[MCOH-EH] Urine drug testing MCOH-EH Digest, Vol 250, Issue 19
Sharon Petersen
Sharon.Petersen at imail.org
Wed Jan 28 09:05:10 PST 2015
We only do send out.
Sharon Petersen, MHA, BSN, RN, COHN/CM
Director, Employee Health Operations
Intermountain Healthcare
sharon.petersen at imail.org
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Sent: Wednesday, January 28, 2015 9:39 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 250, Issue 19
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Today's Topics:
1. Re: Urine drug testing (Marenick,Cheryl)
2. Re: Urine drug testing (Jenkins, Maribeth)
3. ETOH Blood Testing (Kuschel-Rapaski, Betty)
4. Re: ETOH Blood Testing (Hudson, T. Warner)
5. Re: ETOH Blood Testing (April Tainter)
----------------------------------------------------------------------
Message: 1
Date: Wed, 28 Jan 2015 13:29:25 +0000
From: "Marenick,Cheryl" <cmarenick at uchc.edu>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Urine drug testing
Message-ID: <f1a52c1564104a668141d05d43908511 at NSO-ITEXC-MB28.uchc.net>
Content-Type: text/plain; charset="us-ascii"
Same topic
From: MCOH-EH [mailto:mcoh-eh-bounces+cmarenick=uchc.edu at mylist.net] On Behalf Of Angelique Ramirez
Sent: Tuesday, January 27, 2015 3:23 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
CONFIDENTIALITY NOTICE This message (including any attachments) is intended only for the use of the addressee(s) and may contain information that is privileged and confidential. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient or an authorized representative of the intended recipient, the use, dissemination or reproduction of this communication is prohibited and may be a violation of federal or state law and regulations. If you have received this communication in error, please destroy all copies of the message and its attachments and notify the sender immediately. The Dallas County Hospital District and its affiliated entities hereby claim all applicable privileges related to this information.
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Message: 2
Date: Wed, 28 Jan 2015 09:02:05 -0600
From: "Jenkins, Maribeth" <mjenkins at hendrickhealth.org>
To: MCOH/EH <mcoh-eh at mylist.net>, Karl Auerbach <kauerbach at aol.com>
Subject: Re: [MCOH-EH] Urine drug testing
Message-ID:
<10B5ED9217444E41B0FF36663A9B79E90116504A7C3B at EMAIL.hhs.hendrickhealth.org>
Content-Type: text/plain; charset="us-ascii"
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>
CONFIDENTIALITY NOTICE This message (including any attachments) is intended only for the use of the addressee(s) and may contain information that is privileged and confidential. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient or an authorized representative of the intended recipient, the use, dissemination or reproduction of this communication is prohibited and may be a violation of federal or state law and regulations. If you have received this communication in error, please destroy all copies of the message and its attachments and notify the sender immediately. The Dallas County Hospital District and its affiliated entities hereby claim all applicable privileges related to this information.
--------------------------------------- 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<mailto: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<http://cp.mcafee.com/d/5fHCNAedEI9FI8EK9ICXCQrL8LczxPzVJ6XObP8VWXxJ6XObP8UsUUrhKYCyM-qem7PqEzY2IEk1hfU8hBoGj_jVA-00COvMgzaNkD-DP9Y01dIe3C7HcfZvD1PzPz7nKnho78YyOyYyqehTbnhIyCHtNfBgY-F6lK1FJ4SCrhWWl6O5bhAgYSyr01aSGjb-jU6CRECq7no7n8ccI47PBrl9B_9BO5mUm-walb7OFfwqrjhjhsdwLQzh0qmNIi30nbzgndbFEw2spgYQg8hr8Cy2vQDa14SOCreMFOeTuL6cvO> 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/<http://cp.mcafee.com/
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______________________________________________________________________
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
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Message: 3
Date: Wed, 28 Jan 2015 16:27:59 +0000
From: "Kuschel-Rapaski, Betty" <BKUSCHE1 at hfhs.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] ETOH Blood Testing
Message-ID:
<1C0539C980F244439C9F00123994BB5E1892B8 at RHWMBX13.corp.ds.hfhs.org>
Content-Type: text/plain; charset="us-ascii"
Good morning,
Our Employee Health Department is responsible for the blood ETOH testing for employees that require testing for fit for duty/reasonable suspicion.
We drew the blood with a gray topped tube that we obtained from Quest. The tubes have been delivered to us in a sealed box. Quest is no longer providing the gray tubes in the manner. They sent us the tubes in a zip lock bag. How do I prove that these tubes have not been tampered with. Has this been a challenge for your clinics? How have you overcome this challenge.
I appreciate your thoughts and time.
Betty Kuschel-Rapaski, RN, BSN, COHN-S, CHSP Employee Health Services Manager Henry Ford Macomb Hospitals
586.203.1662
Henry Ford West Bloomfield Hospital
248.661.6591
________________________________
CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies.
Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy & Security page on www.henryford.com for more detailed information as well as information concerning MyChart, our new patient portal. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us.
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Message: 4
Date: Wed, 28 Jan 2015 16:30:27 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] ETOH Blood Testing
Message-ID:
<2134A5387858914BBE80D079ECF6880C3C7FCEC9 at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
Change to evidentiary breath alcohol testing with EBT device using a certified BAT and the usual DOT process as quickly as you can.
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 Kuschel-Rapaski, Betty
Sent: Wednesday, January 28, 2015 8:28 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] ETOH Blood Testing
Good morning,
Our Employee Health Department is responsible for the blood ETOH testing for employees that require testing for fit for duty/reasonable suspicion.
We drew the blood with a gray topped tube that we obtained from Quest. The tubes have been delivered to us in a sealed box. Quest is no longer providing the gray tubes in the manner. They sent us the tubes in a zip lock bag. How do I prove that these tubes have not been tampered with. Has this been a challenge for your clinics? How have you overcome this challenge.
I appreciate your thoughts and time.
Betty Kuschel-Rapaski, RN, BSN, COHN-S, CHSP Employee Health Services Manager Henry Ford Macomb Hospitals
586.203.1662
Henry Ford West Bloomfield Hospital
248.661.6591
________________________________
CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies.
Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy & Security page on www.henryford.com<http://www.henryford.com> for more detailed information as well as information concerning MyChart, our new patient portal. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us.
________________________________
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: 5
Date: Wed, 28 Jan 2015 16:39:12 +0000
From: April Tainter <April.Tainter at thedacare.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] ETOH Blood Testing
Message-ID:
<721C88E9C3C2614C9C6189231FA4750A2AE1D9F0 at EXCHMB3.ad.local>
Content-Type: text/plain; charset="us-ascii"
We also use EBT testing.
April Tainter RN
Employee Health Nurse
ThedaCare-Shawano
100 County Road B
Shawano WI 54166
P 715-524-1493
F 715-524-9983
From: MCOH-EH [mailto:mcoh-eh-bounces+april.tainter=thedacare.org at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Wednesday, January 28, 2015 10:30 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] ETOH Blood Testing
Change to evidentiary breath alcohol testing with EBT device using a certified BAT and the usual DOT process as quickly as you can.
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]<mailto:[mailto:mcoh-eh-bounces at mylist.net]> On Behalf Of Kuschel-Rapaski, Betty
Sent: Wednesday, January 28, 2015 8:28 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] ETOH Blood Testing
Good morning,
Our Employee Health Department is responsible for the blood ETOH testing for employees that require testing for fit for duty/reasonable suspicion.
We drew the blood with a gray topped tube that we obtained from Quest. The tubes have been delivered to us in a sealed box. Quest is no longer providing the gray tubes in the manner. They sent us the tubes in a zip lock bag. How do I prove that these tubes have not been tampered with. Has this been a challenge for your clinics? How have you overcome this challenge.
I appreciate your thoughts and time.
Betty Kuschel-Rapaski, RN, BSN, COHN-S, CHSP Employee Health Services Manager Henry Ford Macomb Hospitals
586.203.1662
Henry Ford West Bloomfield Hospital
248.661.6591
________________________________
CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies.
Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy & Security page on www.henryford.com<http://www.henryford.com> for more detailed information as well as information concerning MyChart, our new patient portal. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us.
________________________________
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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