Individuals who take methadone are under the care of a provider.


There are many requirements for Pain Control physicians which usually includes monthly drug testing, reflex testing –especially for licensed drivers.


I would have the provider describe the program that this person is in and require the employee to provide documentation monthly of meeting the providers program requirements.


From an employer standpoint, I would be concerned legally how I would be able to  justify putting this person in a random program, when there have no workplace incidents especially under the ADA.



Kathy Dayvault, RN, BSN, MPH, COHN-S/CM


Independent Occupational Health Consultant




From: MCOH-EH [] On Behalf Of Senior, Cathy (DRMC)
Sent: Wednesday, July 30, 2014 10:59 AM
Subject: [Bulk] [MCOH-EH] Methadone




We have a candidate for hire which is a known methadone user. This candidate does have a legal prescription for the drug but it makes me alittle nervous. We are considering doing random drug screens for a period of time just to be assurred that this person is not taking anything not prescribed. The candidate relates that the methadone is prescribed for severe pain and has been on it for the past year. Any thoughts and past experiences with this would be greatly appreciated.


Cathy Senior RN BSN CDE

Employee Health Director

Penn Highlands DuBois

100 Hospital Avenue

P.O. Box 447

DuBois Pa 15801

Phone 814-375-3392

Fax 814-372-2610