Do be aware that state laws on this are evolving. Already at least five states (CA, MN, NY, NV, WA), as well as some municipalities, already prohibit pre-employment cannabis testing. In states where recreational cannabis is legal, it is similar to alcohol, and we can’t test for alcohol in a pre employment test. While there may be exemptions in these state laws allowing employers to do pre employment cannabis testing for safety sensitive jobs, not all positions in a medical center are safety sensitive.

Of course, both cannabis and alcohol can and should be included in reasonable suspicion testing. 

Melanie
From: MCOH-EH <mcoh-eh-bounces+swift.melanie=mayo.edu@mylist.net> on behalf of Thorne, Craig via MCOH-EH <mcoh-eh@mylist.net>
Sent: Monday, 27 July 2026 17:58:42
To: MCOH-EH <mcoh-eh@mylist.net>; Philip Adamo <philipad1@gmail.com>
Cc: Thorne, Craig <THORNEC@ccf.org>
Subject: [EXTERNAL] Re: [MCOH-EH] Drug Testing at Medical Centers
 
External Email Notice: This message was sent by someone outside Mayo Clinic.

We consider marijuana in any form as “prohibited”.

 

_________________________________________________________

 

 

Craig D. Thorne, M.D., MPH, MBA, FACP, FACOEM

Medical Director | Occupational Health

25900 Science Park Drive, AC248 | Beachwood, OH 44122  

(216) 630-2078 (mobile) | THORNEC@ccf.org

 

Please do not feel obligated to respond outside of your normal work hours.

 

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Eisenhauer, Julie (TCRHCC) via MCOH-EH
Sent: Monday, July 27, 2026 5:37 PM
To: Philip Adamo <philipad1@gmail.com>; MCOH-EH <mcoh-eh@mylist.net>
Cc: Eisenhauer, Julie (TCRHCC) <Julie.Eisenhauer@TCHEALTH.ORG>
Subject: [EXT] Re: [MCOH-EH] Drug Testing at Medical Centers

 

PROCEED WITH CAUTION: Slow down and pay close attention to emails sent from outside the organization. If you receive an unsolicited email from an unknown sender or are suspicious of the tone, style, vocabulary or urgency of the email message, never click links or open attachments within it. When in doubt, you should either delete the email, verify its authenticity by contacting the sender using an alternative method not listed in the email, or submit it via the Report button in Outlook for investigation. If you don't have the Report button or are using a mobile device, forward the email as an attachment to phishtanktriage@ccf.org

 

Hello,

We are finding that most state licensing organizations across the country consider the use of THC an illicit drug, with positive testing at work worthy of disciplinary actions, e.g., pharmacy, nursing, and medical.

 

Sincerely, 

 

Julie A. Eisenhauer BSN, RN

Employee Health Nurse

Tuba City Regional Health Care Corporation

Human Resources/Employee Health

PO Box 600

Tuba City, AZ. 86045

Direct Ph#: (928)283-1511

Or, Mitel 45111

employeehealth@tchealth.org

 

 

From: Philip Adamo <philipad1@gmail.com>
Sent: Monday, July 27, 2026 12:46 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Drug Testing at Medical Centers

 

You don't often get email from philipad1@gmail.com. Learn why this is important

Hello David

We entertain by ed not including THC in a drug screen. We went back and forth with HR especially since THC is legal in Vt.

We also had discussions with Quest and to remove THC was actually going to cost more.

 

We thought about “ignoring” positive THC. Legal  weighed in and thought it might be risky if that individual was in a safety sensitive position and there was an error in patient care, it would be seen in discovery.

 

I also did a survey of my colleagues through MCOH and the majority of respondents said thc was in their panel.

 

It has been over three years since I was involved in this discussion. I would be interested in the results and what the final decision is at DH. That's not good. Oh my goodness. Wow, it's definitely a lot of times. Yeah, now they are going to change the steps. This is the prediction.

 

Best regards,


Philip Adamo

 

On Wed, Jul 15, 2026 at 3:24 PM Darlene Sims <Darlene.sims@infirmaryhealth.org> wrote:

  1.  Does your organization perform pre-employment drug testing? YES
  2.  If yes, does your organization test for marijuana as part of the testing panel? YES





Thank You,

Darlene Sims, MSN, FNP-C
Director, Infirmary Employee Health Services
185 Mobile infirmary blvd
Mobile, Al 36607
MIEH 251-435-3377
THEH 251-279-1605
NBEH 251-239-2036



-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces+darlene.sims=infirmaryhealth.org@mylist.net> On Behalf Of mcoh-eh-request@mylist.net
Sent: Tuesday, July 14, 2026 10:52 PM
To: mcoh-eh@mylist.net
Subject: [EXTERNAL] MCOH-EH Digest, Vol 261, Issue 66


This email originated from outside of Infirmary Health. Do not click links or open attachments unless you validate the sender and know the content is safe.



Send MCOH-EH mailing list submissions to
        mcoh-eh@mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
        https://mylist.net/listinfo/mcoh-eh
or, via email, send a message with subject or body 'help' to
        mcoh-eh-request@mylist.net

You can reach the person managing the list at
        mcoh-eh-owner@mylist.net

When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1. Re:  Drug Testing at Medical Centers (schwartzcortney@gmail.com)
   2. Re:  Drug Testing at Medical Centers (Higazi, Patricia)


----------------------------------------------------------------------

Message: 1
Date: Sat, 11 Jul 2026 14:57:19 -0400
From: schwartzcortney@gmail.com
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Drug Testing at Medical Centers
Message-ID: <C411B4D4-5C53-454B-B12D-9332C5AAACC6@gmail.com>
Content-Type: text/plain; charset="us-ascii"

An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20260711/c636fb05/attachment.htm>

------------------------------

Message: 2
Date: Mon, 13 Jul 2026 12:23:06 +0000
From: "Higazi, Patricia" <Patricia.Higazi@chkd.org>
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Drug Testing at Medical Centers
Message-ID:
        <SJ0PR15MB45506DCF1C3923D96FEBDA6F85FA2@SJ0PR15MB4550.namprd15.prod.outlook.com>

Content-Type: text/plain; charset="windows-1252"

See below

  1.

Does your organization perform pre-employment drug testing?  YES
  2.
If yes, does your organization test for marijuana as part of the testing panel?  NO





Patricia Higazi MSN RN COHN

Occupational Health Director

Children's Hospital of The King's Daughters

Norfolk, Virginia

Tel: 757 668 7491

Fax: (757) 668 8775

Email: patricia.higazi@chkd.org<mailto:patricia.higazi@chkd.org>



Upcoming PTO



________________________________
From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of David S. Cockrum via MCOH-EH <mcoh-eh@mylist.net>
Sent: Wednesday, July 8, 2026 4:57 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: David S. Cockrum <David.S.Cockrum@hitchcock.org>
Subject: [MCOH-EH] Drug Testing at Medical Centers


External:

Dartmouth Health is taking a careful look at our pre-employment drug testing policy to determine if adjustments are needed. I would truly appreciate responses from my MCOH peers to the following two short questions on your organization?s pre-employment drug testing program. Responses will help guide our thinking as we review our own program.



  1.  Does your organization perform pre-employment drug testing?
  2.  If yes, does your organization test for marijuana as part of the testing panel?



Thanks in advance for your help!



David



David S. Cockrum, MD, MPH, FACOEM
he/him/his

Section Chief, Occupational & Environmental Medicine

Medical Director, Employee Health

Department of Medicine



Tel (603) 653-3881 | Fax (603) 650-0930
Dartmouth-Health.org

[cid:image001.png@01DD0EFA.E422ED50]<https://www.dartmouth-health.org/>




IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20260713/dab4085a/attachment.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 39708 bytes
Desc: image001.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20260713/dab4085a/attachment.png>

------------------------------

Subject: Digest Footer

---------------------------------------
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.
When replying to a DIGEST message, please ensure your reply has a specific topic (not just Re:MCOH-EH Digest, Vol 251, Issue 101) so other subscribers can locate the thread in the list archives.


------------------------------

End of MCOH-EH Digest, Vol 261, Issue 66
****************************************


---------------------------------------
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.

CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients. If you are not the intended recipient, (or authorized to receive for the recipient) you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please destroy all copies of this communication and any attachments and contact the sender by reply e-mail or telephone.


Please consider the environment before printing this e-mail

Cleveland Clinic is a nonprofit, multispecialty academic medical center that's recognized in the U.S. and throughout the world for its expertise and care. Visit us online at http://www.clevelandclinic.org for a complete listing of our services, staff and locations. Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you.