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

[Jenkins, Maribeth]

We started with D and moved to E now.  We actually employed a full time drug diversion nurse last year.  She is on call 24/7 for this, with me as a backup.  It has been very beneficial to have 1 expert completing these for consistency.  We had too many errors in CCF, QA etc. with multiple people completing.  Also, she provides education to hospital staff, community, hosts drug take backs- makes risk rounds in areas, seeks resources for addiction treatment, on and on.  Really has been a good thing for us.

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 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<http://www.dmc.org/ohs>

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