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

[Cloeren, Marianne]

Related question – how do you test for drugs of opportunity for anesthesia? These are not part of any commercial drug panel I have been able to find (ketamine is in some).

remifentanyl
sufentanil
ketamine
midazolam
propofol

Thank you!

Marianne

Marianne Cloeren, MD, MPH, FACOEM, FACP
Pronouns she/her/hers
Associate Professor of Medicine
University of Maryland School of Medicine
Division of Occupational and Environmental Medicine
mcloeren at som.umaryland.edu<mailto:mcloeren at som.umaryland.edu>
Office 410-328-2637
Cell 443-466-0033



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Warner Hudson
Sent: Wednesday, December 11, 2024 12:12 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External] UDS for diversion investigation

Once had a clumsy employee sent for drug testing turned out to have Chiari malformation and after neurosurgery his symptoms resolved.  Base of his brain was had been being pulled into his foramen magnum. Warner
Sent from my iPhone


On Dec 11, 2024, at 8:40 AM, Behrman, Amy via MCOH-EH <mcoh-eh at mylist.net<mailto: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<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Kumar, Bindu, MD <KumarB at MLHS.ORG<mailto:KumarB at MLHS.ORG>>
Sent: Wednesday, December 11, 2024 9:15 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto: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<mailto:mcoh-eh-bounces+kumarb=mlhs.org at mylist.net>> on behalf of Leibu, Rachel <Rachel.Leibu at atlantichealth.org<mailto:Rachel.Leibu at atlantichealth.org>>
Sent: Wednesday, December 11, 2024 9:12:34 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto: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<mailto: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<mailto: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.

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We follow our Fitness for Duty testing policy and collect the Reasonable Suspicion Panel + Blood alcohol.



Jennifer


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Jennifer Carr, MSN, RN

Employee Health RN Coordinator



SJMH.employeehealth at vandaliahealth.org<mailto:SJMH.employeehealth at vandaliahealth.org>

O 304-269-8197



1200 J.D. Anderson Dr., Morgantown, WV 26508

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________________________________

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Higazi, Patricia via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Monday, December 2, 2024 12:49 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Higazi, Patricia <Patricia.Higazi at chkd.org<mailto: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<mailto:patricia.higazi at chkd.org>



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