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 3^rd 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

 

 

 

 

 

 

 

 

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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.

 

 

 

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

 

 

 

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

 

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