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Go Ahead ... Ask

November 2017

Question:

“Last week when I told an employee his name was pulled for a random test, he said he took his wife’s prescription pain medication the night before for a backache.  We sent him for the test, but was that even necessary since he confessed?”


Answer:

Following through on the random drug test was a good idea, especially if the test was required by an authority (e.g., DOT, Ohio Bureau of Workers’ Compensation’ Drug-Free Safety Program).  It also helps maintain consistency with your random testing process.

Now to address the confession.

You’ve probably heard us say, “a confession is the epitome of reasonable suspicion,” so it’s a good idea to keep that in mind when handling these types of situations. 

Safety First

Typically, you probably wouldn’t drive an employee to the collection site for a random test.  However, since you now have reasonable suspicion, it’s prudent to transport him to the site and then home, where he should stay until you receive the results.  He should at least not be doing any safety-sensitive work until you have data to offset your reasonable suspicion – at a minimum, a negative test result. 

Now What?

While you’re waiting for the results, consider proceeding with an assessment with an addiction professional.  Even if the drug test result comes back negative, there are still unsolved issues since he did admit to the prohibited use of a prescription medication. An assessment and any recommended education or treatment could be helpful in addressing any existing substance use disorder, or preventing a similar situation in the future. 

Don’t forget about any second chance or assistance agreements you have in your program that you would want the employee to sign.  Additionally, be sure to follow appropriate return- to-duty procedures (e.g., clearance from the professional, a negative return-to-duty test).

Document

Be sure to document your conversation and action steps, including having the employee put his confession in writing, if possible.  The documentation should be confidentially stored in his personnel file.

Future Planning

Consider taking this opportunity to provide education about safe and responsible prescription medication use to your entire workforce, and remind them about your company’s rules around prescription drug use and available helping resources.

For additional information about the safe and responsible use of prescription medications, visit www.GenerationRxWorkplace.com.