December 2011



Hair Testing -- Is It Right for Your Company?

Given the fact that drug use impacts the productivity and quality of a workforce, many companies have turned to drug testing as an investment rather than a cost -- and a way to reduce absenteeism, accident rates, workers' compensation and turnover costs.
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BarnesCare's Holiday Hours of Operation
All BarnesCare clinic locations will be closed Monday, December 26 in observance of the Christmas holiday. 
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How to Prepare for Your Provider Visit
When your BarnesCare provider schedules a tour of your company, you may wish to consider the following.
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What Every Worker Should Know About Workplace Violence
Workplace violence is a serious health and safety issue. It is defined as violence or the threat of violence against workers.
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Hair Testing -- Is It Right for Your Company?

Did you know that an astounding 75% of drug users are employed? Realizing the costs associated with drug use among workers, government studies as far back as the early 1990s estimated that employing a drug user costs an average of $7,000-$10,000 per year. If these studies were done today, the average costs would likely be much higher.

Given the fact that drug use impacts the productivity and quality of a workforce, many companies have turned to drug testing as an investment rather than a cost -- and a way to reduce absenteeism, accident rates, workers’ compensation and turnover costs.

Hair analysis is a drug-testing method many companies rely on to identify periodic and habitual drug use by applicants or employees, especially in safety-sensitive positions. One of the distinct advantages of hair testing is the larger window of detection it offers over alternative drug-testing methods. Hair testing is also effective because it is resistant to adulteration, evasion and sample substitution. The collection and handling process is simple because there is no handling of bodily fluids, and hair samples can be shipped from anywhere in the world without the risk of deterioration during transit.

Psychemedics Corporation pioneered the use of hair testing for drugs of abuse over 25 years ago, and thousands of companies rely on their proprietary technology to screen out drug abusers. Their test involves using scissors to snip an undetectable sample of head hair, about the diameter of a pencil lead. The typical hair sample is about 1-1/2 inches in length and identifies drug use as far as three months back (each half inch section of hair equals approximately one month of history). If head hair is sparse or unavailable, body hair may be taken instead. The standard turnaround time for the test results is 24 hours following receipt of the sample for negatives, and an additional 3-5 days for positive results.

Another unique advantage of Psychemedics’ FDA-cleared test is that it not only detects if drugs of abuse have been used, but can also provide information on the quantity and pattern of individual drug use. Their test results have been continuously upheld by state and federal courts, and some court systems even rely upon the technology in their probationary and diversionary programs.

The five drugs of abuse groups analyzed in a Psychemedics hair test include:
1) Cocaine
2) Opiates (including heroin metabolite 6-MAM, morphine, oxycodone, hydrocodone, hydromorphone and codeine)
3) Phencyclidine (PCP)
4) Amphetamines (including methamphetamine, amphetamine, MDMA-Ecstasy, MDEA-Eve and MDA)
5) Marijuana (carboxy-THC)

These groups include some of the most abused prescription drugs such as oxcodone (e.g., Oxycontin®, Percocet®, Percodan®, Roxicodone®), hydrocodone (Vicodin®, Lorcet®, Lortab®) and hydromorphone (Dilaudid®).

If you are interested in learning more about the benefits of implementing a hair testing program, please contact BarnesCare. You can also visit the Psychemedics website to find out more about the history and advantages of using hair analysis to detect drugs of abuse.




BarnesCare's Holiday Hours of Operation

All BarnesCare clinic locations will be closed Monday, December 26 in observance of the Christmas holiday. Regular clinic hours of operation will resume Tuesday, December 27.

All BarnesCare clinic locations will be closed Monday, January 2 in observance of the New Year's holiday. Regular clinic hours of operation will resume Tuesday, January 3.

For treatment of work-related injuries during the holidays or after hours, please direct employees to one of the following BJC HealthCare hospitals in the St. Louis metropolitan area:

Alton Memorial Hospital 
Barnes-Jewish Hospital 
Barnes-Jewish St. Peters Hospital 
Barnes-Jewish West County Hospital 
Christian Hospital 
Missouri Baptist Medical Center 
Northwest HealthCare 
Progress West HealthCare Center

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A BarnesCare on-call medical professional will be available for telephone consultation for all clients during the holidays. BJC 24/7 occupational medicine keeps clients in control of care delivered to their employees around the clock. When clinics are closed or care requires an emergency department visit, the referral process and support remains in place. Patients and clients are kept informed regarding every step of the process. The BJC 24/7 number is 314-995-0999.





How to Prepare for Your Provider Visit

A thorough understanding of the workplace environment is an essential component to providing high-quality occupational health care. Occupational medicine is the only medical specialty in which formal training is provided to assure that the functional abilities of the worker match the essential functions of the job.

Your BarnesCare medical providers are familiar with a wide spectrum of workplace environments. However, when your BarnesCare provider schedules a tour of your company, you may wish to consider the following factors in order to optimize the provider’s understanding of your specific workplace and safety considerations.

1. Give the provider a safety briefing prior to the tour and a review of the necessary personal protective equipment to ensure that your company's safety standards are maintained. When scheduling the tour, inform the provider if they need hearing protection, safety glasses, hardhats, steel-toed shoes or other protection to ensure compliance.

2. Be prepared to give your provider a brief history of work-related injury and illness claims. This will help your provider identify possible trends.

3. Focus the tour and discussion on areas in the workplace that experience particular types of injuries or illnesses. This will help your provider develop prevention strategies.

4. Include on the tour any areas involved with recent incidents to reinforce your provider's understanding of the case and the details provided by your company contact and the involved employee.

5. Schedule the tour during normal operations. This allows your provider to understand the real working conditions.

6. Encourage discussions with employees throughout the tour so the provider can get a sense of how things work from the “front-line” perspective.

7. Include time for debriefing after the tour to review any additional ideas for safety and prevention, set priorities for action items and establish timelines for follow-up meetings.

Partnering with client companies through ongoing discussion and a thorough understanding of the workplace environment helps your BarnesCare medical provider better communicate with you and your employees when a work-related injury or illness arises.

This story was written by Scott C. Jones, DO, MPH, FAOCOPM, BarnesCare Medical Director.