[MCOH-EH] Urine drug testing

[Karl Auerbach]

Indeed the problem with for cause testing when narcotics are at question is
the inability to detect the broad variety of opioids.   Some vendors claim
the opiates pick up the opioids hence triggering the send out.  I am not
comfortable with that for several of the drugs.  I send them out.

From:  "ANGELIQUE.RAMIREZ at phhs.org" <ANGELIQUE.RAMIREZ at phhs.org>
Reply-To:  MCOH/EH <mcoh-eh at mylist.net>
Date:  Tuesday, January 27, 2015 at 15:22
To:  MCOH/EH <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.  We¹ve 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 - I¹m 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
 
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