A. The ED does our night/weekend for-cause testing and evaluations.  It mostly works well, perhaps aided by the fact that they have to do a fair amount of forensic collection. We have a close administrative relationship with the Penn Emergency Department and our RNs do regular in-services with them on this topic, as well as circling back for education when/if errors occur.


Amy J Behrman, MD
Medical Director, Occupational Medicine
Department of Emergency Medicine
University of Pennsylvania Health System
3400 Spruce St. Philadelphia, PA 19104


----- Original Message -----
From: Mark Upfal <mupfal@dmc.org>
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Sent: Tue, 19 Jul 2016 11:05:07 -0400 (EDT)
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?)
 
(b) We send employees to a nearby 24/7 occ health
clinic outside our medical center
 
(c) Our medical center provides occ health services
24/7
 
(d) We have occ health staff on call 24/7 to come in
for collection
 
(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
 
(g) We do not test after hours, and refer the
individual to OHS the next business day.
 
(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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