[MCOH-EH] Suspected fentanyl use

[Weaver, Meredith]

Hi JoAnn,

We had a recent situation with suspected fentanyl diversion and made a recommendation similar to the approach that your hospital takes where the intervention would be made during the middle or near the end of the shift.  The director of the unit was not comfortable with that approach from a patient safety perspective.  How do you address patient safety while the suspected diverter works his/her shift?

Thanks,
Meredith


From: MCOH-EH [mailto:mcoh-eh-bounces+weaverm=wvumedicine.org at mylist.net] On Behalf Of Joann via MCOH-EH Shea [*]
Sent: Wednesday, May 9, 2018 3:38 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Shea, Joann <jshea at tgh.org<mailto:jshea at tgh.org>>
Subject: Re: [MCOH-EH] Suspected fentanyl use

We developed a healthcare professional panel with our lab that includes fentanyl and do a urine test when we have a suspected diversion.    If we suspect fentanyl diversion, we arrange for the intervention in the middle or near the end of the HCW's shift, as most will use it sometime during their shift and/or have drug in their possession when we search them and their belongings.    We get a positive urine drug screen results for fentanyl in most cases when we intervene in the middle or end of shift.

We contract with CRL and FedEX all urine specimens out for next day service.  We get results within 2-4 days, on average.

[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness      "Caring for our Caregivers"
Work: 813-844-7692    Cell:  813-789-3441    FAX;  813-844-8144    Email: jshea at tgh.org<mailto:jshea at tgh.org>



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]On Behalf Of Yvonne Noel via MCOH-EH
Sent: Tuesday, May 01, 2018 11:29 AM
To: MCOH/EH
Cc: Yvonne Noel
Subject: [MCOH-EH] Suspected fentanyl use

CAUTION:This email originated from outside of the organization.  Do not click links or open attachments unless you recognize the sender and know the content is safe.


I would appreciate info on the following questions related to suspected  fentanyl use:

*         How would you proceed if an employee was suspected of fentanyl use?

*         Would you test urine, saliva or blood?

*         Can you provide the information on the screening panel used?

*         Where would the specimen be sent for testing?



Thank you,

Yvonne Noel





Yvonne Noel
Interim Manager
Occupational Health and Wellness
O: 214-456-1897
F: 214-456-2665
E:mary.noel at childrens.com



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