[MCOH-EH] Return to work evals for substance abuse

[OWilliams at mcleodhealth.org]

Do you require a RTW note from the substance abuse provider on details 
such as completed the program and random testing has been negative? Yes
Do you perform drug and alcohol testing? Yes. However we do not have a 
random program. We only test post offer, post accident, fit-for duty, and 
EAP referrals (post rehab).
Do you perform unannounced testing on that individual? Yes, all testing is 
coordinated through our EAP department. They call the person randomly the 
morning they are to be tested. They must arrive at EH/OH within 30-45mins.
If you do testing is it only for those in safety sensitive positions? as 
described above
What kind of pushback do you get from your hospital leaders about 
violation of the ADA or FMLA when you perform testing? none
We all know that current drug or alcohol use is not protected under the 
ADA; however, how is that defined at your institution? not sure I 
understand the question




Octavia Williams-Blake, BA, JD
AVP, Occupational Health
McLeod Health
(843) 777-5355 




From:
"Adamo, Philip" <Philip.Adamo at umassmemorial.org>
To:
"'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Date:
07/25/2014 01:39 PM
Subject:
Re: [MCOH-EH] Return to work evals for substance abuse
Sent by:
"MCOH-EH" <mcoh-eh-bounces at mylist.net>



I would like to get input from many of you out there on how you handle 
return to work evaluations on employees who self disclose they went out of 
work for a drug and/or alcohol abuse. I am having robust discussions with 
our legal team about performing drug and alcohol tests upon return.
 
There is agreement about when an employee is found to be impaired at work, 
testing can be performed upon.
 
Do you require a RTW note from the substance abuse provider on details 
such as completed the program and random testing has been negative?
Do you perform drug and alcohol testing? 
Do you perform unannounced testing on that individual?
If you do testing is it only for those in safety sensitive positions?
What kind of pushback do you get from your hospital leaders about 
violation of the ADA or FMLA when you perform testing?
We all know that current drug or alcohol use is not protected under the 
ADA; however, how is that defined at your institution?
 
Thanks,
Phil
 
 
Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and 
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179 
FAX: 508-334-6433 
cell 508-713-3993 
philip.adamo at umassmemorial.org
 
"THE GREAT USE OF LIFE is to spend it for something that will outlast it."
William James
 
 
 
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