PNAP case managers routinely contact nurses whom they think are impaired. Self reporting, DUI - ARD or convictions, or workplace complaints are the typical trigger. The goal is to secure PNAP/PHMP enrollment.
In April 2018 a Pennsylvaniappellate court issued a decision in Abruzzese v BPOA, --- A.3d --- (2018). This case is one of three Spring 2018 cases reversing a Pennsylvania licensing board arbitrary disciplinary decision. I've written about the other two cases, .