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 behavioral health.

I just thought of another thing that bugs me about this scenario. They requested that you send a fax of the label. Umm, couldn't that have been altered so easily? I would think that it would have to come from the prescribing drs. or the pharmacy that filled the prescription. Of course, originally the guy was supposed to take the info that you gave him and note it. Otherwise, why would they even bother asking if you take any prescribed meds?

Specializes in ER/Ortho.

Thanks to all of you for giving me someplace to vent when I had no one else who would understand.

I went to success camp on Wed/Thur. I spoke to the dean on Wed, and he had not received anything from the drug testers at that time. He said he understood, but to get it taken care of because at some point I would be walked out of class if the result was not changed to neg. Thursday I called the drug testing company, and they said they verified my prescription label with the pharmacy, changed my result to neg, and sent the info to the school.

This was not a fun experience. I think because I am a type A personality, and I do care what my family members, and those I work closely with think of me. I know that not everyone in the world will like me, but at the very least I don't want them to think I have a drug problem. They really have to find a better way of doing this.

I don't understand why they cannot simply look at the prescription bottle, write down the pharmacy (to verify later if needed), and do all of that before you even pee in the cup. Then if that drug does show up they can call the pharmacy, and still show the test was neg.

Specializes in telemetry, med-surg, home health, psych.

I wasn't even aware that you had to take a drug test now to get in to nursing school....I went to school over 25 yrs. ago and of course then there were no drug tests...just the entrance exams....

on drug tests for jobs, you list your meds to your prospective employer then go to the lab and pee in the cup...no one at the lab asks about any meds...back years ago you couldn't get a job if you were taking any controlled substances, prescription or not...I am glad that things have changed in that respect...

Specializes in ER- Correctional.

All you need to do is have the physician who prescribed your medication, call the lab in charge of the drug testing.(I would think most pharmacies do not recommend the labels, being removed from a RX, bottle(even if it's yours),once they have been applied. (I could be mistaken about this)... I would also contact their supervisor,(everyone has a supervisor, don't they?) & tell him/her your concerns, about the breech of confidentiality, that the caller, had done...

This is a general note to all the nurses. Some states dont allow nurses to work under the influence of any scheduled drug. You dont have to abuse the drug you just arent allowed to take it while on duty. I am a nurse that gets monitored because I worked under the influence of Percocet that I had a prescription for after shoulder surgery. Nurses are a big part of the addict population and if you cant work without drugs you wont work. I dont want anyone taking care of my family after taking any mood altering drug. We all see what the drugs do to the patients. I can understand now why I am not allowed to take anything while I work. If you cant take the medication and drive a car you cant save lives. Nurses are good about sharing drugs which also a no no.....just be careful.

Specializes in telemetry, med-surg, home health, psych.
This is a general note to all the nurses. Some states dont allow nurses to work under the influence of any scheduled drug. You dont have to abuse the drug you just arent allowed to take it while on duty. I am a nurse that gets monitored because I worked under the influence of Percocet that I had a prescription for after shoulder surgery. Nurses are a big part of the addict population and if you cant work without drugs you wont work. I dont want anyone taking care of my family after taking any mood altering drug. We all see what the drugs do to the patients. I can understand now why I am not allowed to take anything while I work. If you cant take the medication and drive a car you cant save lives. Nurses are good about sharing drugs which also a no no.....just be careful.

I always thought that this was true, also....but I have seen nurses at work who tell me they are taking s0 and s0....so I guess it is allowed in Ga.

Its not necessarily "allowed" in Georgia. They probably dont randomly test nurses like other states do. Stay away from FL for sure.

Dear Cool Peach,

To educate you and the others that have posted on this topic:

A urine specimen collector is prohibited by US law from inquiring about the medications that you take or from noting any medications on your drug testing chain of custody form (this is the form that accompanies your specimen through the entire process, to ensure it's integrity). Let me give you an example of why your personal medical information cannot be provided to the urine collector: Let's say that you were diagnosed many years ago as bi-polar and you are controlling it with a daily dose of Lithium. If you provide this information to the collector and it is recorded on the custody and control form, it would also be included on the School's copy of the custody and control form (it is a five part carbon copy form). The potential would then exist for discrimination based on the assumptions that may be made, given the medication you are prescribed. Therefore the HIPPA laws are there to protect you.

Once the urine specimen is analyzed, the results can only be reported to a Medical Review Officer. This individual's role is also to protect your rights. A Medical Review Officer contacts a donor (you) to determine if there is a medical explanation for a particular substance to be present in your urine. (In the absence of this part of the process your result would be reported as a positive without giving you the opportunity to provide an explanation). The reason the MRO asked for a fax of your Rx information is so that it could be verified. Routinely the MRO or MRO assistant will call the pharmacy in which your medication was dispensed, in order to verify the Rx.

Regarding the answering machine message-- I will agree that the answering machine message that you described seemed less than professional. However, the message did not say that you tested postitive for illicit drugs or that you are being accused of illegal drug use. According to you it simply stated to "return a call regarding a problem with your drug test." That could mean many things. It could have meant that your specimen was lost in transit and they needed you to submit to another test.....

I have a teenager and parents as well. None of whom would jump to a conclusion that I had "failed a drug test" based on the message you described. But then again, I have never given them cause to think that I would ever use illegal drugs.

Oh and one last thing-- you are just starting out in the medical profession--be prepared to take additional drug tests. Medical professionals have the highest positive rate among all sectors of the tested population. Defensive yet?

They take you through all of this frustration for nothing...I am glad that everything worked out...

Specializes in Operating Room Nursing.

Have you deleted the message from the answering machine? I'd be keeping it as proof of breach of confidentiality. I too would be absolutely furious about the whole saga.

This is a general note to all the nurses. Some states dont allow nurses to work under the influence of any scheduled drug. You dont have to abuse the drug you just arent allowed to take it while on duty. I am a nurse that gets monitored because I worked under the influence of Percocet that I had a prescription for after shoulder surgery. Nurses are a big part of the addict population and if you cant work without drugs you wont work. I dont want anyone taking care of my family after taking any mood altering drug. We all see what the drugs do to the patients. I can understand now why I am not allowed to take anything while I work. If you cant take the medication and drive a car you cant save lives. Nurses are good about sharing drugs which also a no no.....just be careful.
I think the point here is that the drug would show up in a urine screen long after it had ceased to have an effect on your neurological state.
Specializes in ER, TRAUMA, MED-SURG.
Dear Cool Peach,

To educate you and the others that have posted on this topic:

A urine specimen collector is prohibited by US law from inquiring about the medications that you take or from noting any medications on your drug testing chain of custody form (this is the form that accompanies your specimen through the entire process, to ensure it's integrity). Let me give you an example of why your personal medical information cannot be provided to the urine collector: Let's say that you were diagnosed many years ago as bi-polar and you are controlling it with a daily dose of Lithium. If you provide this information to the collector and it is recorded on the custody and control form, it would also be included on the School's copy of the custody and control form (it is a five part carbon copy form). The potential would then exist for discrimination based on the assumptions that may be made, given the medication you are prescribed. Therefore the HIPPA laws are there to protect you.

Once the urine specimen is analyzed, the results can only be reported to a Medical Review Officer. This individual's role is also to protect your rights. A Medical Review Officer contacts a donor (you) to determine if there is a medical explanation for a particular substance to be present in your urine. (In the absence of this part of the process your result would be reported as a positive without giving you the opportunity to provide an explanation). The reason the MRO asked for a fax of your Rx information is so that it could be verified. Routinely the MRO or MRO assistant will call the pharmacy in which your medication was dispensed, in order to verify the Rx.

Regarding the answering machine message-- I will agree that the answering machine message that you described seemed less than professional. However, the message did not say that you tested postitive for illicit drugs or that you are being accused of illegal drug use. According to you it simply stated to "return a call regarding a problem with your drug test." That could mean many things. It could have meant that your specimen was lost in transit and they needed you to submit to another test.....

I have a teenager and parents as well. None of whom would jump to a conclusion that I had "failed a drug test" based on the message you described. But then again, I have never given them cause to think that I would ever use illegal drugs.

Oh and one last thing-- you are just starting out in the medical profession--be prepared to take additional drug tests. Medical professionals have the highest positive rate among all sectors of the tested population. Defensive yet?

Thank you for the information. It was enlightening. However, I think I remember the OP saying she was Type A personality. I am also, and it is JUST MY OPINION, but I think there is a difference between being Type A personality and "defensive".

You are right that the information left on the machine could have meant many things and did not in so many words state that she was "posiitive for ____ drug"... and I appreciate the fact that YOUR children would not make an assumption based on the information that was left that you were on drugs or something to that effect. Some children, depending on their age, would not just take the message as is. As you stated, HIPPA is to protect her from discrimination that could come from adults as a result of information getting out. If it is a possibility that an adult could make an assumption, it is not too farfetched that a child or teenager could also do the same. Just because your children would not do this doesn't mean every child everywhere would not do this, most children I have been around make assumptions about some information some of the time. And you don't know whether or not she has given her children any reason to think she was on illicit drugs.

Yes, she does need to be prepared for many more drug tests in her career, but does not seem fair to hint about her being defensive just because she did not agree with the way the lab handled the specimen and information. This could be a reason why some nurses decide to leave the profession. And this is just my opinion, please don't rake me over the coals. And, no, I don't have this opinion because I am "defensive" about anything. And, yes, I did learn in nursing school that when you "' make an assumption, you make an ass out of you and me.'" Again, just because she was voicing a concern about the procedure does not make her defensive.

Anne, RNC

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