1 / 22

Mercy Occupational Health Center

Mercy Occupational Health Center. Lorain Clinic Elyria Clinic 1800 Livingston Ave 491 N. Abbe Road Lorain, OH 44052 Elyria, OH 440-233-1068 440-366-5577. Drug and Alcohol Testing

ajaxe
Télécharger la présentation

Mercy Occupational Health Center

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mercy Occupational Health Center Lorain Clinic Elyria Clinic 1800 Livingston Ave 491 N. Abbe Road Lorain, OH 44052 Elyria, OH 440-233-1068 440-366-5577

  2. Drug and Alcohol Testing Update

  3. DHHS-Department of Health and Human Services • SAMHSA-Substance Abuse & Mental Health Services Administration: • Center for Substance Abuse Prevention • Center for Substance Abuse Treatment • Center for Mental Health Services

  4. Center for Substance Abuse Prevention • Manages the National Laboratory Certification Program: • Scientific methodology used in testing • Technical expertise to certify & decertify labs (SAMHSA-certified lab)

  5. DOT Follows DHHS Guidelines • OmnibusTransportation Act of 1991 • Changes in DHHS rules leads to… Changes in DOT regulations leads to… Changes in BWC guidelines.

  6. DHHS Changes: • Lowered cut-off level forCocaine • Screening- 150ng/ml • Confirmation- 100ng/ml • Lowered cut-off level forAmphetamine • Screening -500ng/ml • Confirmation- 250ng/ml Review your company policy!

  7. DHHS Changes- con’t. • Mandatory Initial Testing of Heroin (6-AM) • Testing for Ecstasy (MDMA, MDA, MDEA) Review your company policy!

  8. New Forms • DOT (Dept. of Transportation) • New federal form effective 10/1/10 • Can use up old forms until 9/30/11 • Still request a 5-panel test

  9. DOT Form-con’t. Specify Testing Authority: • HHS-Health & Human Services • NRC-Nuclear Regulatory Commission • DOT-Dept. of Transportation • FMCSA- Federal Motor Carrier Safety Admin. • FAA- Federal Aviation Admin. • FRA- Federal Railroad Admin. • FTA- Federal Transit Admin. • PHMSA- Pipeline & Hazardous Mat. Safety Admin. • USCG- United States Coast Guard

  10. Forms-con’t. • NON-DOT • Still called 5, 9 or 10-panel • Lab codes may have changed

  11. Change in DOT Regulations • DOT can regulate its own non-scientific guidelines: • Direct Observed Specimen Collection • Purpose and Procedure • DOT vs. BWC requirements for RTD and Follow-up testing Review your Company Policy!

  12. Hair Testing & Instant Testing • DOT authorized to use only testing methods approved by DHHS. • DHHS has not approved any specimen testing method except urine. • DOT tests must be confirmed by DHHS certified lab using scientific testing methods and verified by an MRO. • BWC follows DOT rules.

  13. Medical Marijuana • 49 CFR Part 40 40.151 does not authorize “medical marijuana” under a state law to be a valid medical explanation for a transportation employee’s positive drug test result.

  14. Medical Marijuana-con’t. • 40.151 As an MRO, you are prohibited from doing the following as part of the verification process: (e) You must not verify a test negative based on information that a physician recommended that the employee use a drug listed in Schedule I of the Controlled Substances Act.

  15. Medical Marijuana-con’t. • MROs follow federal guidelines. • All positive tests - reported positive • In states where legal, MROs not allowed to say if employee got Rx from physician due to confidentiality. • Company would have to pursue the same as fitness-for-duty.

  16. Synthetic Marijuana • Developed in 1993 as a research project to determine how different chemical formulas interact with the brain. • Never intended for human use. • These compounds are sprayed on various herbs and spices to give them a “marijuana look.”

  17. Synthetic Marijuana-con’t • Common names- Spice, K2, Black Mamba, Blaze and Red X Dawn • Sold in head shops, tobacco stores, gas stations, boutiques, and over the Internet as herbal incense or bath salts. • $10-$20 per gram • Smoked like real marijuana • Touted as “legal” alternative to pot.

  18. Synthetic Marijuana-con’t. • Contains chemicals x5 more powerful than marijuana. • Overdoses, suicides, hallucinations, seizures • Increased ER visits, calls to Poison Control • Effective March 2011, Drug Enforcement Administration has banned in U.S. (Schedule I Drug)

  19. Testing for K2, Spice • Now Available through Clinical Reference Lab (CRL) • NON-DOT only • Stand-alone test • Additional charge • Must be requested

  20. Electronic Cigarettes • E-Cigs • “Vaping” vs. smoking • Battery powered plastic or metal device • Heat a liquid nicotine solution in disposable cartridge and inhale vapors. • Vapors are mostly water. • Vapor has been found to contain other toxins and carcinogens.

  21. E-Cigs-con’t. • Controversial: • Research being conducted on secondhand “vapor” inhalation. • Promoted as a way to break the addiction to real cigarettes. • Difficult to enforce “No smoking” policy. • New Jersey and other local governments addressing under smoke-free laws. May want to address in your company policy.

  22. Mercy Occupational Health Center Kathy Brown RN 440-233-1081

More Related