[MCOH-EH] Use of prescription drugs - instant drug screens
Diane Shaw
diane.shaw at tuality.org
Thu Jul 21 11:28:30 PDT 2016
All abnormal urine drug screens are sent to the MRO. The new hire cannot work at all until cleared by the MRO.
Diane M. Shaw, RN, BSN, CIC, COHN-S
Tuality Healthcare
Employee Health Services
335 S.E. 8th Ave
Hillsboro, OR 97123
Phone: 503.681.1444
Fax: 503.681.4170
Tues.-Fri. 0730-1700 hours
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Today's Topics:
1. Use of prescription drugs - instant drug screens (Kevin Matson)
2. Re: Use of prescription drugs - instant drug screens
(Thrasher, Terri)
3. Re: Use of prescription drugs - instant drug screens (Dues, Gigi)
4. After hours (Lisa S. Hegel)
5. Re: After hours (Sampson, Deborah)
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Message: 1
Date: Tue, 19 Jul 2016 18:40:47 +0000
From: Kevin Matson <Kevin.Matson at nghs.com>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Use of prescription drugs - instant drug screens
Message-ID: <935c1baaa10a48cbac947f68d856c5d6 at HQASMAIL1.nghs.com>
Content-Type: text/plain; charset="us-ascii"
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
Email secured by NGHS
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Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501. www.nghs.com
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Message: 2
Date: Wed, 20 Jul 2016 04:01:45 +0000
From: "Thrasher, Terri" <Terri.Thrasher at cchmc.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Use of prescription drugs - instant drug
screens
Message-ID:
<6D0F651D183C00439FDA321943976C134A9ED58A at MCEXMB1.chmccorp.cchmc.org>
Content-Type: text/plain; charset="us-ascii"
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>
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>
Email secured by NGHS
-------------------------------------------------------------------------------- This e-mail communication, including any attached files may contain material that is proprietary, privileged, confidential, or otherwise legally exempt from disclosure. This e-mail communication is intended solely for the use of the individual or entity to which it is addressed. You may not re-disclose this information without additional consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject us, or you, to penalties described in federal (HIPAA) and state law. If you, the reader of this message, are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501. www.nghs.com<http://www.nghs.com>
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Message: 3
Date: Wed, 20 Jul 2016 04:10:30 +0000
From: "Dues, Gigi" <Gigi.Dues at ketteringhealth.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Use of prescription drugs - instant drug
screens
Message-ID:
<F32A02A4DAC2CD4D853963B46BB822BC0212553B5C at KHEXMB09.ketthealth.com>
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For us, the new hire candidate is 'on hold' until we receive a negative MRO'd test. They do not attend orientation or start work until this is back and we clear them to start.
Gigi Dues, BSN, RN
Network Employee Health Manager
Kettering Health Network
Phone: 937-762-1131 (Ext-21131)
Fax: 937-522-8042
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: [External Marketing Email] [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>
Email secured by NGHS
-------------------------------------------------------------------------------- This e-mail communication, including any attached files may contain material that is proprietary, privileged, confidential, or otherwise legally exempt from disclosure. This e-mail communication is intended solely for the use of the individual or entity to which it is addressed. You may not re-disclose this information without additional consent or as required by law. Unauthorized re-disclosure or failure to safeguard PHI could subject us, or you, to penalties described in federal (HIPAA) and state law. If you, the reader of this message, are not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, please notify us immediately and destroy the related message. Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501. www.nghs.com<http://www.nghs.com>
**KHN Confidentiality Notice**
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Message: 4
Date: Wed, 20 Jul 2016 11:29:59 +0000
From: "Lisa S. Hegel" <Lisa.S.Hegel at hitchcock.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] After hours
Message-ID:
<0DEF38E31AF34A478FBCC7DB1FD7D465A8474C19 at DH208.DHMCMaster.DH.Hitchcock.org>
Content-Type: text/plain; charset="us-ascii"
We too have nurses on call 24/7 for Fitness for Duty/dgt/BAT testing for Inhouse employees and for dgt/BAT for external clients.
For after-hours bloodborne exposures, staff are instructed to page the Nursing Supervisor who consent( if indicated) and test the "source" pt. They have confidential numbers they use. The TAT time for labs is ~ 2 hrs, so the employee remains working and gets notified of the results. (We use a 4th generation HIV). Staff are then instructed to f/u with us next business day for counseling, baseline labs, discussion of any need for f/u, etc. It works pretty well and keeps the employee out of the ED (where they would sit for hours...) and working.
Lisa Hegel, MS, APRN, COHN-S
Nurse Supervisor
Occupational and Environmental Medicine
Dartmouth-Hitchcock Medical Center
Lebanon, NH 03756
603-653-3850
Fax: 603-650-0928
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Message: 5
Date: Wed, 20 Jul 2016 11:49:57 +0000
From: "Sampson, Deborah" <Deborah.Sampson at snhhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] After hours
Message-ID:
<D482F4A6B9121A4783250D7A0FEE17A51B328960 at IFMBOX1V.snhmc.org>
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We do essentially the same as DHMC however on weekends the employee goes to ED in case PEP is required- I have only had 2 in the last year who required PEP.
Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health P.O.Box 2014 8 Prospect Street Nashua, NH 03060
p(603) 281-8583 f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>
[cid:image002.png at 01D12056.31ABE440]
From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Lisa S. Hegel
Sent: Wednesday, July 20, 2016 7:30 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] After hours
We too have nurses on call 24/7 for Fitness for Duty/dgt/BAT testing for Inhouse employees and for dgt/BAT for external clients.
For after-hours bloodborne exposures, staff are instructed to page the Nursing Supervisor who consent( if indicated) and test the "source" pt. They have confidential numbers they use. The TAT time for labs is ~ 2 hrs, so the employee remains working and gets notified of the results. (We use a 4th generation HIV). Staff are then instructed to f/u with us next business day for counseling, baseline labs, discussion of any need for f/u, etc. It works pretty well and keeps the employee out of the ED (where they would sit for hours...) and working.
Lisa Hegel, MS, APRN, COHN-S
Nurse Supervisor
Occupational and Environmental Medicine
Dartmouth-Hitchcock Medical Center
Lebanon, NH 03756
603-653-3850
Fax: 603-650-0928
IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:
This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.
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