[MCOH-EH] Drug Testing at Medical Centers
Swift, Melanie D., M.D., M.P.H.
Swift.Melanie at mayo.edu
Mon Jul 27 19:20:03 PDT 2026
Do be aware that state laws on this are evolving. Already at least five states (CA, MN, NY, NV, WA), as well as some municipalities, already prohibit pre-employment cannabis testing. In states where recreational cannabis is legal, it is similar to alcohol, and we can’t test for alcohol in a pre employment test. While there may be exemptions in these state laws allowing employers to do pre employment cannabis testing for safety sensitive jobs, not all positions in a medical center are safety sensitive.
Of course, both cannabis and alcohol can and should be included in reasonable suspicion testing.
Melanie
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From: MCOH-EH <mcoh-eh-bounces+swift.melanie=mayo.edu at mylist.net> on behalf of Thorne, Craig via MCOH-EH <mcoh-eh at mylist.net>
Sent: Monday, 27 July 2026 17:58:42
To: MCOH-EH <mcoh-eh at mylist.net>; Philip Adamo <philipad1 at gmail.com>
Cc: Thorne, Craig <THORNEC at ccf.org>
Subject: [EXTERNAL] Re: [MCOH-EH] Drug Testing at Medical Centers
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We consider marijuana in any form as “prohibited”.
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Craig D. Thorne, M.D., MPH, MBA, FACP, FACOEM
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Cc: Eisenhauer, Julie (TCRHCC) <Julie.Eisenhauer at TCHEALTH.ORG>
Subject: [EXT] Re: [MCOH-EH] Drug Testing at Medical Centers
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Hello,
We are finding that most state licensing organizations across the country consider the use of THC an illicit drug, with positive testing at work worthy of disciplinary actions, e.g., pharmacy, nursing, and medical.
Sincerely,
Julie A. Eisenhauer BSN, RN
Employee Health Nurse
Tuba City Regional Health Care Corporation
Human Resources/Employee Health
PO Box 600
Tuba City, AZ. 86045
Direct Ph#: (928)283-1511
Or, Mitel 45111
employeehealth at tchealth.org<mailto:employeehealth at tchealth.org>
________________________________
From: Philip Adamo <philipad1 at gmail.com<mailto:philipad1 at gmail.com>>
Sent: Monday, July 27, 2026 12:46 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Drug Testing at Medical Centers
You don't often get email from philipad1 at gmail.com<mailto:philipad1 at gmail.com>. Learn why this is important<https://aka.ms/LearnAboutSenderIdentification>
Hello David
We entertain by ed not including THC in a drug screen. We went back and forth with HR especially since THC is legal in Vt.
We also had discussions with Quest and to remove THC was actually going to cost more.
We thought about “ignoring” positive THC. Legal weighed in and thought it might be risky if that individual was in a safety sensitive position and there was an error in patient care, it would be seen in discovery.
I also did a survey of my colleagues through MCOH and the majority of respondents said thc was in their panel.
It has been over three years since I was involved in this discussion. I would be interested in the results and what the final decision is at DH. That's not good. Oh my goodness. Wow, it's definitely a lot of times. Yeah, now they are going to change the steps. This is the prediction.
Best regards,
Philip Adamo
On Wed, Jul 15, 2026 at 3:24 PM Darlene Sims <Darlene.sims at infirmaryhealth.org<mailto:Darlene.sims at infirmaryhealth.org>> wrote:
1. Does your organization perform pre-employment drug testing? YES
2. If yes, does your organization test for marijuana as part of the testing panel? YES
Thank You,
Darlene Sims, MSN, FNP-C
Director, Infirmary Employee Health Services
185 Mobile infirmary blvd
Mobile, Al 36607
MIEH 251-435-3377
THEH 251-279-1605
NBEH 251-239-2036
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Today's Topics:
1. Re: Drug Testing at Medical Centers (schwartzcortney at gmail.com<mailto:schwartzcortney at gmail.com>)
2. Re: Drug Testing at Medical Centers (Higazi, Patricia)
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Message: 1
Date: Sat, 11 Jul 2026 14:57:19 -0400
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Subject: Re: [MCOH-EH] Drug Testing at Medical Centers
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Date: Mon, 13 Jul 2026 12:23:06 +0000
From: "Higazi, Patricia" <Patricia.Higazi at chkd.org<mailto:Patricia.Higazi at chkd.org>>
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Drug Testing at Medical Centers
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See below
1.
Does your organization perform pre-employment drug testing? YES
2.
If yes, does your organization test for marijuana as part of the testing panel? NO
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><mailto:patricia.higazi at chkd.org<mailto:patricia.higazi at chkd.org>>
Upcoming PTO
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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of David S. Cockrum via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Wednesday, July 8, 2026 4:57 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: David S. Cockrum <David.S.Cockrum at hitchcock.org<mailto:David.S.Cockrum at hitchcock.org>>
Subject: [MCOH-EH] Drug Testing at Medical Centers
External:
Dartmouth Health is taking a careful look at our pre-employment drug testing policy to determine if adjustments are needed. I would truly appreciate responses from my MCOH peers to the following two short questions on your organization?s pre-employment drug testing program. Responses will help guide our thinking as we review our own program.
1. Does your organization perform pre-employment drug testing?
2. If yes, does your organization test for marijuana as part of the testing panel?
Thanks in advance for your help!
David
David S. Cockrum, MD, MPH, FACOEM
he/him/his
Section Chief, Occupational & Environmental Medicine
Medical Director, Employee Health
Department of Medicine
Tel (603) 653-3881 | Fax (603) 650-0930
Dartmouth-Health.org
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