See my answers below Mark We had the same issue and took 5 years to straighten out.

T. Warner Hudson, MD FACOEM, FAAFP

Medical Director, Occupational and Employee Health

UCLA Health System and Campus

Office 310.825.9146

Fax 310.206.4585

Pager 800.233.7231 ID 27132

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Upfal, Mark
Sent: Tuesday, July 19, 2016 8:05 AM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: [MCOH-EH] For cause/reasonable suspicion testing after hours

At our institution, Occ Health Services is a M-F 7am-5pm operation, and the ED provides our back up after hours for workplace injuries. However, it is difficult for them to provide qualified, trained collectors for forensic drug and alcohol testing. Thus, we are working on other options, and would like to benchmark with what others are doing. So, I'm interested in knowing what your institution does for nights/weekends when a medical center employee is being evaluated for cause/reasonable suspicion. Which of the following applies at your institution, and how happy are you with how that works?

(a) The ED provides for specimen collection (if so, how has that been working out with CCF, collection QA, etc?) We have changed to an outside DT collections vendor that comes on site and uses out of the way bathroom for the forensic urine drug test collections and does the breath alcohol test. We use the Quest HPP Comp 1 panel. I did this in N CA and it worked great. If a medical problem like passed out head trauma once ED has person medically stable to outside collections people do their thing and none of the drug alcohols is in the medical record as it’s forensic

(b) We send employees to a nearby 24/7 occ health clinic outside our medical center

(d) We have occ health staff on call 24/7 to come in for collection We are only M-F 7-4:30; ED after and DT collections never worked and they did not do breath alcohol

(e) We have trained collectors available on site at our medical center from other departments (e.g. an administrative supervisor)

(f) We have an outside mobile service come on site to perform collections this is what we do

(g) We do not test after hours, and refer the individual to OHS the next business day. Not a god plan as the drugs alcohol metabolize

(h) Other?

Mark

Mark Upfal, MD, MPH

Corp Medical Director, DMC Occupational Health Services

4201 Saint Antoine, UHC 4G-3

Detroit, MI 48201

(313) 993-0509

www.dmc.org/ohs

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