drug testing in industry the occupational medicine practitioner’s role acknowledgement: dr peter...
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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
DRUG TESTING IN INDUSTRY
Why test?• Judgement errors• HSE consequences• Financial & reputational
consequences• OHS requirement
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
DRUG TESTING IN INDUSTRY
When to test?
• Periodic medical surveillance
examinations
• Post-illness
• Random
• Pre-employment/placement
• For-cause
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 …….
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 …….
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 ……
DRUG TESTING IN INDUSTRY- OMP ROLE: SUMMARY
• All eleven steps!
• Nothing else!
• Provide a MEDICAL service –
NOTHING ELSE!
DRUG TESTING IN INDUSTRY
But Doc, he’s my best (driller/driver/digger/etc)!
AVOID THIS TRAP AT ALL COSTS!
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
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (1)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (2)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (3)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (4)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (5)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (6)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (7)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (7a)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (8)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (9)
DRUG TESTING IN INDUSTRY-SAMPLING PROCEDURE (10)
DRUG TESTING IN INDUSTRY-PITFALLS
DRUG TESTING IN INDUSTRY- the last word?
If you can’t do it properly, don’t do it
at all!
DRUG TESTING IN INDUSTRY
OTHER:
• Laboratory accreditation
• Screening vs confirmatory tests
OVER TO PATHCARE!
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