Drug and Drug Screening in the Workplace Lecture Powerpoint

Question 1

Most common problem among food service and construction workers

Answer 1

-drug abuse

Question 2

Age group worst affected by drug addiction

Answer 2

18-29

Question 3

Regulated vs unregulated drug teseting

Answer 3

Regulated is the standard under dep. of transportation models and tests for marijuana, cocaine, opiates, amphetamines, and PCP, some have instant screen only that if neg can tell employee but if positive must be confirmed by sending to health and human services (HHS) lab and do not inform employee, medical review officer must monitor collection of specimen in regulated system, if unregulated must have clear policy and employees must be made aware of policy

Question 4

Reasons for getting drug testing (6)

Answer 4

• pre employment
• reasonable suspicion
• random
• post accident
• return to duty
• followup

Question 5

SAMHSA(NIDA) 5 regulated tests vs expanded

Answer 5

The standard test, includes amphetamines, opium, cocaine, marijuana, and PCP vs the expanded can add in 2-5 other extra drugs depending on employer test

Question 6

If a drug screen is negative, then ___, if positive, then ___

Answer 6

• send to employer representative but can be informed to the employee
• if positive has to go thru MRO for confirmatory test, if negative after that then drop it but if positive then reach out and if unable to offer reasonable exploration then put in file, but if can offer medical alternative (verified by pharmacy/MD/hospital and reasonable) then negative, MRO must offer employee the option of reconfirmation via a split specimen that must be sent to another HHS lab for reconfirmation

Question 7

Reasonable alternatives that can cause a positive drug screen (4)

Answer 7

• Hemp containing food products can carry trace THC
• cocaine in opthalmic use or dental work
• OTC cold medicines can have opioids in them, poppy seeds can have opiates in them
• amphetamines can come from pseudoephedrine, adderall, levodopa, etc

Question 8

In order to be considered for return to duty, how many urine drug screens are needed within a 12 month period?

Answer 8

6 minimum random directly observed

Question 9

Chronic THC use can take up to ___ days to be cleared from system

Answer 9

90!

Question 10

Physician Health Program

Answer 10

Program for impaired physicians in the professional sphere that has 92% recovery rate which is far above average for most programs

Question 11

Opiates vs opioids

Answer 11

Opiates are natural occurring and include only codeine, morphine, and heroin vs opioids are artificially produced and include items such as hydromorphone/oxycodone, metahone, propoxyphene