[MCOH-EH] MCOH-EH Digest, Vol 253, Issue 113 (Drug Screens)

[Trish Figura-Delia]

Hi Darlene:

We do pre-employment (Post offer) - Rapid on-site screen, if non-negative we send out to Lab/MRO
Reasonable Suspicion/For Cause - send out to Lab/MRO/split specimen
We do not do randoms

Trish
JHACH

I am curious as to what other facilities are using as their drug screen methods for the following:
Pre-employment
Randoms
Reasonable suspicion/cause or other mandatory

I am researching with plans to change our methods due to continuous reports and the new creative ways employees are coming up with in hopes of avoiding a positive result; such as, devices, using someone else's urine & maintaining adequate temp and actually have had 1 reported method where someone was injecting via catheter "homemade" urine who was eventually caught.




Thank you,

Darlene Sims MSN,FNP-C
Director Infirmary Employee Health Services Locations at MIMC, Thomas Hospital ,NBI &ACH
185 Mobile Infirmary Blvd
Mobile, Al 36607
MIMC office (251)435-3377 opt 3 fax (251)435-3067 Thomas Hospital (251)279-1605 fax (251)279-1606 NBI (251)937-5521 ext 1860 ACH (251)368-6314 darlene.sims at infirmaryhealth.org<mailto:darlene.sims at infirmaryhealth.org>

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Thank you.
Sturdy Memorial Hospital.
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Message: 2
Date: Thu, 29 Mar 2018 20:58:57 +0000
From: Trish Figura-Delia <pfigura1 at jhmi.edu>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Exposure to Patient's Urine Who Has Been on
	Vincristine
Message-ID: <290be883734c4203bce3c758209d914f at ACHMBX2.win.ad.jhu.edu>
Content-Type: text/plain; charset="us-ascii"

We had a recent exposure to a HCP of urine from a child receiving chemotherapy (Vincristine). The employee sat on a urine soaked bed (sorry for the details), and sustained cutaneous exposure to the urine.  The last dose of chemo was given less than 48 hours ago.  The SDS was consulted and recommendations followed.

Does anyone perform F/U blood work and/or urine testing to monitor exposure? I would appreciate any other recommendations you have.

Thanks
Trish

Patricia Figura-Delia RN MS
Employee Health Nurse & Ergonomics
Johns Hopkins All Children's Hospital
Employee Health Services
500 Seventh Avenue South
St. Petersburg, Florida  33701
P 727-767-8827 | F 727-767-8399
pfigura1 at jhmi.edu<mailto:pfigura1 at jhmi.edu>
www.HopkinsAllChildrens.org<http://www.hopkinsallchildrens.org/>

[JH-ACH LOGO]

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Message: 3
Date: Fri, 30 Mar 2018 18:25:16 +0000
From: Maxwell Barb <Barb.Maxwell at HCAHealthcare.com>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Drug Screening
Message-ID:
	<DM5PR0201MB3479E1D1D137C8995AB5F2DD8DA10 at DM5PR0201MB3479.namprd02.prod.outlook.com>
	
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Please see comments below....

[GoldBlueGreen (2)]
Barb Maxwell RN, MHA, COHN-S, CCM, CWCP, QRP, FAAOHN Division Director Company Care Occupational Health Services HCA - West Florida Division
Phone: (727) 528-5932
Fax: (727) 528-5933
Cell: (727) 560-7252
"Our greatest asset is the customer! Treat each customer as if they are the only one!"

[Logo3][http://connect.medcity.net/documents/15752384/45877034/HR+logo+medium.png/f20c9083-0048-4a77-98b8-325068499aa9?version=1.0&t=1412284636457]

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From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Darlene Sims
Sent: Thursday, March 29, 2018 12:01 PM
To: mcoh-eh at mylist.net
Subject: {EXTERNAL} [MCOH-EH] Drug Screening

I am curious as to what other facilities are using as their drug screen methods for the following:
Pre-employment[Barb Maxwell]  Rapid on site testing Randoms[Barb Maxwell]  We do not perform random testing on our employees.  Outside companies we service has urine drug screens performed.  Depending upon the company - depends on which panel we collect for.
Reasonable suspicion/cause or other mandatory[Barb Maxwell]  We perform Med Pro through CRL.

I am researching with plans to change our methods due to continuous reports and the new creative ways employees are coming up with in hopes of avoiding a positive result; such as, devices, using someone else's urine & maintaining adequate temp and actually have had 1 reported method where someone was injecting via catheter "homemade" urine who was eventually caught.




Thank you,

Darlene Sims MSN,FNP-C
Director Infirmary Employee Health Services Locations at MIMC, Thomas Hospital ,NBI &ACH
185 Mobile Infirmary Blvd
Mobile, Al 36607
MIMC office (251)435-3377 opt 3 fax (251)435-3067 Thomas Hospital (251)279-1605 fax (251)279-1606 NBI (251)937-5521 ext 1860 ACH (251)368-6314 darlene.sims at infirmaryhealth.org<mailto:darlene.sims at infirmaryhealth.org>

[http://files.constantcontact.com/3764064b001/d2df599f-d03a-49cb-9c8d-29610f84b323.png]


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End of MCOH-EH Digest, Vol 253, Issue 113
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