Hello,

My institution is in the process of revising our policies towards drug diversion and drug testing and I was hoping to get some feedback from members on their current policies.  Specifically, I would like to know if anyone is currently using hair testing as a means for assessing diversion.  There are some hair tests that have been FDA cleared for fentanyl, as well as the commonly tested drugs and this is something we are considering adding to our program.  I would also like to know how your institution handles drug testing for employees when there is a missed count or missing medication in the OR setting.  Do you test all employees who were present in the operating room or only specific employees with a high level of suspicion?  How quickly do you drug test these employees and do you utilize urine, hair, saliva, blood or some combination thereof?  Any insights would be greatly appreciated,

Sumeet Batra

Sumeet Batra, MD, MPH

Medical Director, Occupational Health Services

Cook Children’s Health Care System

801 7^th Avenue

Fort Worth, TX 76104

(682) 885-3837

(682) 885-6717 (fax)