Our health system requires 10-panel drug screen for all new hires including providers, for cause/reasonable suspicion, and post-accident. If there is any non-negative, the specimen will be sent out to LabCorps for confirmative testing. Meanwhile, the applicant will be on hold and employee will not return to work until after received verified Negative by MRO (I’m the MRO, we utilize a MRO Service when I’m on vocation). 
We don’t Test nicotine. Employees declare their smoking status at the time of annual benefit enrollment.

Ping Gao, MD, MPH, FACOEM 
Medical Director
Employee Health & Occupational Medicine 
AnMed Health 

On Dec 13, 2021, at 3:38 PM, Charles Hackett <dickenshackett@gmail.com> wrote:

Our health system is evaluating our drug testing program and was interested in what other health care systems were doing.
Do you do drug testing?
Is it part of your preplacement process and is it a rate limiting step?
Do you outsource to a Labcore or a Qwest type vendor?
Do you test for nicotine and if you do what do you do with the results?
Thank you very much for your input.
Charlie 
Charles D Hackett, MD, MPH
Medical Director, Employee and Occupational Health, Lifespan
Chief Community and Family Medicine, Rhode Island Hospital
Clinical Assistant Professor of Family Medicine, Brown University


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