Outpatient Surgery Magazine

Anesthesia Plus - February 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 24 of 159

OSE_1303_part1_Layout 1 2/7/13 4:09 PM Page 25 STAFFING another supervisor or manager. Trusting your instincts is key, but validating your worries is incredibly important, especially when dealing with something as serious as substance abuse. Deciding to act on your suspicions is harder than you think, and shouldn't be done alone. 3. Confront. Once you've decided to confront a suspected substance abuser, ask for support from your risk manager or another facility supervisor. Contact an outsourcing lab or local hospital's emergency room to schedule an immediate "reasonable cause" drug test. Inform the suspect employee that you've scheduled a drug test and that failure to undergo the test could result in termination, then have them sign a consent form. You or another supervisor should drive the employee to the test site. (You're liable if you observe them under the influence and they get in an accident while driving to the appointment; don't put their safety and your legal liability at risk.) Cover the employee's shift, keeping all information about the drug test confidential. 4. Test. A practitioner certified in drug-screening procedures should obtain blood or urine samples because any mistakes made during the testing will negate the result, making it inadmissible in court. Never attempt to obtain specimens at your facility. Drugs tested for during routine screenings include amphetamines, barbituates, cocaine, canabanoids (marijuana), opiates, phencyclidine (PCP), benzodiazipines, methadone and propoxyphene. If the drug F E B R U A R Y 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 2 5

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