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The Role of Occupational Medicine Practitioners in Drug Testing in Industry

This guide outlines the essential responsibilities of Occupational Medicine Practitioners (OMPs) in the drug testing process in various industries. It highlights the reasons for testing, such as preventing judgment errors and ensuring compliance with health and safety regulations. The document covers who should be tested, when to conduct tests, and the OMP's role in managing positive test results. Emphasizing the importance of confidentiality and policy adherence, this resource serves as a comprehensive overview for medical professionals engaged in workplace drug testing.

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The Role of Occupational Medicine Practitioners in Drug Testing in Industry

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  1. DRUG TESTING IN INDUSTRY THE OCCUPATIONAL MEDICINE PRACTITIONER’S ROLE Acknowledgement: Dr Peter Boogaard, Chief Toxicologist, Shell Health Services, SIPC, The Hague, Netherlands: Medical Review Officer Course

  2. DRUG TESTING IN INDUSTRY Why test? • Judgement errors • HSE consequences • Financial & reputational consequences • OHS requirement

  3. DRUG TESTING IN INDUSTRY Who to test? • HSE-sensitive positions • Heavy Plant Operators (vehicles, machinery etc) • Maintenance staff • Security staff • Chauffeurs • Company representatives • Senior management

  4. DRUG TESTING IN INDUSTRY When to test? • Periodic medical surveillance examinations • Post-illness • Random • Pre-employment/placement • For-cause

  5. DRUG TESTING IN INDUSTRY- OMP ROLE • Receive test results from lab. • Notify employee of confirmed pos. test result • Review & interpret each confirmed pos. test result • Provide opportunity for employee to discuss pos. test result Cont …….

  6. DRUG TESTING IN INDUSTRY- OMP ROLE (2) • Review employee’s medical history as appropriate • Review medical records as appropriate • Verify laboratory results • Notify employer of verified positive result Cont …….

  7. DRUG TESTING IN INDUSTRY- OMP ROLE (3) • Process employee request for re-test • Make decision-to-hire or return-to-duty recommendation • Ensure decision-to-hire or return-to-duty requirements are accomplished Cont ……

  8. DRUG TESTING IN INDUSTRY- OMP ROLE: SUMMARY • All eleven steps! • Nothing else! • Provide a MEDICAL service – NOTHING ELSE!

  9. DRUG TESTING IN INDUSTRY But Doc, he’s my best (driller/driver/ digger/etc)! AVOID THIS TRAP AT ALL COSTS!

  10. DRUG TESTING IN INDUSTRY- POLICY DECISIONS • Are taken in the boardroom, not the medical centre! • Fall within overall A & D policy • Concern: • When to test • Whom to test • Outcome of positive test results • Disciplinary and other decisions • Confidentiality measures • Must have no comeback on the OMP

  11. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (1)

  12. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (2)

  13. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (3)

  14. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (4)

  15. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (5)

  16. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (6)

  17. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (7)

  18. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (7a)

  19. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (8)

  20. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (9)

  21. DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (10)

  22. DRUG TESTING IN INDUSTRY-PITFALLS

  23. DRUG TESTING IN INDUSTRY- the last word? If you can’t do it properly, don’t do it at all!

  24. DRUG TESTING IN INDUSTRY OTHER: • Laboratory accreditation • Screening vs confirmatory tests OVER TO PATHCARE!

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