Was this to read negative for hydrocodone and positive for amphetamine? 

Likely depends on what your drug free workplace policy says.. if you pursue the amphetamine issue… and if they have a prescription , etc.

From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org@mylist.net] On Behalf Of Stuart Sandler via MCOH-EH
Sent: Monday, September 17, 2018 10:23 AM
To: mcoh-eh@mylist.net
Cc: fldocstu@aol.com
Subject: [MCOH-EH] UDS due to missing meds.

Good morning all.  Wanted to get opinions. 

Scenario:  A Hydrocodone is found to not have been given to a patient.  The nurse said that the patient was sedated at the time that it was to be administered.  However, the dose cannot be accounted for and was presumably lost.  As per protocol with missing meds, the nurse underwent a Professional ( 12 panel plus Fentanyl and Suboxone) UDS.  The UDS comes back negative for the Hydrocodone, but non-negative for Amphetamine.

For a reasonable suspicion/reasonable cause UDS, this panel is appropriate.  However, in this scenario, are we violating any areas (HIPPA, etc.) for testing for anything beyond the Hydrocodone?  I know that, if someone is diverting, there is a probability that they are misusing more than one substance.  However, in the current legal atmosphere, are we going beyond the bounds?  We do have a policy explaining that the Professional panel will be obtained.  However, we have had some rumblings of privacy concerns in some cases.

I thank you in advance for your input.

Stuart A, Sandler, DO

Medical Director Occupational and Employee Health Services

Mcleod Regional Health