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"Negative dilute" drug test?

Specializes in Peds PACU & Peds Psych.

I recently took my drug test for nursing school. The results of this and our background check are due this week, so I logged into my online account to check that everything had finished pending. I noticed that my drug screen said it was a "Negative dilute." I drink a lot of coffee and water throughout the day, but no one had given any sort of warning to hold off on consuming these before my drug test. If anything, I drank even more than usual to ensure I'd be able to produce enough of a sample. I had no idea drinking too much could lead to a result like this. The woman who adminstered the test kept my belongings with her while I tested, checked the temp after, etc, and everything was fine. She didn't comment or seem concerned about my urine being too dilute (it was quite clear, but did still have a little yellow to it). I didn't think much of this until I searched around online and realized some schools / employers consider this a positive result!! I am freaking out now. I am definitely NEGATIVE for any / all drugs and do not want anyone to think otherwise. My school did not give any sort of warning on this prior or mention their specific policy.

I have not received any sort of call or notice from the lab or school mentioning the need for a retest or what this could mean for me. I emailed my advisor last night for advice, and she did not respond at all today, which just makes me even more nervous.

Am I being paranoid? What should I do about this?

you are being paranoid. stand down.

if they want you to repeat test, they'll ask you.

I agree. I think you are being a little paranoid. Try to relax, even though it can be tough if you are anxious.

FORTHELOVEOF!!!!

Specializes in Neuroscience/Brain and Stroke.

If they have a problem with this, they will have you retest, shouldn't be a big deal, don't freak out yet.

BostonFNP, APRN

Specializes in Adult Internal Medicine.

If you have nothin to worry about then don't worry! :)

If you tried to dilute on purpose, be nervous. :(

afterseason, ASN, RN

Specializes in Peds PACU & Peds Psych.

If you have nothin to worry about then don't worry! :)

If you tried to dilute on purpose, be nervous. :(

I definitely didn't do anything on purpose... just trying to be healthy / hydrated. Haha. I mean, is there some way they can tell a difference of whether or not I was just overly hydrated or if I did something intentional? I hope so...

Jack245

Specializes in CNA, Nursing Student.

I tell prospective employers, the best bet for a non-dilute urine sample for me is in the morning, because I have a hx of multiple kidney stones so I drink lots of water throughout the day. It's never been a problem.

BostonFNP, APRN

Specializes in Adult Internal Medicine.

I mean, is there some way they can tell a difference of whether or not I was just overly hydrated or if I did something intentional? ..

If you asked me this after you did a test for me I would be a tad suspicious, being honest.

As I said, nothing to worry about if you weren't covering anything! If you were, then this is a great time to kick a bad habit, you need your wits about you in this game.

afterseason, ASN, RN

Specializes in Peds PACU & Peds Psych.

If you asked me this after you did a test for me I would be a tad suspicious, being honest.

As I said, nothing to worry about if you weren't covering anything! If you were, then this is a great time to kick a bad habit, you need your wits about you in this game.

Again, I wasn't covering anything... I did ask my advisor her thoughts only because if they have a re-test policy, I want to adhere to it. I am just a very OCD / neurotic person when it comes to these things.

shay&lynn, ASN, RN

Specializes in Nursing Assistant.

Again, I wasn't covering anything... I did ask my advisor her thoughts only because if they have a re-test policy, I want to adhere to it. I am just a very OCD / neurotic person when it comes to these things.

I would be freaking out too...that's just me!

BUT, if you know you didn't do anything, just relax :)

Don't worry about it. They'll just ask you to re-test. Negative dilute does not mean that you got a positive result. Good luck!

sharpeimom

Specializes in ortho, hospice volunteer, psych,.

i think you're panicking for nothing. i have a sort of similar story about a drug test -- but in reverse.

i had just switched anticonvulsants and was finally completely off tegretol and on just keppra. i had been

warned that keppra would probably make my urine smell horrible and strange and that it might make it turn

a rusty dark reddish-orange color. i was notified that i had to take a mandated random drug screening urine

test right then. as luck would have it, it was the very first keppra-only day, so i had no idea what to expect.

later that day, the lab called me and told my urine smelled "like nothing natural and no urine should be that color." my neuro made a quick call to the drug company who then called the lab and everything was fine.

now it's a funny story! quit worrying.

I actually had basically the same thing happen to me. I went to go get my test and my kids were with me. Well, the lab wouldn't let me leave them in the waiting room by themselves (at 8,6 and 4) for the minute it takes to fill a cup. So, I had to take them home and had to pee so bad that I did. Then, I drank like 3 bottles of water on the way back to the lab because I was afraid I wouldn't be able to give them a sample. Well, my urine was too dilute. I found out when the department secretary in our nursing department called and asked me to retest within 24 hours. I went back. Talked to the lady in the lab who suggested caffeinated soda rather than water if I was ever in that situation again. The soda wouldn't dilute my urine and the caffeine would help with my need to pee.

Anyway, I wasn't hiding anything, but I was terrified too. Long story short -- I passed my retest and last month I graduated from nursing school. I am now scheduled to take NCLEX in 10 days. :)

afterseason, ASN, RN

Specializes in Peds PACU & Peds Psych.

Just to update this -- I heard back from my advisor. She said she spoke to the lab and that my urine was not too heavily dilute, so I do not have to retest or anything. She said I may be subject to a random screening at some point during class, but that is fine with me! Phew, now I can relax. :)

Stephalump

Specializes in Forensic Psych.

Just to update this -- I heard back from my advisor. She said she spoke to the lab and that my urine was not too heavily dilute, so I do not have to retest or anything. She said I may be subject to a random screening at some point during class, but that is fine with me! Phew, now I can relax. :)

Yay! One less thing to worry about!

Just to update this -- I heard back from my advisor. She said she spoke to the lab and that my urine was not too heavily dilute, so I do not have to retest or anything. She said I may be subject to a random screening at some point during class, but that is fine with me! Phew, now I can relax. :)

YAY!!

shay&lynn, ASN, RN

Specializes in Nursing Assistant.

Just to update this -- I heard back from my advisor. She said she spoke to the lab and that my urine was not too heavily dilute, so I do not have to retest or anything. She said I may be subject to a random screening at some point during class, but that is fine with me! Phew, now I can relax. :)

Great news!

The same thing just happened to me. I feel so embarrassed and I feel if I do end up getting this job they will always wonder if I was trying to fool them by over hydrating. I knew nothing about this going into the test, of course. I thought if I drank some water in the waiting room it would make getting the specimen easier. The first shot I didn't produce enough urine and I only had 4 mins to do it and I didn't know it was a timed test either until afterwards. Labcorp does not give you any instructions and neither does the employer. My opinion is that they actually treat you like a druggie (this was only a pre screen) and my first. What makes it worse was I had the flu which I caught after the interview where the job was offered based on a background check. I passed the background and did the drug screen several days later. I couldn't go immediately because I had severe cramps going through my stomach and a fever of over 100.0 F degrees (usually, I am 96.2 F). I felt so awful, so I completed the e-paperwork on line for permission to do the background check on Thursday afternoon (3-4 days before results) and then I planned to go for the drug screen on Monday morning. However, the employer called Monday morning to tell me background check had come back (of course it had to be early) and it was okay and he then asked me about the drug screen which I hadn't done. I didn't want to tell him I had been sick because that wouldn't look good. I told him I was actually on my way to get it now. He wanted to make sure I got e-mail for it. Then in the office when I got called back I couldn't go. I usually have no problem going but would you believe it I couldn't produce enough and they knocked on the door for me to come out and they called it a shy bladder. So, afraid, I sat in the waiting room chugging water. I cannot ever remember in my life drinking so much water in an hour but I thought I was doing the right thing. Labcorp never told me anything or warned me. The test came back Negative Dilute. I got a message from employer on my machine which I got Thursday evening as I work one day a week (which I told them about). I couldn't go then because due to the flu I had to take some tylenol. I was further into a rabbit hole because I later did research and they test for a lot of things. Obviously, I do not do the street drugs but occasionally I do have to take a prescription med. So, my research was then telling me certain things stay in your system and I took miniscular amounts but I worried. So, I didn't go Thursday or Friday as they advised but I went Monday morning early and I called the employer (not in and left detailed messages) and I left a message to tell him I got it done early Monday morning and to let me know when my start date would be if everything came back okay. I was supposed to start Monday but he had told me on my message machine that they would have to have it back so he hoped for Monday. Labcorp then tells me that it would take 3-5 days to get it back. Now, I am afraid I lost out on this job. I am sure they are thinking she is taking too long to this simple drug screen so something has to be up. I feel embarrassed like I want to explain why it took longer (although the paperwork gave me 8 days or so before it expired) but I think they wanted me to get it immediately so I could get started. I wanted to go Friday but my urine was running super clear and I was terrified that it was going to be negative dilute again and I know that I will not get another chance. So, I thought early Monday morning would be better and the tylenol would not show. I am so scared. I got test this morning so I know it will be another few days and I am afraid I will not hear from him again. I feel like an idiot. This is the first drugscreen I have had and I hope it is the last. The truth of it was I was sick with a high fever, upper respiratory and digestive tract systems and just couldn't think. What do you think I should do now?

I don't think there is a way they can tell that someone accidently or intentionally over hydrated. How could they possibly know this. They treat everyone the same. They assume one is a druggie until the test is proved otherwise. If there is a marginal result where the data could go either way they will retest. However, there is a positive dilute which would be obvious. Because that person knows they took some substances and were trying to conceal it. But, a negative dilute could also be interpreted as someone knowing and successfully drinking enough water to mask it. So, what someone thinks is out of our control. Only we know the truth.

SopranoKris, BSN, RN

Specializes in Critical Care.

I am so scared. I got test this morning so I know it will be another few days and I am afraid I will not hear from him again. I feel like an idiot. This is the first drugscreen I have had and I hope it is the last. The truth of it was I was sick with a high fever, upper respiratory and digestive tract systems and just couldn't think. What do you think I should do now?

Why would you be worried about Tylenol appearing in your screening? It's an OTC drug. No one is going to bat an eyelash about it. They can't base not hiring you on the fact that you had Tylenol in your system. It would be a HUGE assumption on their part to come to the conclusion that since you took Tylenol, you must be ill and therefore, "un-hire-able". If you didn't take anything illegal, no worries. If you had a prescription for the meds you took, you should be fine. You just have to disclose what you took so it matches the lab findings. That's why they ask you in the drug test pre-screen about the meds you're taking. If you conceal what you're taking, then the red flags go up. Honesty is always the best policy :D

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