On Jan 12, 2023, at 1:42 PM, Winters, Tom (BIDMC - Occupational Health) <twinters@bidmc.harvard.edu> wrote:
We use DISA, Charles, reliable show up within an hour.Tom Winters
From: MCOH-EH <mcoh-eh-bounces+twinters=bidmc.harvard.edu@mylist.net> on behalf of Charles Yarborough <cyarborough@cyhealthassociates.com>
Sent: Wednesday, January 11, 2023 1:03 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [External] Re: [MCOH-EH] [External] Re: Off Hours Fitness For Duty---------------------------------------What drug testing company with national reach, if any, can be contracted to come on site and do breathalyzer and UDS? Recommendations?Thanks,Charles
From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Winters, Tom (BIDMC - Occupational Health) <twinters@bidmc.harvard.edu>
Sent: Friday, January 6, 2023 6:02 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [External] Re: Off Hours Fitness For DutyCharlie and Ron,You are referencing an impairment evaluation not a fitness for duty evaluation. There is some cross-over.Most important we all do these during the day, but off shift ED best resource, but need to contract with drug testing company to come on site and do breathalyzer and UDS if substance abuse is suspected after psych and neurologic causes ruled out. This is our procedure at several Harvard teaching hospitals.The hospital labs and ED's usually botch these UDS and alcohol tests and no COC if challenge.Tom Winters
From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Charles Hackett <dickenshackett@gmail.com>
Sent: Friday, January 6, 2023 10:54 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [External] Re: [MCOH-EH] Off Hours Fitness For DutyThank you RonI am referencing when an employee appears acutely impaired or a manger feels that.ThanksCharlie
On Fri, Jan 6, 2023 at 6:47 AM Teichman, Ron F via MCOH-EH <mcoh-eh@mylist.net> wrote:
Charles,
Can you define exactly what you mean by Fitness for Duty? In my experience these are scheduled evaluations addressing concerns about whether someone is able to return to work. Various documents are gathered and an appointment made, thus we never need to do them off hours. Are you referencing something different?
Ron
Ron Teichman, M.D., M.P.H., FACOEM, FACP
Division Medical Director
Banner Occupational Health and Wellness
1300 N. 12th Street, Suite 610
Phoenix, AZ 85006
From: MCOH-EH <mcoh-eh-bounces+ron.teichman=bannerhealth.com@mylist.net> On Behalf Of Charles Hackett
Sent: Tuesday, January 3, 2023 12:42 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] [MCOH-EH] Off Hours Fitness For Duty
Happy New Year
We have historically utilized our ED to assess employees in the rare event a fitness for duty evaluation is needed in the off hours when Employee Health is not open.
There is a protocol that has been in place.
What do other organizations do?
If substance usage is needed , do you utilize your hospital lab? Our sourced lab?
How do you define roles and responsibilities including manager, HR, EH, EAP and others?
As always
Thank you
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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The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe@meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.