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Re: Of Interest And Importance To Obstetricians ...From: ainsron@msn.comFri Mar 23 14:14:40 2001
At Thu, 22 Mar 2001, Paul Prior MD wrote: > >On Thu, 22 Mar 2001 17:08:18 -0600, Barborza@aol.com wrote: > >>In a message dated 3/22/01 10:06:25 PM !!!First Boot!!!, Len2976@aol.com >>writes: >> >>> I don't think legally there is a problem with doing drug screens on urine >>> >>I think there is now that we have this new ruling from the Supreme Court. >>You cannot do it without patient consent. > >The case dealt with passing that information to POLICE. I don't think >they ruled on the testing as a fundamental issue. That may be true, but what do you do with the information when you get a positive? In our hospital, the information is passed to the Child Protective Service. The patient is interviewed, the home situation is assessed and the child may or may not go home with the parents. They do sign a consent for the testing, BUT if they don't sign the consent, and suspicion of drug use is present or other clinical indicators - late entry, inadequate care, early abruption, track marks, etc. they will still be reported to CPS. This isn't always initiated by the MD, but by the nursing staff, if they are suspicious.
-- Ronald E. Ainsworth, MD
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