Affinity, KARE, abnormal

Nurses Recovery

Published

Specializes in Critical Care, Addiction, Peer Support.

Hi there,

I am being monitored in KY by the KARE program, use Affinity for UDS, my result came back as "abnormal" nothing further at this time. Anyone have any experience with this and what happens next? I have already emailed my monitoring agent, I am clean and sober for 6 months.....wondering what happens next? This is my VERY first screen with the KYBON!

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Specializes in PDN; Burn; Phone triage.

Different state but we also use affinity -- I've had a dilute come back as "abnormal" in the system.

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Specializes in Critical Care, Addiction, Peer Support.

thanks for the reply, what did your state do? Just curious, thanks again

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Specializes in PDN; Burn; Phone triage.
thanks for the reply, what did your state do? Just curious, thanks again

Made me take a pETH test (alcohol is my doc otherwise I think it would have been a hair test?), which I passed. That's kinda new. Previously they would have just made me repeat the UA. It's not that big of a deal in my state, not considered a non-compliance or relapse or anything. There's probably something in your contract or handbook that addresses dilutes if that's what the abnormal is. I'd call your program first thing in the morning.

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It may be to dilute to test ? That seems to be what Affinity reports for a dilute specimen.

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Specializes in Critical Care, Addiction, Peer Support.

Still not sure what was up with the result, but my monitor isn't too worried about it, I had another test yesterday, adjusted my fluid intake, so hopefully this won't be a problem again! Thanks for all the comments, appreciate them. I finally just calmed myself down, because I am clean, 6 months yesterday....so whatever, I can't worry about insignificant things like an abnormal UDS!! :) Glad this site is here, definitely helps when I am freaking!

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Specializes in ER, ICU/CCU, Open Heart OR Recovery, Etc.

I had abnormals when I was in monitoring with Affinity. Usually indicates a dilute screen. My monitoring state sent me a letter, instructing me on how to hydrate myself properly after that but I didn't get into trouble.

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I have just had an abnormal UDS and I'm freaking out. why was yours abnormal? what happened? who is your case manager...i have sherry murray

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Specializes in Critical Care, Addiction, Peer Support.

Hi there, my monitor is the same as yours. When I had my face to face with her, she was cool, not concerned about the abnormal, said it was my creatinine level, told me to NOT drink water before the tests, stick with juice, and/or milk. She also said that the board doesn't get in a twist so much about abnormals...she said DILUTES are not good. So, take a deep breath, it will all be okay. Can you remember what you drank that day and when? I have developed a system that works for me now, so I am not as anxious any longer about it.

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many thnx for the reply... I've just reentered kare after a suspension so this stuff terrifies me. will she csll me in or send a letter? I'm not sure i want her to know i look at my results. I drank too much coffee and water meeting wirh sponsees. my typical dribk diet. i will change it on test days

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Specializes in Critical Care, Addiction, Peer Support.

I actually emailed her when I looked up my result and it said abnormal, I sent a little explanation along with it (what I drank and when, etc) she emailed me back and said that if she required anything further she would let me know. That was that! It is totally up to you, but I always lean toward the proactive side of things..you are in charge of your recovery...so, stay in control of it!! Personally, I do not see anything unusual about looking up my results, and I don't think she will either! :)

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I had an abnormal come back and was told it was due to high creatinine

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