EtG testing - seems impossible?

Nurses Recovery

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Eeeh. Might as well post this under my real username. I'm about to enter into the Kansas Nurse Assistance Program which requires monthly urine screens for three years. One false positive will get me reported to the BON. I know there are further gold standard tests that can be done but I don't think my program does these if you have a positive UA.

I've been doing some research on EtG testing and am wondering if it's even possible to go three years without getting a false positive? I can obviously abstain from alcohol. And I know about the obvious alcohol containing products like mouthwash, cold medicine, make-up and skin creams, hair dyes, hand sanitizer, fermented products like soy sauce, baked goods and flavored lattes...but my research seems to show that there are literally thousands of products that could possibly cause a false EtG reading. At least deodorants, toothpaste, and shampoos have to list ingredients -- I have no idea what's in my cleaning supplies or laundry detergent. (All of which are on various lists of products that could possibly cause a false EtG reading.) Apparently, yeast infections and UTIs can also cause false positives.

KNAP has been no help. They tell me to refer to the materials that they sent me but those materials are literally three small paragraphs on cold medicine and mouthwash, hemp products, and poppy seeds. I might call the testing facility tomorrow to see if they have anything more comprehensive.

But, like...this does get done, right? People have to pass these tests for all sorts of monitoring programs, probation, and to get jobs...but it seems like the internet (and even this board) is filled with people complaining about false EtG positives.

Specializes in PDN; Burn; Phone triage.
Five years?!?! For goodness sake! Who can even afford this? How has your program been going for you? I started not long ago and I've just been a ball of nerves. Like I will forget a deadline or if I don't feel well I lie there and suffer because I'm terrified to even take a tylenol. I'm also in the Kansas program.

I had a rough patch over the summer where I tested positive for PCP. (Thanks, lamictal!) But otherwise I just keep my head down and do what I am told. I have moved to doing the majority of my communication with the program to emails so that I have a paper trail...I also had a problem with that around the same time the PCP fiasco happened.

Just get scripts for everything OTC that you take PRN. Tell your PCP that you are in a monitoring program and you need some sort of note that you can take ibuprofen or whatever. I send in my scripts for Prevacid every 3 months.

The deadlines trip a lot of people up. Get your AA/NA sheet in a few days before it's due -- I always look at the first of the month to see whether the end falls on a weekend or holiday and plan accordingly.

If you are in the KCMO area, I can recommend a wonderful place to test. Cheap, great folks, flexible hours and often no wait.

The program folks are pleasant as long as you are pleasant. "Yes" and "thank you" are the words you want to use no matter what is being said to you on the other side.

If you're in my area, lemme know if you want to go to a meeting together or whatever.

I know the TPAPN dietary restrictions sound very prohibitive but I was able to relax over time. I have accidentally ingested wine vinegar, vanilla extract and poppy seeds but never had a false positive test. Just keep doing the right thing and when eating at restaurants ask questions before you place your order.

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