IMHO, the employer thinks about it from a much different perspective. It would be a liability for a nurse associated with this patient turned up a positive screen. It's not the world I would want to live in that drug screening is done at the drop of the hat, but you can't underestimate the tendency of staff lawyers looking to spread the liability in a lawsuit. And the damn fact of the situation is that there is poor correlation between the blood levels of THC and psychomotor coordination - it's highly individualized. I don't know if you are old enough to remember the "businessman's trip" of the 70's - DMT. It was intense but only lasted for an hour. But, anyway, it's hard not to be conflicted about this except I don't think industrialized pot is a solution for any society.