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

[Thrasher, Terri]

Does the vendor explain why they're there and get the consent and tell them about the next process (perhaps suspension)???

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Schweitzer, Kit
Sent: Wednesday, July 20, 2016 11:19 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours

We do (f) We have an outside mobile service come on site to perform collections for all our for cause and random drug/BAT testing even when Employee Health is open.
The EMT's are trained and very proficient at drug testing plus we avoid a possible perception of impropriety because the employer or coworker is not doing the collecting. The mobile service also QA their own equipment, ie BAT machine and are regulated, so legality and appeal process is covered.
The results go to the 3rd party vendor (the mobile service is part of an occ health clinic) and they provide MRO services as well. Then results come to Employee Health.
Our mobile service is fast, 30" lead time or less and drug screens come back in about 2-3 days.
It works well for us; we have approximately 6000 employees.


Kit Schweitzer, RN, BSN, COHN  |  Employee Health Nurse |  Employee Health & Safety Oregon Network
PeaceHealth<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.peacehealth.org_&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=Ms2l1wN5MdA_-64HvXbwBGAyYpMYvGkpsog455bcLLM&s=3dgGCKN1vCWW2E2MllZQ4Id2ZPaGQSWB8TGl-iDPd5Q&e=>  |  3333 Riverbend Way |  Springfield, OR 97477
[peace-logo-lockup copy_480px]office 541-222-2544  |  fax 541-222-2548







From: MCOH-EH [mailto:mcoh-eh-bounces+kschweitzer=peacehealth.org at mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, July 19, 2016 11:23 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours


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Agree, we tried having a subset of ED nurses trained but having a trained collector present on all shifts just couldn't be maintained over time. The external vendor is the same the ED would use for any employer's post-accident testing under DOT or non-regulated testing, so the ED just needs to call one number for all UDS/BAT needs regardless of employer.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu<https://urldefense.proofpoint.com/v2/url?u=https-3A__mail2.peacehealth.org_enduser_classify-5Furl.html-3Furl-3DU-26-2343-3BSdSP5-26-2343-3B1vhsWNzrXXJEib37xWHsndSMwn-26-2343-3BA2h3KjyAcv59tS5QGrxwAgj-26-2343-3Bap5li&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=Ms2l1wN5MdA_-64HvXbwBGAyYpMYvGkpsog455bcLLM&s=tQZJ_jVtqGlMI3x08zXdi5_G4sRsrUI3vxnAJ9mxk0k&e=>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Tuesday, July 19, 2016 10:29 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after hours

See my answers below Mark  We had the same issue and took 5 years to straighten out.

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=https-3A__mail2.peacehealth.org_enduser_classify-5Furl.html-3Furl-3DPsmjISUNHCjAE1SssZEzMcjhDnP9mq_dTgxvRvKGvfk-3D&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=Ms2l1wN5MdA_-64HvXbwBGAyYpMYvGkpsog455bcLLM&s=EN8dcS80XxM8OjMiSyz9dML5riZShsGYP-Y5CGiLrXo&e=>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Tuesday, July 19, 2016 8:05 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
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?) We have changed to an outside DT collections vendor that comes on site and uses out of the way bathroom for the forensic urine drug test collections and does the breath alcohol test.  We use the Quest HPP Comp 1 panel.  I did this in N CA and it worked great.  If a medical problem like passed out head trauma once ED has person medically stable to outside collections people do their thing and none of the drug alcohols is in the medical record as it's forensic

(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 We are only M-F 7-4:30; ED after and DT collections never worked and they did not do breath alcohol

(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 this is what we do

(g) We do not test after hours, and refer the individual to OHS the next business day. Not a god plan as the drugs alcohol metabolize

(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=https-3A__mail2.peacehealth.org_enduser_classify-5Furl.html-3Furl-3Da7ZevIBHt6IBHMR7GniuMkWpAFc3dcMwHiXuRq_YKEo-3D&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=Ms2l1wN5MdA_-64HvXbwBGAyYpMYvGkpsog455bcLLM&s=weyVby-lAXNd_g6vzkoWCv3wfKTYt23SUWhDnVwSb5Y&e=>

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