[MCOH-EH] MRO question

[Jenkins, Maribeth]

There is a MRO list?  I am looking for a new MRO now.

Maribeth Jenkins, MSN, RN, LMT, CWC
Employee Wellness Manager
Hendrick Medical Center
1900 Pine Street
Abilene, TX 79601
Phone: (325) 670-3010
Fax: (325) 670-3051
mjenkins at hendrickhealth.org<mailto:mbunn at hendrickhealth.org>
www.ehendrick.org



From: MCOH-EH [mailto:mcoh-eh-bounces+mjenkins=hendrickhealth.org at mylist.net] On Behalf Of Karl Auerbach via MCOH-EH
Sent: Friday, October 10, 2014 3:03 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] MRO question

It is a bit suspicious but don't forget that drug tests are done at levels which may be well below the therapeutic "half life" calculations.

I would be happy to send this on to the MRO list where you might get much more input.

Karl

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Holt, Claudine
Sent: Friday, October 10, 2014 1:29 PM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] MRO question

 Dear Colleagues,

I have an MRO question and would appreciate some feedback:

Someone came in for a pre-placement physical (in a patient care role) and the drug screen came back positive for phenobarbital.  She denies use of any barbiturate and none of the medications that she is on should cause a positive barbiturate screen.  However, she called me back a day later to say that she had a colonoscopy on 9/9 and her gastroenterologist told her that might have caused the positive test.  The drug test was done 20 days after the colonoscopy on 9/29 and as far as I know, you don't typically get a barbiturate during a colonoscopy.

I asked her to have the anesthesiologist's report sent to me so I could see what was administered.

The t ½ of phenobarbital is 53-140 hours (per Up to Date).  Since it takes about 5 half-lives to eliminate something, it  could take from 265-700 hours.  She had the procedure on 9/9 and the drug test on 9/29 which is  480 hours.  So if she was given phenobarbital during the procedure, it actually might have been in her system.

Has anyone ever dealt with anything like this?  What are your thoughts?


Sincerely,

Claudine Holt, MD, MPH
Staff Physician, Occupational Health Services
Temple University Hospital
Basement, Rock Pavilion
215-707-8151 (phone)
215-707-5751 (fax)



________________________________

This electronic message is intended to be for the use of the named recipient, and may contain information that is confidential or privileged. This communication may contain protected health information (PHI) that is legally protected from inappropriate disclosure by the Privacy Standards of the Health Insurance Portability and Accountability Act (HIPAA) and relevant Pennsylvania Laws. You can direct questions concerning PHI or HIPAA to the Corporate Compliance and Privacy Officer at (215) 707-5605. If you are not the intended recipient, please note that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this message in error, you should notify the sender immediately by telephone or by return e-mail and delete and destroy all copies of this message.

______________________________________________________________________
PRIVILEGED AND CONFIDENTIAL NOTICE: The information contained in this e-mail may be confidential and/or privileged. This e-mail is intended to be reviewed initially by only the individual named above. If the reader of this e-mail is not the intended recipient or a representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail, or the information contained herein, is prohibited. If you have received this e-mail in error, notify the above sender, send the message back and then delete it.

Thank you for your assistance.

Hendrick Health System 
1900 Pine St.
Abilene, TX 79601
325-670-2000
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20141010/083cb9d2/attachment.html>