Related question – how do you test for drugs of opportunity for anesthesia? These are not part of any commercial drug panel I have been able to find (ketamine is in some).
remifentanyl
sufentanil
ketamine
midazolam
propofol
Thank you!
Marianne
Marianne Cloeren, MD, MPH, FACOEM, FACP
Pronouns she/her/hers
Associate Professor of Medicine
University of Maryland School of Medicine
Division of Occupational and Environmental Medicine
mcloeren@som.umaryland.edu
Office 410-328-2637
Cell 443-466-0033
From: MCOH-EH <mcoh-eh-bounces@mylist.net>
On Behalf Of Warner Hudson
Sent: Wednesday, December 11, 2024 12:12 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [External] UDS for diversion investigation
Once had a clumsy employee sent for drug testing turned out to have Chiari malformation and after neurosurgery his symptoms resolved. Base of his brain was had been being pulled into his foramen magnum. Warner
Amy J Behrman, MD, FACP, FACOEM
Division Chief, Occupational Medicine
Professor, Perelman School of Medicine
University of Pennsylvania
For staff with visible impairment, do you require a mandatory medical evaluation in addition to the UDS/ETOH screen?
Employee Health and Safety
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We do the same.
Rachel Leibu,
MD, MBA, MS, FACOEM
Medical Director Occupational Medicine Services
Atlantic Health System
Clinical Assistant Professor, Sidney Kimmel Medical College
at Thomas Jefferson University
Office 973-829-4277
Cell 973-886-6708
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We follow our Fitness for Duty testing policy and collect the Reasonable Suspicion Panel + Blood alcohol.
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When investigating a potential diversion of a schedule 1 drug do you all include a multiple panel UDS for legal and illegal drugs, or just test for the drug being investigated?
Patricia Higazi MSN RN COHN
Occupational Health Director
Children's Hospital of The King's Daughters
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