Does the vendor explain why they’re there and get the consent and tell them about the next process (perhaps suspension)???
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Schweitzer, Kit
Sent: Wednesday, July 20, 2016 11:19 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours
We do (f)
We have an outside mobile service come on site to perform collections
for all our for cause and random drug/BAT testing even when Employee Health is open.
The EMT’s are trained and very proficient at drug testing plus we avoid a possible perception of impropriety because the employer or coworker is not doing the collecting. The mobile service also QA their own
equipment, ie BAT machine and are regulated, so legality and appeal process is covered.
The results go to the 3rd party vendor (the mobile service is part of an occ health clinic) and they provide MRO services as well. Then results come to Employee Health.
Our mobile service is fast, 30” lead time or less and drug screens come back in about 2-3 days.
It works well for us; we have approximately 6000 employees.
Kit Schweitzer,
RN, BSN, COHN
|
Employee Health Nurse |
Employee Health & Safety Oregon Network
PeaceHealth
| 3333 Riverbend Way
| Springfield, OR 97477
office
541-222-2544
|
fax 541-222-2548
From: MCOH-EH [mailto:mcoh-eh-bounces+kschweitzer=peacehealth.org@mylist.net]
On Behalf Of Swift, Melanie
Sent: Tuesday, July 19, 2016 11:23 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours
This message originated outside of PeaceHealth's email system and contains web links. Use caution when clicking on links. VERIFY THE SENDER before opening attachments, clicking links or providing information.
Agree, we tried having a subset of ED nurses trained but having a trained collector present on all shifts just couldn’t be maintained over time. The external vendor is the same the ED would use for any employer’s
post-accident testing under DOT or non-regulated testing, so the ED just needs to call one number for all UDS/BAT needs regardless of employer.
Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Hudson, T. Warner
Sent: Tuesday, July 19, 2016 10:29 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours
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
E-mail
twhudson@mednet.ucla.edu
Website
www.ohs.uclahealth.org
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
(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 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
__________________________________________
This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient,
or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact
the sender immediately by replying to the message and delete it from your computer. Thank You.
This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments)
and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender,
except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
UCLA HEALTH SCIENCES IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain
it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this
message from your computer.
This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee,
or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise
the sender by reply email and destroy this message.