As long as you have a policy and stick to that policy, you will be ok.   I don’t know how you can test for what is in question.  It could be anything.   We do an extended panel with opiates with fentanyl added. 
If missing a certain drug in a count for example, if you test for that dilaudid or fentanyl and it’s negative what will be your recourse if they are impaired.   Have a good policy, be consistent and it should be good.  

That’s my 2 cents, but I am interested in this conversation. 
Michael B. FNP
Manager EH and Occupational Health


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From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Nancy Rodway <nrodway@hotmail.com>
Sent: Friday, October 22, 2021 12:42:15 PM
To: fldocstu@aol.com <fldocstu@aol.com>; MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL]Re: [MCOH-EH] UDS for Reasonable Suspicion vs Diversion
 
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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 


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