[MCOH-EH] Urine Drug Testing Panels

[Dr Joe Fanucchi]

On 12/20/2017 8:42 AM, Jordana L. Mcdonald wrote:
>
> Greetings:
>
> We are a medical center/hospital with over 4500 employees.  We 
> presently do pre-employment drug screening for all employees with a 
> Rapid 5 Panel Urine Drug Test that is then sent out if anything comes 
> back positive. We are wondering what other organizations use for 
> pre-employment urine drug testing?  Specifically does anyone use 10 
> panel screens, healthcare worker specific screens, and do you do 
> different screens for healthcare employees (nursing, providers) versus 
> other types of employees (ie housekeeping, nutrition services, etc.).
>
> Any input would be appreciated.
>
> *Jordana McDonald FNP-c*
>
> Salem Health Employee Health/Occupational Medicine
>
> Salem Health Medical Group
>
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Colleagues,

When I was an area medical director with the US Postal Service, we 
stopped referring to the results of on-site urine tests as "positive" or 
"negative". We found quite a few job applicants who insisted that their 
test could not possibly be "positive." We started using the term 
*_NFA_*, for "Needs Further Analysis." We explained that the big red *+* 
indicator on the test meant only that it could not be definitively 
interpreted using the on-site rapid screen alone, and that it required 
"further analysis" by a laboratory and review by an MRO.

It cut down pretty significantly on the hostile reactions from 
applicants with on-site rapid panels when the result was a big red *+*.

Hope this helps,

Joe Fanucchi


-- 
*Joe Fanucchi MD FACOEM*
President and Medical Director
MediTrax / OHS, Inc. <http://www.meditrax.com/>
o:925-820-7758
c:925-368-3367
<http://www.meditrax.com/>
/MediTrax software: Everything you need, at a fraction of the cost!/
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