[MCOH-EH] [EXTERNAL]Re: UDS for Reasonable Suspicion vs Diversion

Brown, Michael L Michael.Brown at fmolhs.org
Sat Oct 23 10:28:38 PDT 2021

As long as you have a policy and stick to that policy, you will be ok.   I don’t know how you can test for what is in question.  It could be anything.   We do an extended panel with opiates with fentanyl added.
If missing a certain drug in a count for example, if you test for that dilaudid or fentanyl and it’s negative what will be your recourse if they are impaired.   Have a good policy, be consistent and it should be good.

That’s my 2 cents, but I am interested in this conversation.
Michael B. FNP
Manager EH and Occupational Health

Get Outlook for iOS<https://aka.ms/o0ukef>
From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Nancy Rodway <nrodway at hotmail.com>
Sent: Friday, October 22, 2021 12:42:15 PM
To: fldocstu at aol.com <fldocstu at aol.com>; MCOH-EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL]Re: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion

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. If you suspect this email is phishing, use the Report Phishing button on your toolbar to report it.

We specify the drug but, obviously, there are no HIPAA issues after the UDS is MRO'd if the prescription is legitimate. (But there may be some safety-sensitive issues)

I agree about the fishing expedition issue.  Have had too many positive THCs that threatened nursing licenses.

Nancy Rodway MD MPH
Medical Director Employee Health, Knox Community Hospital

From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Stuart Sandler via MCOH-EH <mcoh-eh at mylist.net>
Sent: Thursday, October 21, 2021 4:35 PM
To: mcoh-eh at mylist.net <mcoh-eh at mylist.net>
Cc: fldocstu at aol.com <fldocstu at aol.com>
Subject: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion

Good afternoon all,

I’m cross posting this.  For our hospital employees, for reasonable suspicion we use a med-pro panel and add Suboxone and Fentanyl.  However, I am recommending that for testing in a case of suspected diversion, we test for just the medication in question rather than a total med-pro panel.  I am concerned that it may be a HIPPA issue or seen as a ‘fishing expedition’ if we test for anything other than the drug in question.  I would appreciate hearing how others are testing in a case of suspected diversion.

Thank you in advance.

Stuart Sandler, DO


Important Notice: FMOL Health System or any of its affiliates will never send e-mails that require you to send account or personal information to us via public e-mail.

This message is confidential, intended only for the named recipient(s) and may contain information that is privileged, attorney work product, highly confidential, or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender by reply e-mail, delete this e-mail from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20211023/91137922/attachment.htm>

More information about the MCOH-EH mailing list