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"Negative dilute" drug test?

Posted

Specializes in Peds PACU & Peds Psych. Has 1 years experience.

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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. Has 5 years experience.

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

Yes - thank you for responding. I do have current rx for what I am taking which is PRN. However, I think if they know they may not hire me. I take it very sparingly because I have social anxiety but it has improved a lot lately and I think I can do without it. I can produce the rx but I just as soon would not want them to know. I also thought tylenol showed too but I guess my mind is running away with me because of all the research on line I have done and not feeling well. I guess I have to just wait and see what happens with the new test I did this morning. It looked diluted too. I drank a small Gatorade in the waiting room. I had a small tea earlier. I was terrified I couldn't go because I think I have been dehydrated but I was able to go today but it was quite clear to my horror. I just cannot relax over this.

SopranoKris, BSN, RN

Specializes in Critical Care. Has 5 years experience.

Yes - thank you for responding. I do have current rx for what I am taking which is PRN. However, I think if they know they may not hire me. I take it very sparingly because I have social anxiety but it has improved a lot lately and I think I can do without it. I can produce the rx but I just as soon would not want them to know. I also thought tylenol showed too but I guess my mind is running away with me because of all the research on line I have done and not feeling well. I guess I have to just wait and see what happens with the new test I did this morning. It looked diluted too. I drank a small Gatorade in the waiting room. I had a small tea earlier. I was terrified I couldn't go because I think I have been dehydrated but I was able to go today but it was quite clear to my horror. I just cannot relax over this.

Even if your med is PRN, you have to disclose. You have to view this from your employer's perspective. How does this reflect on your character for not disclosing? Whether you think you need it or not, bottom line is you have a prescription for it. Now that you didn't disclose it, if you get flagged for having it on your screening, then you could get rejected for the job solely on that basis. If you would have disclosed up front and then it appeared in your screening, the results would have correlated.

I don't think it is a character issue at all because nothing was explained to me at Lab Corp or by the employer. I was not told which panel was drawn and I believed I was only being screened for street illicit drugs (5 panel). It was only after research on the net that I saw that other panels can be ordered that include some RX drugs. I do not know what panel was ordered it was not on any of the paperwork, it could just be the 5 panel. I believe I should have been told and I was not told at the interview either that I had to take a drug test. It was e-mailed to me at a later date. I was totally ignorant of how they work and no one told me to disclose anything. Perhaps if I was asked upfront instead of leading me down a path where I was afraid to ask for fear of discrimination I would be able to relax. I think I should be told what I was being tested for and there was no way I could find out.