Failed Drug Test!!!!!!

Nurses General Nursing

Published

I went last week to take a Drug test to start my program next week. I have migraines/Tension headaches which I generally take Excedrin for, but sometimes its not enough. The Dr. prescribes a very weak dosage of Esgic plus for those times. The day before the drug test was one of those headache days. Anyway, when I went in I took the prescription bottle with me to show them. The man doing the test said he couldn't look at it or make note of it because of hippa laws which are there to protect my privacy.

Last night about 5:30 pm I am coming in from a very stressful, long day and guess what was on my answering machine. A message from someone at the drug testing company stating their was a problem with my drug test and to call them. By the time I got home my TEENAGERS had already heard the message, and wanted to know why I had failed my drug test, and what drugs I was doing. To make matters even worse my parents were there too wanted to know the exact same thing.

I call the guy, and he informs me that my prescription Esgic plus was found, and I say "Yes, I have a prescription for that". He told me to rip of the label for the medication, and fax it to him. I don't have a fax at home, and by the time the local fax place was already closed.

Today I went to the fax place to fax, and when I got back the Dean of the nursing program had called. He leaves a message stating that he had word that my drug test had come back +, and wanted to get a report from me.

I called him and left a message, and called his secretary and explained everything. They were not made aware that it was a prescription drug, and that I was faxing in proof. I called the drug testing place back, and they said the fax was received, and they would verify it with the

pharmacy then they would change my test results to -, and all would be fine.

So here I am with a days worth of phone calls, frustration, and the added gasoline, and fax expense. More important how did this protect my privacy? My whole family was basically informed that I failed a drug test, but not given the details why. Would it not have been easier, cheaper, kinder, less frustrating, and protected my privacy a LOT more if they would have just made note of this when I took the test.

I don't want to make a big deal of this with my new professors, dean or fellow students. I also don't want to call up the drug testing place and vent after all they have my urine (and future) in their hands. I just needed to vent. Its the very beginning and this had left a VERY bad taste in my mouth.

Specializes in ER, TRAUMA, MED-SURG.
How would you, the patient, providing your OWN information willingly, be violating HIPPA??:no:

You, as the patient, are the ONLY one who can give out information with no concerns over HIPPA violations. Using that scenario patients can't give their information to anyone. That is not a HIPPA violation.

What the company does with that information, provided by the patient, is controlled by HIPPA. Leaving the message did violate HIPPA

Hello - The lab calling and leaving a message like he did, instead of just leaving his name and to call back was violating her rights to privacy. Here, it is strictly enforced regarding phone call, ect. Even when I do call backs on d/ced ER patients, if they are not at home, the only thing we can say is our name and to call us back.

Anne

Specializes in ER/Ortho.

Hotflashin,

That would have really pee'd me off. This lab tracks everything by SS# so if someone else got my results they would also have my name, address, and at least SS#. Are these places run by Monkeys?

Specializes in behavioral health.
I thought before all drug tests they are supposed to provide you with a chance to state all the meds you've taken recently/have Rx'd?

Exactly!! They are supposed to check if you have a valid prescription for it. As long as you have prescription for it, then they need to report it as negative. They are not allowed to report that you tested positive for a controlled substance, if you have a valid prescripton for it. This guy was just being totally lazy!

Specializes in LTC.

Everywhere I've ever been and taken a drug test, they ask you to fill out a form with a list of all prescription drugs you are taking on it. If any of them come up on the test, they already know that you've listed it and only have to ask for verification of the prescription. I agree that your hipaa rights were violated but would also question why you weren't given a form to fill out to list any drugs prescription or otc that you may have been taking. Very odd indeed. After this clears, I would bring this up to your school DON and possibly a lawyer.

Hello - I am sorry. I am not sure where I went wrong in my posting. I was under the impression that the lab calling and leaving a message like he did, instead of just leaving his name and to call back was violating her rights to privacy. I know around here, it is strictly enforced regarding phone call, ect. Even when I do call backs on d/ced ER patients, if they are not at home, the only thing we can say is our name and to call us back.

Anne

Yes, that is correct. Unless you have signed documentation in your MDs office etc., stating that a medical facility has been given permission, by you, to leave a detailed message with an answering machine or a live person (who also has to be specified) they cannot legally be allowed to leave a message. Only a message asking for call back-you can also specify that you do not want to be called. You the patient will call the facilty.

My husband and I both fill out all of our privacy paperwork to make no exclusions with one another. Be it take message for me, pick up a prescription at the MDs office, or even make an appt., my husband has the right to do all of this because I signed all the proper documentation and vice versa. One could also limit what they personally want the spouse (or parent etc.) to have available.

I deal with a high number of Hep. and HIV patients. I always remind staff to CHECK the chart before placing a call! Living situations vary greatly from household to household (parents, grand-parents, children etc.) and everyone has a right to maintain the degree of discretion in their own life.

Specializes in ER, TRAUMA, MED-SURG.
Yes, that is correct. Unless you have signed documentation in your MDs office etc., stating that a medical facility has been given permission, by you, to leave a detailed message with an answering machine or a live person (who also has to be specified) they cannot legally be allowed to leave a message. Only a message asking for call back-you can also specify that you do not want to be called. You the patient will call the facilty.

My husband and I both fill out all of our privacy paperwork to make no exclusions with one another. Be it take message for me, pick up a prescription at the MDs office, or even make an appt., my husband has the right to do all of this because I signed all the proper documentation and vice versa. One could also limit what they personally want the spouse (or parent etc.) to have available.

I deal with a high number of Hep. and HIV patients. I always remind staff to CHECK the chart before placing a call! Living situations vary greatly from household to household (parents, grand-parents, children etc.) and everyone has a right to maintain the degree of discretion in their own life.

Hey - Thanks, Shell! My dh and I did the paperwork at MDs offices and RPH so we could do that too.

Thanks! Anne

I agree, wait until you are ready and then report him. Leaving the message was wrong.

And about the mix up of information...when my husband requested a copy of his 2005 tax return the IRS sent us somebody else's tax return. Can you imagine? That had SO much info on it. That means that our tax documents probably went to some random person's house. I tried to contact those people but was unsuccessful. I wanted to mail it to them and let them know but my hubby made me shred it, he is a non confrontational person. My point is, these idiots need to be reprimanded for these kinds of mistakes.

LOL@ "pee'd me off"

I'm a little confused about the leaving-a-message/HIPPA aspect but will gladly chime in with my unsolicited opinon:

Whatever phone number YOU supplied gives them the right to call THAT number and leave a message. If the message they leave is accessible to others, they have no control over that; they simply have the number YOU have given and they are using that to contact you. So your teenages heard the message? Was that a problem that you were unable to explain to their satisfaction? If so, you should've have given a number that your teens do NOT have access to...

I understand your frustration but feel it's misplaced... maybe I've misunderstood something....?

Whatever phone number YOU supplied gives them the right to call THAT number and leave a message. If the message they leave is accessible to others, they have no control over that; they simply have the number YOU have given and they are using that to contact you. So your teenages heard the message? Was that a problem that you were unable to explain to their satisfaction? If so, you should've have given a number that your teens do NOT have access to...

I think that given the sensitivity of the nature of the message, any diligent professional (of just about any field) could have anticipated potential detrimental repercussions of leaving such a detailed message. It would have been just as easy to say, "This is Joe Blow from X Lab, with an important message for Coolpeach, can she please call me?" That would have protected her privacy and got gotten the job done without disclosing the full nature of the call. It was not necessary to make such a detailed disclosure.

I would almost think that there was a punitive undercurrent regarding positive tests ... as if those with positive results somehow do not deserve due privacy or consideration.

Further, and perhaps unrelated, there is NEVER (or rarely) a satisfactory explanation of anything given to a teenager about their parents! Especially, if it is a real or imagined infraction, even marginally perceived as being the least bit shady (or useful!) ... says the mother of 5, having survived the teen years of 3, in the midst of angst with another and with the last hot on my heels, chomping to be a teen!

Specializes in ER, TRAUMA, MED-SURG.
I'm a little confused about the leaving-a-message/HIPPA aspect but will gladly chime in with my unsolicited opinon:

Whatever phone number YOU supplied gives them the right to call THAT number and leave a message. If the message they leave is accessible to others, they have no control over that; they simply have the number YOU have given and they are using that to contact you. So your teenages heard the message? Was that a problem that you were unable to explain to their satisfaction? If so, you should've have given a number that your teens do NOT have access to...

I understand your frustration but feel it's misplaced... maybe I've misunderstood something....?

The lab staff had the right to call and leave a message, not to leave the amount of information they did. What they should have said was "Ms..____ this is _____________ from xyz lab. Please return my call. It is important."

I checked with our attorney and he said that is what they should have said. Too much information was left on the machine. So, are you saying that if pizza man or mail carrier, ect. was there waiting on money or a signature for a package when someone checked the message, then they had the right to hear her business? I don't think so, at least not in the state where we live, thank goodness.

Anne, RNC

Specializes in ER, TRAUMA, MED-SURG.
I think that given the sensitivity of the nature of the message, any diligent professional (of just about any field) could have anticipated potential detrimental repercussions of leaving such a detailed message. It would have been just as easy to say, "This is Joe Blow from X Lab, with an important message for Coolpeach, can she please call me?" That would have protected her privacy and got gotten the job done without disclosing the full nature of the call. It was not necessary to make such a detailed disclosure.

I would almost think that there was a punitive undercurrent regarding positive tests ... as if those with positive results somehow do not deserve due privacy or consideration.

Further, and perhaps unrelated, there is NEVER (or rarely) a satisfactory explanation of anything given to a teenager about their parents! Especially, if it is a real or imagined infraction, even marginally perceived as being the least bit shady (or useful!) ... says the mother of 5, having survived the teen years of 3, in the midst of angst with another and with the last hot on my heels, chomping to be a teen!

Thank you! My thoughts exactly!! And I have a daughter and two sons, and you hit the nail on the head with the description of trying to explain much to them.

Anne, RNC

Specializes in behavioral health.

I have always been asked if it is okay to leave a message at the number that I give. There was way TMI on this message. Totally uncalled for, and I believe that it is definitely a HIPPA violation.

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