[MCOH-EH] Drug Testing

[Kimberly Davis]

We do UDT after employment offer is accepted by the individual and before they report to Occ Health for onboarding. We do not do our own UDT, this is done through Quest. Employees that have a drug screen that fall out of acceptable ranges are reviewed by the Medical Review Officer (MRO) at Quest (could be a prescription medication). We receive the report from Quest indicating if the test is negative or positive based on the review. 

This is not an Employee Health process and is managed by our HR department. 

Kimberly Davis, MBA, BSN, RN
Director
Occupational Health and Wellness
O: (214) 456-4033
C: (469) 452-3972
E: Kimberly.davis at childrens.com
1935 Medical District Drive | Mailstop Mailstop E2.04  | Dallas, TX 75235
Follow Children’s Health℠ www.childrens.com      




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Message: 1
Date: Mon, 2 May 2022 07:31:37 -0400
From: Charles Hackett <dickenshackett at gmail.com>
To: "MCOH/EH" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Drug Testing
Message-ID:
        <CAEFKb7g_o_NPMSPOwarO==1HVJ07d1JG0vkALabqT3V9eLAfKg at mail.gmail.com>
Content-Type: text/plain; charset="utf-8"

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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Message: 2
Date: Wed, 4 May 2022 12:33:43 +0000
From: "Shea, Joann" <jshea at tgh.org>
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: 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>

We Heal. We Teach. We Innovate.
Care for everyone. Every day.
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From: MCOH-EH <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>
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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End of MCOH-EH Digest, Vol 257, Issue 86
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