[MCOH-EH] Drug Testing

[William.Scott]

We follow pretty much the same process at our system. We outsource the MRO and lab and have very good turnaround times in rapid is positive. Typically we do not hold back the on boarding process which happens at the same visit for convenience for the new employee. If drug testing should come back pos then condition of hire is re-evaluated.

Bill

William Scott, MD, MPH, FACOEM
Clinical Associate Professor, Carle Illinois College of Medicine,
Head, Occupational & Envionmental Medicine & Employee Health
Carle Foundation Hospital, Carle Physician Group.
O 217-383-5383
M 217-372-4819


From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Shea, Joann via MCOH-EH
Sent: Wednesday, May 4, 2022 7:34 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Shea, Joann <jshea at tgh.org>
Subject: [EXT] Re: [MCOH-EH] Drug Testing


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We do a rapid 5 panel drug test in the clinic and test for THC, opiates, cocaine, amphetamines and meth.   Any + rapid is sent out for a confirmatory test to an outside lab and MRO.  Results take up to 3-5 days for send outs.

  95% of our rapid tests  are negative and we can clear the new hire during the onboarding visit.

However, if the person is on a prescription medication and shows us the prescription bottle, and the rapid is +, we require a review with the RN.    We do have quite a few people on ADHD meds with + amphetamine and a few on opiates short term for dental, etc.

After review, the RN may clear them to start orientation before we receive the confirmatory results.     If a new hire misses orientation, they need to wait another two weeks for the next one and we try to avoid that as much as possible with the current labor shortage.

JoAnn Shea, APRN, MS, COHN-S
Director, Team Member Health and Wellness
Tampa General Hospital
Office: 813-844-7692
Cell:      813-789-3441
jshea at tgh.org<mailto:jshea at tgh.org>

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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Charles Hackett
Sent: Monday, May 2, 2022 7:32 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Drug Testing


WARNING: This email came from an external source outside of Tampa General Hospital.

Our organization is looking at ways to improve the efficiency of onboarding new employees and is considering stopping pre placement urine drug testing.
Historically the UDT has been done by our own lab and has been rate limiting and of concern from a compliance process.
Do you do UDT at preplacement? If so, why?
If your organization does UDT at pre placement is it outsourced?
Is it an HR process or an employee health process?
Thank you
Charlie

Charles D Hackett, MD, MPH
Medical Director, Employee and Occupational Health, Lifespan
Chief Community and Family Medicine, Rhode Island Hospital
Clinical Assistant Professor of Family Medicine, Brown University


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