[MCOH-EH] For cause UDS

[Brad Petty]

Whatever your policy dictates you can test for, you can test for in a reasonable suspicion scenario. Full panel. 
Brad Petty 
NOHS

Typos & brevity via iPhone. 

> On Oct 23, 2021, at 2:00 PM, mcoh-eh-request at mylist.net wrote:
> 
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> Today's Topics:
> 
>   1. Re:  [EXTERNAL] UDS for Reasonable Suspicion vs Diversion
>      (Auerbach, Karl)
>   2. Re:  UDS for Reasonable Suspicion vs Diversion (Nancy Rodway)
>   3.  UDS for Reasonable Suspicion vs Diversion (Deanna Prater)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Fri, 22 Oct 2021 16:31:44 +0000
> From: "Auerbach, Karl" <KAuerbach at emblemhealth.com>
> To: "fldocstu at aol.com" <fldocstu at aol.com>, MCOH-EH
>    <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [EXTERNAL] UDS for Reasonable Suspicion vs
>    Diversion
> Message-ID:
>    <BN0PR10MB50163265DE881456BD4540C5C7809 at BN0PR10MB5016.namprd10.prod.outlook.com>
>    
> Content-Type: text/plain; charset="utf-8"
> 
> This is a great idea regarding diversion testing.
> 
> Can we post this on the MRO list.
> 
> Karl
> 
> From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Stuart Sandler via MCOH-EH
> Sent: Thursday, October 21, 2021 4:35 PM
> To: mcoh-eh at mylist.net
> Cc: fldocstu at aol.com
> Subject: [EXTERNAL] [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
> This electronic message from EmblemHealth is intended for the use only of the named recipient(s), and may contain information that is confidential or privileged. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you received this message in error or are not the named recipient, please notify the sender of the message immediately at the e-mail address above and delete and destroy all copies of this message.
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> ------------------------------
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> Message: 2
> Date: Fri, 22 Oct 2021 17:42:15 +0000
> From: Nancy Rodway <nrodway at hotmail.com>
> To: "fldocstu at aol.com" <fldocstu at aol.com>, MCOH-EH
>    <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion
> Message-ID:
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> 
> 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
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> ------------------------------
> 
> Message: 3
> Date: Fri, 22 Oct 2021 21:14:47 +0000
> From: "Deanna Prater" <dprater at luhonline.com>
> To: mcoh-eh at mylist.net
> Subject: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion
> Message-ID: <em63b4c5c2-4894-4b13-91fb-1e1b83235417 at acueh002790>
> Content-Type: text/plain; charset=utf-8; format=flowed
> 
> We test the whole panel.
> 
> 
> Deanna Prater BSN, RN
> Director of Infection Control, Employee Health & Safety
> 600 Ranch Road
> Reedsport, Oregon 97467
> (541) 271-6323
> Fax: (541) 271-6353
> dprater at luhonline.com
> 
> 
> ------ Original Message ------
> From: mcoh-eh-request at mylist.net
> To: mcoh-eh at mylist.net
> Sent: 10/22/2021 12:00:00 PM
> Subject: MCOH-EH Digest, Vol 256, Issue 188
> 
>> Send MCOH-EH mailing list submissions to
>> mcoh-eh at mylist.net
>> 
>> To subscribe or unsubscribe via the World Wide Web, visit
>> https://mylist.net/listinfo/mcoh-eh
>> or, via email, send a message with subject or body 'help' to
>> mcoh-eh-request at mylist.net
>> 
>> You can reach the person managing the list at
>> mcoh-eh-owner at mylist.net
>> 
>> When replying, please edit your Subject line so it is more specific
>> than "Re: Contents of MCOH-EH digest..."
>> 
>> 
>> Today's Topics:
>> 
>>   1.  UDS for Reasonable Suspicion vs Diversion (fldocstu at aol.com)
>> 
>> 
>> ----------------------------------------------------------------------
>> 
>> Message: 1
>> Date: Thu, 21 Oct 2021 20:35:13 +0000 (UTC)
>> From: fldocstu at aol.com
>> To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
>> Subject: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion
>> Message-ID: <1050524935.380528.1634848513460 at mail.yahoo.com>
>> Content-Type: text/plain; charset="utf-8"
>> 
>> Good afternoon all,
>> 
>> 
>> ?
>> I?m cross posting this.?For our hospital employees, for reasonable suspicion we use a med-propanel and add Suboxone and Fentanyl.?However, I am recommending that for testing in a case of suspecteddiversion, we test for just the medication in question rather than a totalmed-pro panel.? I am concerned that itmay be a HIPPA issue or seen as a ?fishing expedition? if we test for anythingother than the drug in question.? I wouldappreciate hearing how others are testing in a case of suspected diversion.
>> 
>> 
>> ?
>> Thank you in advance.
>> 
>> 
>> ?
>> Stuart Sandler, DO?
>> 
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> Subject: Digest Footer
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> ---------------------------------------
> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
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