Tailored Oversight—The 7 Optional Probation Conditions
- Jan 19
- 2 min read

While the 13 standard conditions apply to every nurse on probation, the Recommended Guidelines for Disciplinary Orders and Conditions of Probation also include seven "Optional Conditions" (numbered 14 through 20). These are applied based on the "nature and circumstances of the particular violation," specifically in cases involving substance abuse, mental illness, or physical disability.
These optional conditions provide the Board with more intensive tools for monitoring specific risks:
Physical Examination: Within 45 days, you may be required to have a Board-approved physician assess your physical capability to practice.
Participation in Treatment: This requires completion of a Board-approved rehabilitation program of at least six months and attendance at 1 to 5 weekly 12-step meetings.
Abstain from Psychotropic Drugs: You must completely abstain from alcohol and mood-altering drugs unless specifically prescribed by a physician who is aware of your history.
Submit to Tests and Samples: This is the mandate for random, biological fluid testing (drug screening) at your own expense.
Mental Health Examination: A requirement to undergo psychological testing and evaluation by a Board-approved psychiatrist or psychologist.
Therapy or Counseling Program: Participation in ongoing counseling is mandatory if a violation resulted in a patient death.
Actual Suspension: The Board may suspend your license for up to one year to allow for "education or personal rehabilitation" before you return to work.
For cases involving alcohol or drug abuse, the Board typically mandates Conditions 14 through 19 in addition to the standard 13. In cases of mental illness, Conditions 14, 18, and 19 are standard recommendations to ensure the nurse is psychologically fit for duty.
The rationale for "Condition 17" (Testing) is to provide "documentation that the respondent is substance or chemical free". If you have a "confirmed positive finding," it is reported immediately to the Board and is considered an automatic violation of your probation.
At License Alliance, our experienced network attorneys understand that these optional conditions—especially the cost of random drug testing and private therapy—can be a significant financial and emotional burden.
The ultimate goal of these conditions, according to the Recommended Guidelines, is "to assure safe nursing practice and rehabilitate rather than to punish". By meeting these tailored requirements, you prove to the Board—and to yourself—that you have successfully addressed the issues that led to discipline and are ready to practice safely once again.
"Talk to a Nursing License Defense Attorney"
When your license is at risk, preparation matters. Our network of experienced attorneys understands how the Board applies the Recommended Guidelines and can help you build a defense focused on your continued ability to practice safely.
Don't wait until you're under investigation to find a lawyer. Join License Alliance today for as little as $29/month and secure the professional defense you deserve.
License Alliance LLC is not an attorney or professional law corporation.




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