[MCOH-EH] Urine drug testing

[Hudson, T. Warner]

We use evidentiary breath alcohol performed by a BAT and send out urine drug tests for reasonable suspicion based testing (not the important distinction from probable cause which is a difficult legal threshold for police like to get a search warrant); a very expanded panel for health care personnel.  I'm not familiar with expanded panels that are rapid as the expanded panels take a week or so to get back.

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+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Angelique Ramirez
Sent: Tuesday, January 27, 2015 12:23 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Urine drug testing


We currently use rapid urine drug testing screen for pre-placement with confirmatory send out testing on the non-negatives.  We've been asked to implement a similar process for drug testing done for probable cause testing (reasonable suspicion).  Those tested for probable cause are sent home on an administrative suspension pending results - the desire is to clear them same day to minimize disruption to staffing.  Of note, our police department has been recommending testing as part of investigation of narcotic discrepancies which is the majority of our probable cause cases. Occupational Health does them during the day and we have a contract with a vendor for after hour testing - our current vendor does not offer point of care testing only collection and send out.

Does anyone else use point of care testing for probable cause or drug diversion investigation testing?  Any concerns for consideration - I'm aware of lack of a rapid test for Fentanyl - any other concerns?

Thanks!


Angelique Ramirez, MD
Medical Director
Parkland Occupational Health Services
Office of Talent Management
214-590-4842 - office
angelique.ramirez at phhs.org<mailto:angelique.ramirez at phhs.org>

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