[MCOH-EH] Drug Diversion

[Nancy Rodway]

I would hope that the results shared are those that have been MRO’d as the presence of any particular drug (or combo of drugs) does not equate to impairment.

Nancy Rodway MD MPH FACOEM MRO

Sent from my iPhone

On Jan 4, 2019, at 12:34 PM, Shea, Joann via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>> wrote:

We do share results of our drug screen/alcohol results with our administrative diversion team.

If it is a drug diversion or impairment issue,  we do share the results with our diversion team which consist of:   EHS manger/director,  the employee’s  manager and/or director, HR manager/VP,  Chief Nursing Officer, Diversion Officer, and Security Director.   It is in our policy that they have the right to know due to “probable cause of diversion or impairment at work” as they are part of the intervention.

We have never had a confidentiality breach as the team is primarily administrative and does not breach protocol.  The diversion team is also part of the team that makes decisions on rehab, recovery, return to work, referral to state recovery agencies, DEA or licensing boards so it is important they are aware of drug testing results.

We also do root cause analysis of diversion/impairment cases, so the team needs to understand the situation to investigate the case.  We may even get Risk Management and Corporate compliance involved as needed.  We also inform managers of alcohol levels of impaired employees as we feel this is an opportunity to teach the management team observation on impairment.

We hold our management team to strict confidentiality standards and in my 30+ years at this organizations have never had a manager breach this related to substance abuse.



JoAnn Shea, MS, APRN, COHN-S
Director, Employee Health Services
Tampa General Hospital
Cell: 813-789-3441
Office: 813-844-7692
FAX: 813-844-8144
jshea at tgh.org<mailto:xxxxxxxxx at tgh.org>

We Heal. We Teach. We Innovate.
We Are TGH.
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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf OfLeClair-Netzel Megan E
Sent: Thursday, January 3, 2019 5:22 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Drug Diversion

Hello,

Do any groups share all positive urine drug results, even those that come back negative from the MRO (testing positive for something with a valid prescription), with the investigatory team for potential drug diversion?

Thanks,

Megan

Megan LeClair-Netzel, DNP, RN, AGCNS-BC
Manager of Employee Health Services
UW Health
600 Highland Ave MC: 6715
Madison, WI 53792
Office: (608) 422-8055
Pager: 8097

Your Health, Your Goals. Discover Wellness Options at Work<wellness.uwhealth.org>.

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