We specify the drug but, obviously, there are no HIPAA issues after the UDS is MRO'd if the prescription is legitimate. (But there may be some safety-sensitive issues) 

I agree about the fishing expedition issue.  Have had too many positive THCs that threatened nursing licenses.

Nancy Rodway MD MPH
Medical Director Employee Health, Knox Community Hospital

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Stuart Sandler via MCOH-EH <mcoh-eh@mylist.net>
Sent: Thursday, October 21, 2021 4:35 PM
To: mcoh-eh@mylist.net <mcoh-eh@mylist.net>
Cc: fldocstu@aol.com <fldocstu@aol.com>
Subject: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion
 
Good afternoon all,
 
I’m cross posting this.  For our hospital employees, for reasonable suspicion we use a med-pro panel and add Suboxone and Fentanyl.  However, I am recommending that for testing in a case of suspected diversion, we test for just the medication in question rather than a total med-pro panel.  I am concerned that it may be a HIPPA issue or seen as a ‘fishing expedition’ if we test for anything other than the drug in question.  I would appreciate hearing how others are testing in a case of suspected diversion.
 
Thank you in advance.
 
Stuart Sandler, DO