[MCOH-EH] Drug Screening of Off-site employees

[Darlene Sims]

Interested how other Employee Health (EH) offices handle drug screening employees in situations of reasonable suspicion/cause; such as possible diversion, appearing to be under the influence or pharmacy discrepancy when EH is closed (after hours, weekends, holidays) and off site employees. In particular, I am curious how it is handle for employees who do not work on the same campus as EH, whether during EH hours or when closed.

I work for a large healthcare system which consists of 3 hospitals, each with an EH office either in the hospital or on campus; however, we have several clinics which are not located on campus, 5-20 miles away from the nearest EH or ED.
We also have one FED (free standing ED) and one in construction, both are 15-20 miles from EH.
Recent questions and scenarios have come up as to what should be done when there is a situation, similar to what is mentioned above, in a clinic or FED that is located off site or when EH is closed.

Our current process for those on campus, employee is sent to EH accompanied by supervisor during business hours and after hours they are taken to ED.

Also, what are you using as testing process and panel?  We are currently using Urine 10 panel with extended opiates; however, we are in the process of speaking to our reference lab sales rep. regarding creating a more extensive panel. He states they have what is called a "Medical Profession" Panel.




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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