COLLECTION SITES PROVIDING AFTER HOURS SERVICES

Transcription

1 COLLECTION SITES PROVIDING AFTER HOURS SERVICES COUNTY COLLECTION SITE PROCEDURES/PROTOCOLS ASHLAND SAMARITAN HOSPITAL 1025 CENTER STREET ASHLAND, OH Phone: ASHTABULA ST. JOSEPH EMERGENCY & DIAGNOSTIC CENTER 476 SOUTH MAIN STREET ANDOVER, OH Phone: AUGLAIZE JTDMH OCCUPATIONAL ER 200 ST. CLAIR AVENUE ST. MARY S, OH Fax: CONTACT: JESSICA ext REASONABLE SUSPICION OR DOT POST ACCIDENT TESTING ONLY (NO RANDOMS OR FOLLOW UPS) For after hours emergency testing (DOT post accident & reasonable suspicion only), employee will need to be escorted to the ER and the accompanying exempt supervisor/manager will tell the ER staff that they are there for a reasonable suspicion drug and/or breath alcohol test. Must bring completed test notification form to the ER and let the ER staff know that there are Alere chain of custody forms there to conduct the test. CHAMPAIGN COMMUNITY MERCY OCCUPATIONAL HEALTH CENTER 904 SCIOTO ST URBANA, OH Fax: CONTACT: MARIANNE STANFILL, NURSE MANAGER After hours random and follow ups (pre-scheduled) Contact Marianne After hours emergency testing (reasonable suspicion/dot post-accident only) through Mercy Memorial Hospital ER After hours random tests must be scheduled in advance during normal business hours. Employer must complete a test notification form and fax to site coordinator. The collection will be conducted through the hospital emergency room. Marianne will arrange for collection supplies to be delivered to emergency room and will instruct the agency on where to send the donor. escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion drug and/or breath alcohol test. Must bring completed test notification form to the ER and let the ER staff know that there are Alere chain of custody forms there to conduct the test. Tell coordinator that test must be conducted on an Alere chain of

2 CLARK CUYAHOGA ERIE COMMUNITY MERCY OCCUPATIONAL HEALTH CENTER 100 MEDICAL CENTER DR SPRINGFIELD, OH Fax: CONTACT: MARIANNE STANFILL, NURSE MANAGER After hours random and follow ups (pre-scheduled) Contact Marianne After hours emergency testing (reasonable suspicion/dot post-accident only) through Springfield Regional Medical Center GLOBAL DRUG TESTING 4425 MAYFIELD RD. CLEVELAND, OH Fax: CONTACT: VANESSA BROWN, CENTER SUPERVISOR After hours random and follow ups (pre-scheduled) AFTER HOURS EMERGENCY (reasonable suspicion/dot post-accident) FIRELANDS REGIONAL MEDICAL CENTER EMERGENCY ROOM 1031 PIERCE STREET, SUITE A SANDUSKY, OH Phone: After hours random tests must be scheduled in advance during normal business hours. Employer must complete a test notification form and fax to site coordinator. The collection will be conducted through the hospital emergency room. Marianne will arrange for collection supplies to be delivered to emergency room and will instruct the agency on where to send the donor. escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion drug and/or breath alcohol test. Must bring completed test notification form to the ER and let the ER staff know that there are Alere chain of custody forms there to conduct the test. Tell coordinator that test must be conducted on an Alere chain of After hours random tests must be scheduled in advance during normal business hours using the main #. Test notification form must be completed and faxed to Vanessa Brown. Test will be conducted at the collection site. For after hours emergency testing, call Vanessa using the afterhours emergency # and tell her what type of test you need conducted. She will give further instructions. The employee will need to be escorted to the site and the accompanying exempt supervisor or manager must complete a test notification form and bring with them to the collection site After hours random testing must be scheduled in advance during normal business hours at the number indicated. Employer must complete a test notification form and fax to collection site. The collection will be conducted through the hospital ER For after hours emergency testing, employee is to be escorted to the ER and the exempt accompanying supervisor/manager will tell the ER staff that they are there for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. A completed test notification form must be brought to the ER

3 FAIRFIELD FAIRFIELD MEDICAL CENTER 401 NORTH EWING STREET 2ND FLOOR LAB LANCASTER, OH Fax: CONTACT: RACHAEL ELDER OR BRANDY MOORE After hours random and follow ups (pre-scheduled) AFTER HOURS EMERGENCY GO TO ER After hours random testing must be scheduled in advance during normal business hours. Employer must complete a test notification form and fax to Rachel Elder or Brandy Moore. The collection will be conducted through the hospital ER escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. A completed test notification must be brought to the ER. FRANKLIN EMSI COLUMBUS, OHIO 1922 BETHEL RD COLUMBUS, OH Fax: CONTACT: BRIAN ELKINS MAIN # FOR PRE-SCHEDULED After hours random and follow up testing WITH 72 HOUR NOTICE AFTER HOURS EMERGENCY (CELL PHONE) After hours random testing must be scheduled 72 hours in advance during normal business hours using main #. Employer must complete a test notification form and fax to Brian Elkins. Test will be conducted at the collection site. For after hours emergency testing, call Brian Elkins using the after hours emergency number. Employer must complete a test notification form and bring with them to the collection site. Tell coordinator that test must be conducted on an Alere chain of. HAMILTON ODACS, INC* 8634 READING RD CINCINNATI, OH Fax: CONTACT: PHIL BARNETT *DOES AFTER HOURS TESTING ONLY HOUR NUMBER After hours random and follow ups (PRE-SCHEDULED) Reasonable suspicion/dot post-accident WITH 1 HOUR NOTICE After hours random testing must be scheduled in advance during normal business hours using the 24- hour number. Employer must complete a test notification form and fax to Phil Barnett after scheduling. Phil will give further instructions. After hours emergency testing - Employer will need to give 1 hour notice to Phil Barnett. Phil will give employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them. Tell Phil that test must be conducted on an Alere chain of custody form for the State of Ohio

4 HARDIN HARDIN MEMORIAL HOSPITAL LAB 921 EAST FRANKLIN ST. KENTON, OH Phone: For after hours emergency testing, employee is to be escorted to the ER and the exempt accompanying supervisor/manager will tell the ER staff that they are there for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. A completed test notification form must be brought to the ER. custody form for the Ohio Dept. of Administration/State of Ohio HIGHLAND HIGHLAND DISTRICT HOSPITAL LAB 1040 N. HIGH STREET, #2 HILLSBORO, OH Phone: AFTERHOURS RANDOM AVAILABLE UNTIL 8:00 PM IF QUALIFIED COLLECTOR SCHEDULED TO BE IN LAB MUST CALL MAIN # AHEAD OF TIME TO VERIFY LICKING OHIO HEALTH CONSORTIUM 1032 BUCKEYE AVENUE NEWARK, OH Fax: CONTACT: LARRY WILLIS After hours random and follow ups (pre-scheduled) PAGER for after hours emergency testing (reasonable suspicion/dot post-accident only) *SITE IS LOCATED IN LICKING COUNTY BUT CAN BE USED BY KNOX COUNTY AGENCIES the main #. Employer must complete a test notification form and fax to Larry Willis after scheduling. After hours emergency testing - Employer will need to call the after hours pager # and follow those instructions. Larry will give employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them. LUCAS ST. LUKE S HOSPITAL ER 5901 MONCLOVA ROAD MAUMEE, OH Fax: MAIN # FOR PRE-SCHEDULED AFTER HOURS RANDOM AND FOLLOW UP TESTING

5 MAHONING ON DEMAND DRUG TESTING* 102 WESTCHESTER DR. AUSTINTOWN, OH Phone: Fax: *DOES AFTER HOURS TESTING ONLY After hours random testing must be scheduled in advance by calling during normal business hours. Employer must complete a test notification form and fax to site prior to employee coming in for the test. After hours emergency testing - Employer will need to call and answering service will take the call and will call the On Call representative. The On Call representative will call the employer back to determine what services are needed. On Call rep will give further instructions at time of the call. Employer will bring employee to collection site for the test. Employer must complete a test notification form and bring with them. MERIDIAN WORKLIFE 527 N. MERIDIAN RD. YOUNGSTOWN, OH Fax: After hours random and follow ups (pre-scheduled) AFTER HOURS EMERGENCY After hours random testing must be scheduled in advance by calling during normal business hours. Employer must complete a test notification form and fax to site prior to employee coming in for the test. For after hours emergency call and coordinator will give instructions MARION MARION GENERAL HOSPITAL ER 1000 McKINLEY BLVD MARION, OH Fax: CONTACT: TAMIE LAMBERT After hours random and follow ups (pre-scheduled) AFTER HOURS EMERGENCY the appropriate number during normal business hours. Employer must complete a test notification form and fax to site prior to coming in for the test. After hours emergency testing, employer will need to call the after hours number # and let staff know that they need a reasonable suspicion or DOT post accident drug and/or BAT conducted. Staff will give further instructions at time of the call. Employer must complete a test notification form and bring with them.

6 MEDINA MERCER MEDINA GENERAL HOSPITAL 1000 EAST WASHINGTON ST MEDINA, OH Fax: PRE-SCHEDULED AFTER HOURS RANDOM TESTING ONLY USE MAIN # MERCER COUNTY COMMUNITY HOSPITAL 800 WEST MAIN ST COLDWATER, OH Fax: CONTACT: RHONDA MORNINGSTAR After hours random and follow ups (pre-scheduled) AFTER HOURS EMERGENCY (reasonable suspicion/dot post-accident only) REPORT DIRECTLY TO LAB AFTER 4:00 PM the main #. Staff will give further instructions at time of the call. Employer must complete a test notification form and fax to site prior to coming in for the test. appropriate number during normal business hours. Employer must complete a test notification form and fax to Rhonda Morningstar prior to coming in for the test. Coordinator will give further instructions. After hours emergency testing, employer will need to call the after hours number # and let staff know that they need a reasonable suspicion or DOT post accident drug and/or BAT conducted. Staff will give further instructions at time of the call. Employer must complete a test notification form and bring with them. MONTGOMERY MEDWORK OCCUPATIONAL 1435 CINCINNATI STREET DAYTON, OH Phone: Fax: CONTACT ON-CALL FOR BOTH PRESCHEDULED RANDOM / FOLLOW UP AND REASONABLE SUSPICION / DOT-POST ACCIDENT TESTING MEDWORK OCCUPATIONAL ENGLE RD VANDALIA, OH Phone: Fax: CONTACT ON-CALL FOR BOTH PRESCHEDULED RANDOM / FOLLOW UP AND REASONABLE SUSPICION / DOT-POST ACCIDENT TESTING the on-call staff number during normal business hours. Employer must verify which location employee will be coming to and complete a test notification form and fax to MedWork at that location after scheduling by phone. For after hours emergency testing, call and tell them that you need to come in for a reasonable suspicion or DOT post accident drug and/or BAT. On-call staff will give employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them. Tell on-call person that test must be conducted on an Alere chain of

7 MUSKINGUM PIKE GENESIS OCCUPATIONAL HEALTH 800 FOREST AVE ZANESVILLE, OH Fax: CONTACT: JAN HERMAN OR SANDY KEFFER After hours random and follow ups (pre-scheduled) After hours emergency testing (reasonable suspicion/dot post-accident) CALL TO ALERT HOSPITAL LAB STAFF YOU ARE COMING. GO TO GOOD SAMARITAN MEDICAL CENTER LAB *SITE IS LOCATED IN MUSKINGUM COUNTY BUT CAN BE USED BY GUERNSEY COUNTY AGENCIES PIKE COUNTY COMMUNITY HOSPITAL* 100 DAWN LANE WAVERLY, OH Phone: *DOES AFTER HOURS TESTING ONLY After hours random testing must be scheduled in advance through Genesis Occupational Health during normal business hours. Employer must complete a test notification form and fax to Jan Herman or Sandy Keffer. The collection will be conducted through Good Samaritan Medical Center lab. escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion or post accident drug and/or breath alcohol test. Employer must complete a test notification form and bring with them to the ER. PUTNAM ST. RITA S PUTNAM COUNTY AMBULATORY CARE CENTER 601 STATE ROUTE 224 GLANDORF, OH Phone: Fax: CONTACT: BRENDA RICHLAND MEDCENTRAL WORKABLE 335 GLESSNER AVE MANSFIELD, OH Fax: PRE-SCHEDULED AFTER HOURS RANDOM/FOLLOW UP TESTING CALL MAIN # the appropriate number during normal business hours to make arrangements for after hours collections at MedCentral Mansfield Hospital

8 ROSS SANDUSKY ADENA MEDICAL CENTER 272 HOSPITAL DRIVE CHILLICOTHE, OH Fax: CONTACT: NANCY LITLE PRE-SCHEDULED AFTER HOURS RANDOM/FOLLOW UP TESTING CALL MAIN # MEMORIAL HOSPITAL 710 CLEVELAND AVE FREMONT, OH Fax: CONTACT: HEALTHLINK PRE-SCHEDULED AFTER HOURS RANDOM/FOLLOW UP TESTING CALL MAIN # the main number. Employer must complete a test notification form and fax to Nancy Litle after scheduling by phone. Nancy will give further instructions escorted to Adena Medical Center at the address listed, and the accompanying exempt supervisor/manager will need to let the staff know that they are there for a reasonable suspicion or post accident drug and/or breath alcohol test. Employer must complete a test notification form and bring with them to the site. Tell collector that test must be conducted on a Alere chain of the appropriate number during normal business hours to make arrangements for after hours collections at Memorial Hospital SCIOTO BROWN CLINIC 1661 STATE ROUTE 522, UNIT 2 WHEELERSBURG, OH Fax: CONTACT: BONNIE DRAKE After hours random and follow ups (pre-scheduled) After hours emergency testing (reasonable suspicion/dot post-accident) IF NO ANSWER, LEAVE MESSAGE. IF NO RESPONSE AFTER 15 MINUTS, CALL ANSWERING SERVICE AT TO TELL THEM YOU ARE TRYING TO REACH BONNIE DRAKE TO SCHEDULE AN EMERGENCY TEST the appropriate number. Employer must complete a test notification form and fax to site prior to coming in for the test. For after hours emergency testing, call Bonnie and follow the directions to the left. Tell her you need to bring someone in for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. Staff will give the employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them.