[MCOH-EH] For cause/reasonable suspicion testing after hours

[Thrasher, Terri]

I get paged and have to go in and ensure the process with an outside vendor

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Spangler, Mary
Sent: Tuesday, July 19, 2016 5:18 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours

We have a staff member on-site from 7am - 10pm M-F.  After these hours we use an outside service which comes on-site.

Mary

Mary Spangler, M.S., N.P., COHN-S
Administrative Director, Occupational Health Services
Stanford Health Care & Stanford Children's Health Care
300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
mspangler at stanfordhealthcare.org<mailto:mspangler at stanfordhealthcare.org>
[logo sig.png]                        [Stanford Children Health]
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Leslie Thompson via MCOH-EH
Sent: Tuesday, July 19, 2016 9:00 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Leslie Thompson <Leslie.Thompson at sharp.com<mailto:Leslie.Thompson at sharp.com>>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours

We use option D.  It works, though obviously a cost associated with 24/7 on-call.  The on-call staff also assist ED with body fluid exposure protocols via phone.  We briefly attempted option E many years ago and didn't even get through training - too much push back from leadership.


Leslie

Leslie Thompson, MSN, RN, COHN-S
Manager
Employee Occupational Health Department
Sharp HealthCare
858-499-5264
leslie.thompson at sharp.com<mailto:leslie.thompson at sharp.com>



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Tuesday, July 19, 2016 08:05 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] For cause/reasonable suspicion testing after hours

At our institution, Occ Health Services is a M-F 7am-5pm operation, and the ED provides our back up after hours for workplace injuries.  However, it is difficult for them to provide qualified, trained collectors for forensic drug and alcohol testing.  Thus, we are working on other options, and would like to benchmark with what others are doing.  So, I'm interested in knowing what your institution does for nights/weekends when a medical center employee is being evaluated for cause/reasonable suspicion.  Which of the following applies at your institution, and how happy are you with how that works?

(a) The ED provides for specimen collection (if so, how has that been working out with CCF, collection QA, etc?)

(b) We send employees to a nearby 24/7 occ health clinic outside our medical center

(c) Our medical center provides occ health services 24/7

(d) We have occ health staff on call 24/7 to come in for collection

(e) We have trained collectors available on site at our medical center from other departments (e.g. an administrative supervisor)

(f) We have an outside mobile service come on site to perform collections

(g) We do not test after hours, and refer the individual to OHS the next business day.

(h) Other?

Mark

Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.dmc.org_ohs&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=P4-oD-wmIzNw0MCMGr_L-5Nkfs7vVjJnquM6qLd8fTQ&s=LWGdhlfea17b1opmlNfI-z6Ke6Hfc1LWLKCRy4N1KB0&e=>

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