[MCOH-EH] Use of prescription drugs - instant drug screens

[Barb.Maxwell at HCAHealthcare.com]

Just know when you have this practice in place and while waiting for results you are liable for any potential work comp injury.  You have assumed all risk with bringing them on your payroll - even while waiting for the final results.

Barb Maxwell RN, MHA, COHN-S, CCM, CWCP, QRP, FAAOHN
Division Director Company Care
Occupational Health Services
HCA - West Florida Division
Phone: (727) 528-5932
Fax: (727) 528-5933
Cell: (727) 560-7252
"Our greatest asset is the customer! Treat each customer as if they are the only one!"

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Wednesday, July 20, 2016 12:02 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Use of prescription drugs - instant drug screens

We do allow the person to work if they provide their prescription bottle and if the drug that shows positive is not illegal....until we hear from the confirmatory test or the MRO.... But if the person appears impaired we have the discretion to not let them work.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Kevin Matson
Sent: Tuesday, July 19, 2016 2:41 PM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Use of prescription drugs - instant drug screens

I have been asked to consider a new process for new hire drug screens. Currently when a candidate has a positive instant drug screen, we then send the specimen for confirmation testing and ultimately to the MRO. Meanwhile, the new employee is on medical hold and may not start work.

For the proposed change, I am being asked to have the candidate present their prescription bottles, and then have an occupational health nurse determine if the employee has a valid prescription. If the employee presents a valid prescription, we would then let the candidate start pending the final review from MRO. If the candidate could not present a valid prescription, they would be on a medical hold until final MRO result was obtained.

I have a strong opinion about this, but I don't want to bias the group with my opinion. Is anyone doing this and can you share your experience? Or, has anyone tried this and discontinued the practice?

Thanks,

Kevin Matson, Director
Occupational Medicine Service Line
Northeast Georgia Health System, Inc.
770-219-3957
kevin.matson at nghs.com<mailto:kevin.matson at nghs.com>




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