[MCOH-EH] for cause/reasonable suspicion drug testing

[Miriam H. Alexander]

We only test for the potentially diverted substances and have had "panels" that will go after the standard drugs of diversion. If there is no reasonable suspicion based on behaviors of employee(s) this is what we used.  If It is truly a reasonable suspicion based on behaviors, clinical stigmata etc we do our standard reasonable suspicion which does include marijuana.

Miriam Alexander, MD MPH
Medical Director for Employee Health and Wellness
AVP Occupational Health
LifeBridge Health
2401 W.Belvedere Ave., Hoffberger 54
Baltimore, MD 21215
Phone: 410-601-0563
Mobile: 410-206-0579
Fax: 410-601-4643
Mhalexan at lifebridgehealth.org<mailto:Mhalexan at lifebridgehealth.org>

From: MCOH-EH <mcoh-eh-bounces+mhalexan=lifebridgehealth.org at mylist.net> On Behalf Of Deanna Prater via MCOH-EH
Sent: Wednesday, June 24, 2026 7:29 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Deanna Prater <dprater at luhonline.com>
Subject: [MCOH-EH] for cause/reasonable suspicion drug testing


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We are reviewing our employee health and occupational testing policies for medication discrepancy or diversion investigations (e.g., dropped controlled substances, unresolved medication count variances).  In these situations, does your organization utilize targeted drug testing panels that exclude THC/marijuana, focusing instead on relevant controlled substances associated with the discrepancy?  If so, are these panels standard or ordered case-by-case?  The reason I am asking, is because marijuana is legal in Oregon, and if the employee would test positive for marijuana when we're really concerned about the results for the missing substance, it could be problematic.

Deanna Prater BSN, RN, CPHQ
dprater at luhonline.com<mailto:dprater at luhonline.com>
Phone: (541) 271-6323
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