[MCOH-EH] Random drug screens

[Thrasher, Terri (Terri)]

Agree with all your points !

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Higazi, Patricia
Sent: Thursday, July 07, 2016 11:05 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Random drug screens

Hi Terri :)
There is talk here about the same.  When it started I sent out a listserve to CHA hospitals - only a few were doing random - I believe in Texas.  Some of our stumbling blocks are

The number of randoms to do (as they are not DOT) - this kind of depends on the philosophy behind the screening - is it seen as a deterrent or is there concern about a huge problem
The inclusion of employed physicians
How to include staff who work only nights or weekends.  Also staff at off sites (40% of our work force)


Patricia Higazi RN BSN COHN
Occupational Health Director
CHKD, Norfolk, VA
Tel: (757) 668 7491
Fax: (757) 668 8775
[National Nurses Week logo. Grayscale E P S]<https://urldefense.proofpoint.com/v2/url?u=http-3A__ana.nursingworld.org_images_nnw_2016_LogoDownload-2DColor.eps&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=3F5Xk5z9Oo8F7QdQGRIU4a24v2CyadMYNBzqjwBX0xo&s=O4RWpAWOM3HCqkx-5LlQIgrSzvEHVJ568PuVoBALUts&e=>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, July 05, 2016 10:39 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Coxiella

I have been asked to start doing random drug testing.
Is anyone doing this (not DOT)?
Willing to share learnings, policy, procedure...anything?
Terri

Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety, Environmental Health, Workers Compensation, 803-SAFE, Injury Management, Non CCHMC Badging, Early Education and Childcare Center
3333 Burnet Ave
Cincinnati Ohio 45229  MLC 9006
513-636-6240



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Saturday, July 02, 2016 1:35 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Coxiella

Janice moved from USAMRIID a few years ago but is a great resource.  While the MMWR is helpful and at Eagleson June conference a couple years ago we had CDC there to present the MMWR piece and a number of work groups to review it there, the surveillance part leave lots of questions and Roger at UC Davis has had some cases of late and so has de facto become very deep expert in this area.

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<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ohs.uclahealth.org&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=G-gkTD4I9gN8YNftoFt-K4T9EVzwCGxhcRWOe14qp5M&s=T8juyXJPJUojGdiHKv3aup4YFFBH4omoKYiECqtser8&e=>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Saturday, July 02, 2016 10:29 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Coxiella

Janice Ruznack (spelling?) at USAMRIID is a good resource. I believe they sometime will even facilitate providing the vaccine under an IND protocol if the work is high risk.

Sent from my iPhone

On Jul 1, 2016, at 8:35 PM, Amy Behrman <behrman at mail.med.upenn.edu<mailto:behrman at mail.med.upenn.edu>> wrote:
There's a fairly recent summary of occupational exposure prevention, management, and surveillance here:

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6203a1.htm<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cdc.gov_mmwr_preview_mmwrhtml_rr6203a1.htm&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=G-gkTD4I9gN8YNftoFt-K4T9EVzwCGxhcRWOe14qp5M&s=i_501zovI_iwdY_GKG4mJkAtc31xXrAP1r8QA7hEoRk&e=>

Amy Behrman,MD
University of Pennsylvania
215-662-3192


On Jul 1, 2016, at 8:00 PM, Wintermeyer, Stephen F. <swinterm at iu.edu<mailto:swinterm at iu.edu>> wrote:
I have been asked to write a protocol for surveillance of researchers who will be working with Coxiella.

I would appreciate any suggestions or references/resources that members of the listserv could suggest.

Thank you.

Stephen Wintermeyer, MD, MPH
Director, IUPUI Campus Health
Associate Professor of Clinical Medicine
Division of Pulmonary, Critical Care, Sleep and Occupational Medicine
IU School of Medicine
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