HPMP

[VARNhosp88]

So I'm in VA HPMP and have been for almost 4 years. My CM called me yesterday and told me that I had tested positive on a screen. CM asked if I had taken anything or ingested any foods or drinks. I answered no, because I haven't. I asked what I supposedly tested positive for and CM wouldn't tell me, which I found to be weird. CM said they were going to talk more with the MRO and then let me know. I also requested that my split specimen be tested as well because something just isn't right. Anyone been denied info on positive drug screen? I find it odd that she couldn't just tell me what was in question.

[VARNhosp88]

I had a dilute ONE time and it was followed by a hair test. Needless to say, I took the necessary precautions to make sure I didn't have to go through that again. Now it's flipped... YOU CANT WIN!

[SpankedInPittsburgh, DNP, RN]

amen!!!

[jdub6]

glad it's ok. FYI the MRO is generally supposed to recieve and review all positive screens before they are treated as positive. It's very possible your CM really didn't know what was positive until the MRI made his decision. This is done because of situations exactly like yours-many things can case positives and its not as simple as just reading the report.

Also re your split sample-usually an initial positive is to a true screen meaning its not super specific and can't tell for example xanax from ativan. it jyst sees benzos. When these screens are positive they are sent for GC/MS confirmation which is substance specific and much more accurate. AFAIK the split sample would only be tested if there was a concern over the accuracy of the confirmed results (you may have to self pay for the split to be tested so it's worth waiting to make sure its necessary.)

All that said the part that's messed up here is your CM called you on a possibly unconfirmed positive without the MRO opinion. Often it is the MRO who contacts you because they are better at knowing which substances or symptoms (UTI) to ask about for each substance. In my state your CM wouldn't even see a positive until confirmed and any investigation comes only from the MRO. (for pre employment screens the screen is reported positive by the MRO so no one at the employer sees a positive unless it's confirmed by GCMS and tv's MRO cannot find justification).

[catsmeow1972, BSN, RN]

Yeah but y'know these things will take anything, especially so close to the end, to trip you up and try to either suck more $$$ out of you or use it as a pretense to extend the contract. Not sure if it's coincidental, but I've seen more than once, people that are closing in on the end and miraculously come up with a dilute or whatever and bang, another 6 months or another evaluation ( $1000 please) or several weeks of spazzing out at the very least. I just can't help but not trust these people any further than I can kick them.

[SpankedInPittsburgh, DNP, RN]

Yep another example of the way too cozy relationship between the BONs, the monitoring programs and the "rehab" industry that they spill our money all over. A few years ago in Pennsylvania it was discovered that Judges were sentencing Juveniles to years of "treatment"; boot-camps, in / out patient recovery programs, counseling.... The FBI did an investigation and guess what they found? The rehab industries were bribing the Judges. I would be very surprised if this system isn't corrupted, steered and run by the cash that flows from nurses and their insurance companies to the rehab industry. Most of what is described here and what I've seen can only be described as a blatant money grab by the snake oil salesmen in the substance abuse treatment industry and the people who are probably in their pocket.

[SpankedInPittsburgh, DNP, RN]

I totally agree with you about the "treatment" and money connection. I swear the real purpose is to gran as much money as they can from nurses then find a way to kick them out of the program