Do you require a RTW note from the substance abuse provider on details such as completed the program and random testing has been negative? Yes
Do you perform drug and alcohol testing? Yes. However we do not have a random program. We only test post offer, post accident, fit-for duty, and EAP referrals (post rehab).
Do you perform unannounced testing on that individual? Yes, all testing is coordinated through our EAP department. They call the person randomly the morning they are to be tested. They must arrive at EH/OH within 30-45mins.
If you do testing is it only for those in safety sensitive positions? as described above
What kind of pushback do you get from your hospital leaders about violation of the ADA or FMLA when you perform testing? none
We all know that current drug or alcohol use is not protected under the ADA; however, how is that defined at your institution? not sure I understand the question

Octavia Williams-Blake, BA, JD
AVP, Occupational Health
McLeod Health
(843) 777-5355

From:	"Adamo, Philip" <Philip.Adamo@umassmemorial.org>
To:	"'mcoh-eh@mylist.net'" <mcoh-eh@mylist.net>
Date:	07/25/2014 01:39 PM
Subject:	Re: [MCOH-EH] Return to work evals for substance abuse
Sent by:	"MCOH-EH" <mcoh-eh-bounces@mylist.net>

I would like to get input from many of you out there on how you handle return to work evaluations on employees who self disclose they went out of work for a drug and/or alcohol abuse. I am having robust discussions with our legal team about performing drug and alcohol tests upon return.

There is agreement about when an employee is found to be impaired at work, testing can be performed upon.

Do you require a RTW note from the substance abuse provider on details such as completed the program and random testing has been negative?
Do you perform drug and alcohol testing?
Do you perform unannounced testing on that individual?
If you do testing is it only for those in safety sensitive positions?
What kind of pushback do you get from your hospital leaders about violation of the ADA or FMLA when you perform testing?
We all know that current drug or alcohol use is not protected under the ADA; however, how is that defined at your institution?

Thanks,
Phil

Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179
FAX: 508-334-6433
cell 508-713-3993
philip.adamo@umassmemorial.org

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