[MCOH-EH] Return to work evals for substance abuse
Sharon Petersen
Sharon.Petersen at imail.org
Mon Jul 28 11:31:52 PDT 2014
See responses below-
Sharon Petersen, MHA, BSN, RN, COHN/CM
Director, Employee Health Operations
Intermountain Healthcare
801.442.2297 | sharon.petersen at imail.org
----------------------------------------------------------------------
Message: 1
Date: Mon, 28 Jul 2014 10:01:54 -0400
From: OWilliams at mcleodhealth.org
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Return to work evals for substance abuse
Message-ID:
<OFA695C6D8.DFE2AC37-ON85257D23.004C9EC7-85257D23.004D15B2 at mcleodhealth.org>
Content-Type: text/plain; charset="us-ascii"
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. People are returned to work with a signed contract stating they have completed whatever type of program the EAP counselor recommended and agree to monthly random testing. The length of time they are on a FFD program is determined case by case.
Do you perform drug and alcohol testing? Yes. We drug test post offer on all new hires, but do not perform alcohol testing on new hires. We also perform reasonable suspicion and fit-for duty (FFD) drug and alcohol testing following an EAP evaluation and recommendation.
Do you perform unannounced testing on that individual? Yes, all FFD testing is random and is coordinated through the Corporate Employee Health department. We call the person the morning they are to be tested and they must arrive at the collection site that day, as soon as their manager can arrange coverage for their position.
If you do testing is it only for those in safety sensitive positions? We test couriers and home care vehicle drivers that do not fall under the DOT drug and alcohol program. We do not randomly test other employees.
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? We do not consider either to be ADA-covered and people are considered for a Fitness for Duty program based on the EAP evaluation.
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
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net To become a subscriber, or to change your subscription options (turn off
email while you're on vacation, etc): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
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Send administrative requests to: drjoe at meditrax.com
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Message: 2
Date: Mon, 28 Jul 2014 14:49:00 +0000
From: "Cunha, Bruce E." <cunha.bruce at marshfieldclinic.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Retirement
Message-ID:
<59AFF0E5DC2F7C448B6DA4E42921CCB3413ED9E8 at MCL-EXMB02.mfldclin.org>
Content-Type: text/plain; charset="us-ascii"
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
______________________________________________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
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Message: 3
Date: Mon, 28 Jul 2014 10:53:20 -0400
From: "Costello, Nancy M." <NCostello at Lifespan.org>
To: <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Retirement
Message-ID:
<0F724791139459408921310DAEE82A0402A9F259 at LSCOEXCH2.lsmaster.lifespan.org>
Content-Type: text/plain; charset="us-ascii"
Good Luck to you! It has been a pleasure getting your take on all the various issues that have been discussed in the group.
Nancy Costello, RN
From: MCOH-EH [mailto:mcoh-eh-bounces+ncostello=lifespan.org at mylist.net]
On Behalf Of Cunha, Bruce E.
Sent: Monday, July 28, 2014 10:49 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Retirement
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
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Message: 4
Date: Mon, 28 Jul 2014 14:53:26 +0000
From: "Marenick,Cheryl" <cmarenick at uchc.edu>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Retirement
Message-ID: <cbdc398ee1d148c1a6b871ecc2d222b6 at NSO-ITEXC-MB25.uchc.net>
Content-Type: text/plain; charset="us-ascii"
Happy Retirement!
Cheryl J Marenick RN BSN MPH CN3
Occupational Medicine/Employee Health Services
270 Farmington Ave, Suite #262
Farmington, CT 06033-6210
Ph (860)679-8327
Fx (860)679-1256
cmarenick at uchc.edu
[cid:image001.png at 01CFAA52.28D82D90]
From: MCOH-EH [mailto:mcoh-eh-bounces+cmarenick=uchc.edu at mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Monday, July 28, 2014 10:49 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Retirement
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
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Message: 5
Date: Mon, 28 Jul 2014 15:14:24 +0000
From: "Adamo, Philip" <Philip.Adamo at umassmemorial.org>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Retirement
Message-ID:
<927EF4F192C51044A193A4C7958C574C35A8C1FA at ummscsmbx02.ad.umassmed.edu>
Content-Type: text/plain; charset="us-ascii"
Happy retirement Bruce! I have enjoyed your many comments on many issues over the years.
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
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Marenick,Cheryl
Sent: Monday, July 28, 2014 10:53 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Retirement
Happy Retirement!
Cheryl J Marenick RN BSN MPH CN3
Occupational Medicine/Employee Health Services
270 Farmington Ave, Suite #262
Farmington, CT 06033-6210
Ph (860)679-8327
Fx (860)679-1256
cmarenick at uchc.edu<mailto:cmarenick at uchc.edu>
[cid:image001.png at 01CFAA55.99ED1FB0]
From: MCOH-EH [mailto:mcoh-eh-bounces+cmarenick=uchc.edu at mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Monday, July 28, 2014 10:49 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Retirement
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
......................................................................
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.
------------------------------
End of MCOH-EH Digest, Vol 244, Issue 18
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________________________________
Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
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Message: 2
Date: Mon, 28 Jul 2014 13:53:46 -0400
From: "Upfal, Mark" <mupfal at dmc.org>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Retirement
Message-ID:
<065263991AA7D64BB96A8017DA68002C73DF441424 at MAIL03.dmcnt1.local>
Content-Type: text/plain; charset="us-ascii"
Best of luck, Bruce. Your awesome fund of knowledge and pragmatic approach to the problems we often face in MCOH has been a real asset to this group. So glad you'll continue to stay in touch.
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
__________________________________________
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.
________________________________
From: MCOH-EH [mailto:mcoh-eh-bounces+mupfal=dmc.org at mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Monday, July 28, 2014 10:49 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Retirement
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
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.
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Message: 3
Date: Mon, 28 Jul 2014 18:01:17 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Retirement
Message-ID:
<2134A5387858914BBE80D079ECF6880C3BC830F7 at SOPEXMB2.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
I second that! Warner
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 at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Monday, July 28, 2014 10:54 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Retirement
Best of luck, Bruce. Your awesome fund of knowledge and pragmatic approach to the problems we often face in MCOH has been a real asset to this group. So glad you'll continue to stay in touch.
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<http://www.dmc.org/ohs>
__________________________________________
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.
________________________________
From: MCOH-EH [mailto:mcoh-eh-bounces+mupfal=dmc.org at mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Monday, July 28, 2014 10:49 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Retirement
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
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.
________________________________
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.
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Message: 4
Date: Mon, 28 Jul 2014 18:04:56 +0000
From: "Swift, Melanie" <melanie.swift at Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External] Retirement
Message-ID:
<984BE23843F0DE4EBE652D6EE07600BE1D7EB2E3 at ITS-HCWNEM104.ds.vanderbilt.edu>
Content-Type: text/plain; charset="us-ascii"
Best wishes Bruce,
I hope you will chime in still, we will miss your expertise and your sense of humor. You have contributed greatly to our online community!
Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu
From: MCOH-EH [mailto:mcoh-eh-bounces+melanie.swift=vanderbilt.edu at mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Monday, July 28, 2014 9:49 AM
To: mcoh-eh at mylist.net
Subject: [External] [MCOH-EH] Retirement
I wanted to announce to the group that I am retiring my Health and Safety Position at Marshfield Clinic. I plan to continue to get this list at my home, so I will at least be able to keep up with all the fascinating issues the group discusses.
I wanted to express my great appreciation for all the information the group has provided over the years. Having this group to bounce things off of has really assisted me in the development of programs for my facility.
Bruce E. Cunha RN MS COHN-S
Manager, Employee Health and Safety
Marshfield Clinic
Marshfield WI.
ATTENTION: This e-mail is confidential and may contain confidential and /or personal information. If you are not the intended recipient, you must not disclose or use the information contained in it. Please notify the sender of this e-mail and promptly delete this e-mail.
________________________________
The contents of this message may contain private, protected and/or privileged information. If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within. Please contact the sender and advise of the erroneous delivery by return e-mail or telephone. Thank you for your cooperation.
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Subject: Digest Footer
---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.
------------------------------
End of MCOH-EH Digest, Vol 244, Issue 21
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