drug test can be one of the most serious challenges a nurse may face in Kansas. Whether the result stems from a one-time mistake, a misunderstanding, or an underlying substance use issue, the implications can quickly extend beyond employment and into licensure. Nurses who find themselves in this situation must act immediately—and strategically—to protect their professional futures.

Understanding the Immediate Consequences of a Positive Drug Test

In most Kansas healthcare workplaces, employers are required to report positive drug tests to the Kansas State Board of Nursing (KSBN). Whether you’re a registered nurse (RN), licensed practical nurse (LPN), or an advanced practice nurse, your license may be at risk if the Board suspects substance abuse, unsafe practice, or impairment on duty.

Even if your employer doesn’t terminate you immediately, you may be placed on administrative leave while an internal investigation takes place. At the same time, the KSBN may launch its own investigation, and this often begins without prior notice. The Board has the authority to suspend or revoke your nursing license—even for a first-time incident.

Step One: Don’t Panic—But Don’t Ignore It

The first step after a positive drug test is to remain calm. However, time is not on your side. The KSBN takes a proactive approach to these reports, and they are often forwarded automatically from employers. You should assume that the Board will be notified.

You should not try to explain the situation informally to your supervisor or respond in writing without first obtaining legal guidance. Statements made at this stage—whether verbal or written—can be used later by the Board to support disciplinary action.

Step Two: Contact a Kansas Nursing License Defense Lawyer

This is a critical moment to protect your license and reputation. A Kansas Nursing License Defense Lawyer can assess the facts, explain your legal rights, and help you prepare a proactive, protective response. At Sanger Law Office, LLC, we’ve worked with nurses across Kansas facing positive drug screens, allegations of impairment, and complex Board investigations. Our role is to serve as your legal advocate from the first moment forward.

Depending on the facts, your attorney may:

• Challenge the accuracy or chain of custody of the test
• Gather medical documentation that may explain a false positive
• Communicate directly with the employer and Board on your behalf
• Negotiate entry into a non-disciplinary alternative program, if appropriate

Step Three: Understand Your Obligations to the KSBN

If the Board opens a formal investigation, you may receive a written request for a statement, evidence, or an appearance. This is not an opportunity to “clear things up.” Everything you say or provide will be used to determine whether you violated the Kansas Nurse Practice Act.

Under Kansas Statute K.S.A. 65-1120, the KSBN can initiate disciplinary proceedings for “the use of any controlled substance, legend drug or any other drug which impairs the ability to practice nursing.” They can also act on “inability to practice nursing with skill and safety by reason of illness, use of alcohol, drugs, chemicals or any other materials.”

It is critical not to admit fault or submit documents without experienced legal counsel. A misstep here can mean suspension, mandatory evaluations, or permanent revocation.

Step Four: Consider Whether the Kansas Alternative-to-Discipline Program May Be a Good Option

The KSBN offers an alternative-to-discipline program for nurses struggling with substance use. This program is confidential and non-disciplinary if entered proactively and with Board approval. It generally requires treatment, monitoring, abstinence, and work restrictions, but it avoids public discipline and allows the nurse to eventually return to practice.

However, not every nurse qualifies. And entering this program without legal review may lead to unintended consequences—such as disqualifying yourself from a stronger defense or harming your long-term employment prospects.

A Kansas nursing license defense attorney can help you determine whether this program is right for your situation—and help you apply properly.

Step Five: Start Rebuilding Credibility Early

Even while your case is pending, steps you take now can influence how the KSBN views your willingness to take responsibility and prioritize safe practice. This might include:

• Seeking a substance abuse evaluation from a licensed professional
• Beginning treatment or counseling voluntarily
• Complying fully with your employer’s administrative requirements
• Documenting your efforts to stay clean and professionally active

However, every action should be taken with legal oversight to ensure it doesn’t unintentionally harm your case. Your attorney can help document your steps and include them in a favorable light during any hearings or Board communications.

Protect Your Career and Your Reputation

At Sanger Law Office, LLC, we understand the fear, stress, and uncertainty that come with a positive drug test. For nurses, this issue isn’t just about a single mistake—it’s about your livelihood. You’ve worked hard to earn your license. You deserve a chance to protect it.

We provide nurses throughout Kansas with confidential, strategic legal guidance to defend their licenses, respond to Board complaints, and—when appropriate—seek confidential resolution through rehabilitation or alternative monitoring agreements.

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💼 Contact Sanger Law Office, LLC for a Free Consultation

If you’ve tested positive on a drug screen and fear for your license, don’t wait. Contact Sanger Law Office, LLC today for a free consultation. We are here to fight for your professional future and offer honest, strategic advice when it matters most.

📍 5040 Bob Billings Parkway, Suite C-1, Lawrence, KS 66049
📞 (785) 979-4353 – Kansas
📞 (816) 520-8040 – Missouri

We serve nurses across Kansas and Missouri with license defense built on experience, discretion, and commitment.