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DRUG TESTING IN INDUSTRY

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

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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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