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

[Hudson, T. Warner]

We are exactly as Christine says below.  Warner

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 Spivey, Christine
Sent: Wednesday, July 20, 2016 7:55 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Use of prescription drugs - instant drug screens

We do not do instant drug screens.  Typical turnaround time is 2 days.  Anything positive goes to MRO and must be cleared prior to starting, even if they have a prescription for the drug that is popping positive.
Christine
[Email Signature LOGO]

Christine Spivey BSN, RN
Employee Health / Worker's Compensation
Carteret Health Care
3500 Arendell Street, Morehead City, NC 28557
Office: 252 808-6480  |  Fax:  252 808-6676  |  cspivey at ccgh.org<mailto:cspivey at ccgh.org>

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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'
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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