[MCOH-EH] Urine drug testing

[Jenkins, Maribeth]

We only do send out.  We use the time it takes to receive the result to look through our software and see if there is any indication of diversion activity.

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 at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, January 27, 2015 8:18 PM
To: Karl Auerbach; MCOH/EH
Subject: Re: [MCOH-EH] Urine drug testing

We only do send out !


Thank you for your email.

Regards,
Terri

Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Cincinnati Children's Hospital

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Karl Auerbach via MCOH-EH
Sent: Tuesday, January 27, 2015 4:09 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Urine drug testing

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<mailto:ANGELIQUE.RAMIREZ at phhs.org>" <ANGELIQUE.RAMIREZ at phhs.org<mailto:ANGELIQUE.RAMIREZ at phhs.org>>
Reply-To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Date: Tuesday, January 27, 2015 at 15:22
To: MCOH/EH <mcoh-eh at mylist.net<mailto: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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Thank you for your assistance.

Hendrick Health System 
1900 Pine St.
Abilene, TX 79601
325-670-2000
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