Observed Urine Screens

Posted
by tarab333 tarab333, BSN Member Nurse

Specializes in Critical Care, Addiction, Peer Support. Has 31 years experience.

Just curious, anyone in a monitoring program ever have to do an observed urine drop?

Twoyearnurse

Twoyearnurse

510 Posts

Every. Single. One.

Emod

Emod

13 Posts

After my first UDS (unobserved) came back with nitrates in it, I insisted all subsequent UDS's be observed. I did not want my case manager to think I was "adulterating" my specimen. It saved me ALOT of hassle since there was something funky going on with my body chemistry last summer, plus my UDS had to be shipped across the country (literally from one coast to the other). Not to mention the UDS was NOT overnighted....it was a UPS 2 business day delivery, so if I dropped on a Thursday afternoon, the lab wouldn't get it until Tuesday, and it was sent in a packing envelope, not refrigerated, in 100 degree heat.

dirtyhippiegirl

dirtyhippiegirl, BSN, RN

Specializes in PDN; Burn; Phone triage. Has 8 years experience. 1,571 Posts

All of them. You wanna see me pee? Lemme pull my pants down for you. I can pee in front of anyone now.

hppygr8ful, ASN, RN, EMT-I

Specializes in Psych, Addictions, SOL (Student of Life). Has 20 years experience. 4 Articles; 4,433 Posts

Just curious, anyone in a monitoring program ever have to do an observed urine drop?

I would say about half were observed. Back when I was in the Calif diversion program I found what was literally a small Mom and Pop Urine drop place that did labs for life insurance companies and just happened to have a contract with quest diagnostic. This delightful old lady with a cigarette hanging out of the corner of her mouth would observe my drop and ship off the sample. We could also drop Urine at Nurse support group.

Hppy

hppygr8ful, ASN, RN, EMT-I

Specializes in Psych, Addictions, SOL (Student of Life). Has 20 years experience. 4 Articles; 4,433 Posts

All of them. You wanna see me pee? Lemme pull my pants down for you. I can pee in front of anyone now.

Me too I can pee on command anytime any place - hand me a specimen cup and I good to go. I can drop the requisite 30 cc's and be on my way.

Hppy

KyBeagle, ASN

Specializes in ED RN and Case Manager. Has 27 years experience. 140 Posts

Never.

tarab333, BSN

Specializes in Critical Care, Addiction, Peer Support. Has 31 years experience. 85 Posts

Every. Single. One.

WHOA, REALLY, WTH??!?!

tarab333, BSN

Specializes in Critical Care, Addiction, Peer Support. Has 31 years experience. 85 Posts

Thanks for all the replies, so far, I have not had any observed as of yet. However my last go around I had to drop for probation (all observed) and then I think I was observed maybe once or twice in the 3 years I was involved with the Ohio Board monitoring program. I have always had a little "stage fright" with the whole peeing in front of someone, but I am getting better at it- I usually just make sure I am literally about to pop and then I truly believe I could pee in the cup in the ******* waiting room! LOL!!

Twoyearnurse

Twoyearnurse

510 Posts

Yeah, I live in a harsher state. No alternative program. Five year contact. Observed UAs. Permanent mark on my record. Such is life and it is doable, and I am grateful to keep my license.

crazin01

crazin01

Specializes in tele, ICU, CVICU. Has 12 years experience. 280 Posts

Mine have always been 'direct observation'. And I just assumed that all programs required observation. oops... :rolleyes: