Drug Testing Policy/Process for Spokane Training Sites

Policy

The School of Medicine does not require “routine” drug testing of medical students. However, starting in September 2012, specific Spokane clinical training sites (Deaconess Hospital, Valley Hospital, Shriners Hospitals for Children-Spokane, Rockwood Clinic, Community Health Association of Spokane, and Community Health Systems) have started to require drug testing before they will accept a student for a rotation. The following drug testing policy/procedure will serve as an interim solution for drug testing requirements until a long-term agreement can be finalized.

The School has contracted with Pathology Associates Laboratories (PAML) in Spokane to have a 10-panel urine drug screen test performed on all students scheduled at rotations at these impacted Spokane training sites. The testing must be completed within 30 days of the scheduled rotation. PAML will bill the University of Washington $15 for each drug screen and all expenses will be paid directly through Academic Affairs. The test results should be good for one year and can be used as needed for other rotations at Spokane-area clinical training sites. The urine drug screen will test for the following drugs:

•Amphetamines

•Benzoylecgonine (Cocaine)

•Opiates

•Morphine

•THC (Cannabinoids)

•Barbiturates

•Benzodiazepines

•Methadone

•Methaqualone

•Propoxyphene

•Phencyclidine

Students are required to complete a drug screening consent form for the School to release the results to the clinical training site. Only negative drug test results will be shared with the appropriate Spokane clerkship facility.

If the initial test results are positive, PAML will conduct a second confirmation test (on the same sample) at the School’s expense. If the confirmation test is positive, the medical student will be referred to the Vice Dean for Academic Affairs. The Vice Dean will refer the student to the Washington Physician’s Health Program (WPHP) for further evaluation and testing as indicated. The additional referral process will likely affect student clinical clerkship rotations to any facility requiring drug testing. Students who are confirmed with positive drug test results will receive further information and guidance working with the Vice Dean for Academic Affairs.

Process

One month before a scheduled elective or required clerkship rotation at Deaconess Hospital, Valley Hospital, or Rockwood Clinic in Spokane, Janie Ford, from the WWAMI Medical Education Office in Spokane, will email each scheduled student information on drug testing urinalysis lab order instructions and a drug testing consent form.
The student and witness need to provide an original signature on the drug testing consent form (see Appendix A). The witness doesn’t have to be a School of Medicine staff member; rather, it can be any adult who is able to witness the student signing the form. It is important that the student completing the consent form check the box providing “consent” to release the drug testing results. The drug testing consent form should be scanned and emailed to or faxed to 206-543-9052.
If the student is in Spokane, they should schedule a drug testing appointment as soon as possible. If outside of Spokane, the student should expect to complete their drug testing on the first day of the clerkship (all three institutions have approved the late testing for out-of-town students). The drug test results will be good for one year. Results may be used for other Spokane-area clinical training sites if the student is scheduled for multiple rotations.
It will normally take 1-2 days after providing a specimen for PAML to process the results. Results will be made available online through the PAML website:
The Compliance Officer (Laura Ellis) will log in to the PAML website to check for student drug testing results.
Negative result reports will be downloaded from the PAML website and uploaded into E*Value.
Positive test results will be referred to the Vice Dean for Academic Affairs for action. Positive results will not be uploaded into E*Value
The Compliance Officer will notify Registration and Scheduling (Trudy Furberry) when drug testing results are available. Trudy will contact the clinical training site facility to provide them a copy of the negative report findings.

Appendix A – Drug Testing Consent Form

STUDENT SUBSTANCE POLICY AND CONSENT FORM

Name of School:University of Washington School of Medicine

Name of Facility:Deaconess Hospital, Valley Hospital, Shriners Hospitals for Children-Spokane, Rockwood Clinic, Community Health Association of Spokane, and Community Health Systems

Facility policy prohibits Students (as well as applicants, employees and contractors) from using “Substances” including, but not limited to, illegal drugs and legal prescription drugs without a current, legal and valid prescription. Alcohol may not be used in a manner that will cause Student to be impaired while at the Facility. Students shall be tested for Substances as described herein.

The Substance Policy

The Students are seeking Facility experience that is not granted to the general public.

It is Facility policy to maintain a drug and alcohol free environment.

By choosing to access the Facility through the program, the Student must agree to follow the Facility’s substance abuse policy, including Substance testing.

Any Student who chooses not to agree to this policy has chosen not to be in the program.

No Student shall be in the program who:

Has chosen not to comply with the Facility’s or School’s directives;
Is unfit for duty; and/or
Has not passed a Substance test within the twelve (12) months preceding Student’s first day of a rotation that involves provision of Patent Care Services.

The School shall:

Inform each Student that Facility requires him/her to complete a Student Substance Policy Consent Form;
Provide the Facility with a copy of each Student’s completed Consent Form or request Student to provide the completed Consent Form to the Facility;
Conduct testing of Students through a licensed laboratory, including when a Student has been absent from the School or program for more than thirty (30) days (except for regularly calendared breaks) and there is reasonable cause to believe that Substance-induced impairment is involved; and
Provide Facility with documentation of Students’ laboratory test results.

Drug Testing may also be required by the Facility:

When a Student is injured at the Facility and Facility has reasonable cause to believe that such Substance-induced impairment is involved;
When a drug is not accounted for per Facility policy and Facility has reasonable cause to believe that the Student may have diverted the drug;
For oversight of a Student who has previously completed a drug rehabilitation program;
When a Student appears to be unfit for duty and Facility has reasonable cause to believe that Substance-induced impairment is involved.

Student Consent, Disclosure and Release

I choose to:

Agree with and follow the Substance Policy.
Provide any specimen(s) and authorize the School and/or Facility and any associated persons and/or entities to conduct screening tests for alcohol and drugs as provided in the Substance Policy in the instances described and allow them to access and utilize specimen and test information as needed as provided in the Substance Policy.
Release the School and the Facility and any associated persons and/or entities from any and all claims, causes of action, damages, or liabilities whatsoever arising out of or related to the Substance Policy and process.

Student Choice to Consent or Not Consent

I have read the above and I choose to (check one)

□ Consent

□Notconsent (not remain or be in the program)

Student and Witness Signatures

Student: / Witness:
Signature / Signature
Printed Name / Printed Name
Date / Date

Additional Consent for Students under the Age of 18

As the parent and/or guardian of the Student named above, I hereby consent to and authorize the School and Facility and affiliated persons and/or entities to proceed as outlined above.

Parent and/or Guardian’s Signature / Date
Student’s Printed Name

Appendix B – Spokane Clerkships Contact List for Sites Requiring UA Drug Screen

Dept ContactClerkship Clerkship Training Site Requirements

Kim Mabee / Anesth #674 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Teresa Jewell / Chronic Care - Pain Track #668 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Valley Hospital
Sue Kent, RN

Phone (509) 473-5744
Fax 509.473.5886
AND
Anna Salviejo

Phone (509) 473-5379
Fax (509) 473-5760 /

Criminal Background Check report
10-panel urine drug screen report
CPR certification
Letter of Good Standing
Student sends immunization

Teresa Jewell / Chronic Care – Rehab Track #692 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Valley Hospital
Sue Kent, RN

Phone (509) 473-5744
Fax 509.473.5886
AND
Anna Salviejo

Phone (509) 473-5379
Fax (509) 473-5760 /

Criminal Background Check report
10-panel urine drug screen report
CPR certification
Letter of Good Standing
Student sends immunization

Brian Brown / Fammed Sub-I #688 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Brian Brown / Fammed #641 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Carmelita Mason-Richardson /
Medicine #621 /
Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Yolanda Virgil / Medicine –Card #633 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Yolanda Virgil / Medicine – GI #636 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Yolanda Virgil / Medicine –ICU #640 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Yolanda Virgil / Medicine-ID #638 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Yolanda Virgil / Medicine-Nephrology #639 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Whitney Hiatt / OB/GYN #668 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Valley Hospital
Sue Kent, RN

Phone (509) 473-5744
Fax 509.473.5886
AND
Anna Salviejo

Phone (509) 473-5379
Fax (509) 473-5760 /

Criminal Background Check report
10-panel urine drug screen report
CPR certification
Letter of Good Standing
Student sends immunization

Amanda Schwanz / Ortho-Peds #668 / Spokane Shriner’s Hospital
Cheri Arman

Phone (509 623-0428 /

10-panel urine drug screen report
Letter of Good Standing
Student send immunization
Criminal Background Check Report

Allison Comer /
OTO #687 /
Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Carla Salldin / Peds #668 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Valley Hospital
Sue Kent, RN

Phone (509) 473-5744
Fax 509.473.5886
AND
Anna Salviejo

Phone (509) 473-5379
Fax (509) 473-5760 /

Criminal Background Check report
10-panel urine drug screen report
CPR certification
Letter of Good Standing
Student sends immunization

Carla Salldin / Peds-Card #636 / Cindy Dionne
/

Letter of Good Standing

Carla Salldin / Peds-Genetics #674 / Melissa Locke
/

Letter of Good Standing

Anna Nonis / Surgery #667 / Deaconess Medical Center
Melanie Roberts

Phone 509-473-3660
Fax (509) 473-7662 /

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization

Valley Hospital
Sue Kent, RN

Phone (509) 473-5744
Fax 509.473.5886
AND
Anna Salviejo

Phone (509) 473-5379
Fax (509) 473-5760 /

Criminal Background Check report
10-panel urine drug screen report
CPR certification
Letter of Good Standing
Student sends immunization

Rockwood Clinic
Sheryl Rose

AND
Megan Dunn
/

Criminal Background Check report
10-panel urine drug screen report
Student sends immunization