[MCOH-EH] [External] UDS for diversion investigation

[Robert Filler]

I started a longer reply but yes is the right answer in my view. There are
non-drug and alcohol causes of impairment that should be explored too.

Thanks,
Rob

Rob Filler, MD, MBA, MPH
robert.filler at gmail.com


On Wed, Dec 11, 2024 at 11:40 AM Behrman, Amy via MCOH-EH <
mcoh-eh at mylist.net> wrote:

> Yes
>
> Amy J Behrman, MD, FACP, FACOEM
> Division Chief, Occupational Medicine
> Professor, Perelman School of Medicine
> University of Pennsylvania
> 3400 Spruce St
> Philadelphia, PA  19104
> ------------------------------
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Kumar, Bindu,
> MD <KumarB at MLHS.ORG>
> *Sent:* Wednesday, December 11, 2024 9:15 AM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Subject:* [External] [MCOH-EH] UDS for diversion investigation
>
> For staff with visible impairment, do you require a mandatory medical
> evaluation in addition to the UDS/ETOH screen?
>
> Bindu Kumar MD
> System Medical Director
> Employee Health and Safety
> Main Line Health
>
>
> * Please note this email is not intended for  patient use.  Patients
>  should call 484–565–1293.  In case of emergency, please call 911 or
> proceed to the nearest emergency room.
>
> **Please excuse any voice dictation errors.
> ------------------------------
> *From:* MCOH-EH <mcoh-eh-bounces+kumarb=mlhs.org at mylist.net> on behalf of
> Leibu, Rachel <Rachel.Leibu at atlantichealth.org>
> *Sent:* Wednesday, December 11, 2024 9:12:34 AM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Subject:* Re: [MCOH-EH] [EXTERNAL] UDS for diversion investigation
>
>
> We do the same.
>
>
>
> Rachel Leibu, MD, MBA, MS, FACOEM
>
> Medical Director Occupational Medicine Services
>
> Atlantic Health System
>
> Clinical Assistant Professor, Sidney Kimmel Medical College
>
> at Thomas Jefferson University
>
>
>
> Office 973-829-4277
>
> Cell 973-886-6708
>
>
>
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net> *On Behalf Of *Carr,
> Jennifer L.
> *Sent:* Monday, December 9, 2024 8:37 AM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Subject:* Re: [MCOH-EH] [EXTERNAL] UDS for diversion investigation
>
>
> *WARNING: This message originated from outside of Atlantic Health System.
> Any attachments or links should be carefully considered before proceeding.
> Messages from our business partners still need to be reviewed and should
> not be opened if suspicious. *
>
> *Please use the report phishing button to report a questionable email.*
>
>
>
> We follow our Fitness for Duty testing policy and collect the Reasonable
> Suspicion Panel + Blood alcohol.
>
>
>
> Jennifer
>
>
>
>
>
> [facebook.com]
> <https://urldefense.com/v3/__https://www.facebook.com/MonHealthWV__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY41jjwA8M$>
> [instagram.com]
> <https://urldefense.com/v3/__https://www.instagram.com/monhealthwv/__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4exAni5I$>
> [linkedin.com]
> <https://urldefense.com/v3/__https://www.linkedin.com/company/427457__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4_S_Kc8U$>
> [twitter.com]
> <https://urldefense.com/v3/__https://twitter.com/MonHealth__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4JcSI1P0$>
> [tiktok.com]
> <https://urldefense.com/v3/__https://www.tiktok.com/@monhealthwv?_t=8WJL2uqYSdO&_r=1__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4R0SrO10$>
>
> [facebook.com]
> <https://urldefense.com/v3/__https://www.facebook.com/vandaliahealth__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4mGQ4N68$>
> [instagram.com]
> <https://urldefense.com/v3/__https://instagram.com/vandaliahealth?igshid=YmMyMTA2M2Y=__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4Ba1Vo94$>
> [linkedin.com]
> <https://urldefense.com/v3/__https://www.linkedin.com/company/vandalia-health/__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4FosLZeE$>
> [twitter.com]
> <https://urldefense.com/v3/__https://twitter.com/vandaliahealth__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4ZDLcB1Y$>
>
> *Jennifer Carr, MSN, RN*
>
> Employee Health RN Coordinator
>
>
>
> SJMH.employeehealth at vandaliahealth.org
>
> *O* 304-269-8197
>
>
>
> 1200 J.D. Anderson Dr., Morgantown, WV 26508
>
> [monhealth.com]
> <https://urldefense.com/v3/__https://monhealth.com/__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4m6IRmgM$>
>   [vandaliahealth.org]
> <https://urldefense.com/v3/__https://vandaliahealth.org/__;!!K_I4mMC9zg!tMJ8ueeKjwfb83Iq7uEujOFtCWpEMC50GMz0fCfkLtnFHRuUZeiFvsMhlaBxWDUzE6ckqrAsVKLYjd0VcPY4HlVB3Xo$>
>
>
>
>
>
>
> ------------------------------
>
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Higazi,
> Patricia via MCOH-EH <mcoh-eh at mylist.net>
> *Sent:* Monday, December 2, 2024 12:49 PM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Cc:* Higazi, Patricia <Patricia.Higazi at chkd.org>
> *Subject:* [EXTERNAL] [MCOH-EH] UDS for diversion investigation
>
>
>
> *Caution:* This email originated from outside of Vandalia Health. Please
> do not click links or open attachments unless you recognize the sender and
> know the contents are safe. When in doubt, contact the IT Department.
>
>
>
> When investigating a potential diversion of a schedule 1 drug do you all
> include a multiple panel UDS for legal and illegal drugs, or just test for
> the drug being investigated?
>
>
>
>
>
> Patricia Higazi MSN RN COHN
>
> Occupational Health Director
>
> Children's Hospital of The King's Daughters
>
> Norfolk, Virginia
>
> Tel: 757 668 7491
>
> Fax: (757) 668 8775
>
> Email: patricia.higazi at chkd.org
>
>
>
> CONFIDENTIALITY NOTICE: The information contained in this message may be
> privileged, confidential and / or proprietary and should be handled
> accordingly. If this message contains protected health information, any
> dissemination, distribution or copying is strictly prohibited, except as
> permitted by law. If you have received this communication in error, please
> promptly notify the sender and delete it and all attachments from your
> computer. Thank you.
> ---------------------------------------
> 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.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off
> email while you're on vacation, etc):   http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial support to
> ensure the list remains a free resource for the occupational health
> community.
> ---------------------------------------
> List archives (public): http://mylist.net/archives/mcoh-eh/
> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
> When replying to a message, PLEASE delete all footers, and all messages to
> which you're NOT replying.
>
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0001.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 86971 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0012.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image002.png
Type: image/png
Size: 735 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0013.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image003.png
Type: image/png
Size: 823 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0014.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image004.png
Type: image/png
Size: 763 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0015.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image005.png
Type: image/png
Size: 875 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0016.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image006.png
Type: image/png
Size: 923 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0017.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image007.png
Type: image/png
Size: 731 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0018.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image008.png
Type: image/png
Size: 579 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0019.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image009.png
Type: image/png
Size: 751 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0020.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image010.png
Type: image/png
Size: 819 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0021.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image011.png
Type: image/png
Size: 3102 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0022.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image012.png
Type: image/png
Size: 3648 bytes
Desc: not available
URL: <https://mylist.net/archives/mcoh-eh/attachments/20241211/c394a67b/attachment-0023.png>