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

[Denise Smith (Employee Health)]

Our lab has a trained tech available  24/7 to collect our drug screens, for our company and other companies. 

We used a service after hours for breath alcohols and were not satisfied with the wait. 
Our hospital police department now performs our breath alcohols after hours. 


Denise Smith, RN, COHPM -
Human Resources, Asst. Director
Employee Health and Workers' Compensation Employee Health Clinic Lexington Medical Center
2720 Sunset Blvd. 
West Columbia, S.C.  29169
803.791.2199 or 939.8734
Fax 803.936.8217
edsmith2 at lexhealth.org
 
Designated Parking spaces for clinic visits are available in the parking lot behind LMP 1 Garage. 
 
Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Tuesday, July 19, 2016 7:50 PM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 178

Send MCOH-EH mailing list submissions to
	mcoh-eh at mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
	http://mylist.net/listinfo/mcoh-eh
or, via email, send a message with subject or body 'help' to
	mcoh-eh-request at mylist.net

You can reach the person managing the list at
	mcoh-eh-owner at mylist.net

When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1. Re:  For cause/reasonable suspicion testing after hours
      (Swift, Melanie)
   2. Re:  For cause/reasonable suspicion testing after hours
      (Birkholz, Brenda M)
   3. Re:  For cause/reasonable suspicion testing after hours
      (Spangler, Mary)


----------------------------------------------------------------------

Message: 1
Date: Tue, 19 Jul 2016 18:22:42 +0000
From: "Swift, Melanie" <melanie.swift at Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after
	hours
Message-ID:
	<984BE23843F0DE4EBE652D6EE07600BE636DDBEF at ITS-HCWNEM104.ds.vanderbilt.edu>
	
Content-Type: text/plain; charset="us-ascii"

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

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

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

__________________________________________

This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.



This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.

________________________________

UCLA HEALTH SCIENCES IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20160719/de738473/attachment-0001.html>

------------------------------

Message: 2
Date: Tue, 19 Jul 2016 16:19:37 +0000
From: "Birkholz, Brenda M" <BBirkholz at hutchhealth.com>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after
	hours
Message-ID:
	<088192A090BDE24084437E4839B653E8549AC334 at SISU-EXCH01.sisunet.org>
Content-Type: text/plain; charset="us-ascii"

We use option "F" - we are a small rural facility and have appreciated having an independent service available to handle this.

Brenda Birkholz, MPH, RN, COHN-S
Manager, Occupational Health and Out-Patient Education Hutchinson Health
1095 Hwy #15 S
Hutchinson, MN  55350
Ph: 320-484-4502
Fax: 320-484-4643
[HHC-Logo1]


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark

Sent: Tuesday, July 19, 2016 11:05 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?)



(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<http://www.dmc.org/ohs%3chttp:/www.dmc.org/ohs>>

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20160719/2ed6d998/attachment-0001.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image003.jpg
Type: image/jpeg
Size: 1577 bytes
Desc: image003.jpg
URL: <http://mylist.net/archives/mcoh-eh/attachments/20160719/2ed6d998/attachment-0001.jpg>

------------------------------

Message: 3
Date: Tue, 19 Jul 2016 21:17:54 +0000
From: "Spangler, Mary" <MSpangler at stanfordhealthcare.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] For cause/reasonable suspicion testing after
	hours
Message-ID:
	<6B1542C0199903499FE8CBDB8380D5BA58708D7E at SHEXCHPSCMX101.Enterprise.stanfordmed.org>
	
Content-Type: text/plain; charset="us-ascii"

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]
Confidential Information: This communication and any attachments may contain confidential or privileged information for the use by the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or the attachments is strictly prohibited. If you have received this communication in error, please contact me and destroy all copies of the communication and attachments. Thank you.

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>
Cc: Leslie Thompson <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<http://www.dmc.org/ohs>

__________________________________________

This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.



This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20160719/f844aedc/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 24605 bytes
Desc: image001.png
URL: <http://mylist.net/archives/mcoh-eh/attachments/20160719/f844aedc/attachment.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image002.jpg
Type: image/jpeg
Size: 5461 bytes
Desc: image002.jpg
URL: <http://mylist.net/archives/mcoh-eh/attachments/20160719/f844aedc/attachment.jpg>

------------------------------

Subject: Digest Footer

---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.

------------------------------

End of MCOH-EH Digest, Vol 251, Issue 178
*****************************************
PRIVILEGED AND CONFIDENTIAL: This electronic message and any attachments are confidential property of the sender. The information is intended only for the use of the person to whom it was addressed. Any other interception, copying, accessing, or disclosure of this message is prohibited. The sender takes no responsibility for any unauthorized reliance on this message. If you have received this message in error, please immediately notify the sender and purge the message you received. Do not forward this message without permission.