We currently use rapid urine drug testing screen for pre-placement with confirmatory send out testing on the non-negatives. We’ve been asked to implement a similar process for drug testing done for probable cause testing (reasonable suspicion). Those tested for probable cause are sent home on an administrative suspension pending results – the desire is to clear them same day to minimize disruption to staffing. Of note, our police department has been recommending testing as part of investigation of narcotic discrepancies which is the majority of our probable cause cases. Occupational Health does them during the day and we have a contract with a vendor for after hour testing – our current vendor does not offer point of care testing only collection and send out.

Does anyone else use point of care testing for probable cause or drug diversion investigation testing? Any concerns for consideration - I’m aware of lack of a rapid test for Fentanyl – any other concerns?

Thanks!

Angelique Ramirez, MD

Medical Director

Parkland Occupational Health Services

Office of Talent Management

214-590-4842 - office

angelique.ramirez@phhs.org

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