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Screening Procedure for Nursing Jobs
                                                           -- RNs, LPNs, CMAs, GNAs, CNAs

Drugs Status

All Hands Nursing and Health Services, Inc. take drug abuse very seriously -- especially as it affects the workplace. In fact, we are committed to selecting, retaining and placing safe, healthful and productive workers in client’s facilities, more than ever, when the client requires drug screening of their own employees and/or Agency caregivers placed on their facilities. We are confident that our clients, potential clients, workers and potential workers will find our drug policy reassuring. Repeat: We take drug abuse very seriously.

Drugs in the Workplace Recital

As presented by Beth Gaudio of the NFIB Legal Foundation, most drug users are employed, and when they arrive for work, they don’t leave their problems at the door. Some costs—increased absences, accidents and errors—are obvious. Others, such as low morale and high illness rates, are less so, but their effects may be equally harmful. Small businesses are often burdened with these costs, since they often do not have the resources to address the problem. In fact, according to the United State Department of Labor, 87 percent of full-time employed illicit drug users work for businesses with less than 500 employees. More than 40 percent work for businesses with less than 25 employees.

Definitions

1: Prohibited Drugs or Controlled Substances

Prohibited Drugs or Controlled Substances include all forms of
narcotics, hallucinogens, depressants, stimulants or other drugs
whose use, possession or transfer is restricted or prohibited by law.
 
2: Workplace

Workplace means Agency premises, client facilities to which an
Agency worker has been referred; or any location in which an Agency
worker is required to discharge his or her duties to the Agency or a
client.
 
3: Illegal Use of Controlled Substance or Substance Abuse

Illegal Use of Controlled Substance or Substance Abuse refers to use
of a controlled substance that is not consistent with or is not the result
of the lawful order of a licensed health care practitioner. This also
includes the misuse or overuse of alcohol.
 
4: Impaired Condition

An Impaired Condition exists at any time when an employee or
contractor under the influence of drugs or alcohol cannot perform
normal job functions or normal motor functions, creates a health and
safety risk to employees and/or to others, or acts in a manner
inconsistent with the individual’s normal behavior.
 
5: Reasonable Suspicion or Reasonable Belief

Reasonable Suspicion or Reasonable Belief is the conclusion that a
person of average intelligence and understanding is likely to reach
when presented with the set of circumstances and/or evidence
currently available.


Our Drug Policy

Statement of Agency Drug Policy

“Employees and contractors are prohibited from unlawfully consuming, distributing, possessing, selling, or using controlled substances while on duty. In addition, employees and contractors may not be under the influence of any controlled substance, such as drugs or alcohol, while at work on company premises or while engaged in company business. Bona fide prescription or over-the-counter medications, taken as prescribed or directed, are an exception to this policy. Anyone violating this policy may be subject to disciplinary action, up to and including termination and/or reporting to law enforcement.”

Accordingly:

1. Regardless of whether a client requires drug screening or testing and/or if they request drug screening or testing of Agency caregivers, it is an Agency policy to prohibit unlawful manufacture, distribution, dispensation, sale, purchase, possession or use of controlled substances in the workplace, or while engaged in any Agency business.

2. The Agency identifies with the reasons to implement a Drug-Free Workplace Policy in order to protect its business and employees, as well as those of our clients and their patients and/or residents.

3. This policy will be effectively communicated to, and acknowledged by, all employees and contractors.

4. The benefits of the Agency’s drug policy include:

a. Reducing workplace injuries
b. Improving productivity
c. Establishing safe, healthy work environments
d. Decreasing workers’ compensation claims
e. Decreasing workers’ compensation premiums
f. Educating employees and contractors about the affects of drug use
on the company
g. Showing employees and workers that the Agency has a vested interest
in them.
h. Achieving overall cost savings to improve the bottom line
i. Opportunity to receive government and other leading contracts

5. The Agency understands that most illegal drugs have lingering and destructive effects on the work environment even though the drugs may not have been taken at the workplace. Therefore, the presence of an illegal substance in an employee’s or contractor’s system at the workplace is tantamount to using drugs in the workplace and will be treated as such.

6. Any employee or contractor who violates any aspect of the Agency’s drug policy will be subject to disciplinary action up to and including termination and/or reporting to law enforcement.

Responsibilities

1. Management

The Director is responsible for ensuring that the Agency’s drug policy is communicated to managers, who, directly or through supervisors, shall inform all employees or contractors during orientation.

2. Workers

It is the responsibility of each worker to ensure a drug-free workplace. Workers with information or knowledge about a violation of the Agency drug policy must inform management immediately upon obtaining knowledge of the violation. Failure to comply with the notification obligation, when proven, will be grounds for disciplinary action up to and including termination.

3. Clients

Clients are encouraged to report any suspicions of drug abuse by an Agency caregiver or worker placed at its facilities. Such report should be made to the Director or his or her representative.

General Provisions

1. Prescription Drugs

Agency workers who are using prescription drugs under the care of a licensed health care practitioner are required to notify their supervisors of such use. This information will be treated confidentially, with only those who have a “need-to-know” being informed. If management is unsure of whether or not the medication is likely to impair a worker’s performance or place co-workers or those that the Agency services at risk, the worker will be required to produce a statement from his/her health care practitioner. The worker will not be allowed to work until completely free from the prescribed medication as determined by his or her care practitioner.

2. Prohibited Misconducts

The misconducts listed below, supported by reasonable belief that it occurred, will be grounds for summary discharge without prior warning:

A. The unlawful consumption, distribution, possession (including in a worker’s system), dispensation, purchase, sale or use of a controlled substances on Agency property, premises or while engaged in an Agency business off Agency’s premises.

B. Reporting to work under the influence of a controlled substance or alcohol.

C. Theft or use of patient’s or clients’ medications.

D, unless you are our client, our client's representative, our associate, our partner, a case worker, a case manager or a nursing administrator. It takes a lot of time to check our supplies. Please use the of a controlled substance or alcohol outside of the workplace which jeopardizes the Agency’s orderly conduct of business.

E. Any other serious act of substance abuse that jeopardizes the well-being of co-workers, those who serve on the orderly conduct of business.

The above misconducts are merely examples and not a complete listing of such misconducts. The Agency reserves the right to determine, at its discretion, the types of misconduct that will result in discharge without prior warning for violating its drug policy. Similarly, client facilities reserve the right to determine, at their discretion, the types of misconduct that will result in having an Agency worker recalled without prior warning for violating its drug policy.

3. Triggers, Procedures and Consequences of Drug Testing or Screening

A. If a client requires drug screening for an Agency caregiver, the Agency will perform drug screening on the applicable caregiver before they can be initially placed to work in the client's facilities.

B. If for any reason, a client, at any time, requests a drug test or drug testing of an Agency caregiver who is already placed in the client’s facility by the Agency, the caregiver will be required to submit to the drug testing before they can be sent back to work in the client’s facility, and only if the test results are negative as stated in (c) and (d) below.

C. Only caregivers with negative drug test results will be placed by the Agency.

D. If test results are positive, the caregiver will not be placed in a client’s facility, or if already placed, the caregiver will be withdrawn from the client’s facility, and also disciplined appropriately by the Agency, up to discharge and/or reporting to law enforcement.

E. All drug testing will be performed by a certified and licensed testing lab at the expense of the Agency. The lab will be responsible for specimen collection, specimen identification, handling of specimen containers with chain of custody documentation, and will analyze and interpret the specimen with a screening test.

F. When a client or their representatives, an Agency worker, or another concerned citizen makes the Agency aware of a possible violation of the Agency’s drug policy, the Director or other designated management representative will investigate the allegation.

G. When reasonable suspicion or probable cause exists that a worker has violated the drug policy, and the worker does not voluntarily resign from his or her duties, the Agency will require the worker to submit to drug/alcohol, urinalysis/blood test or any other appropriate medical test. In such cases, the test will be performed in the manner mentioned in (E) above.

H. Where the testing is triggered by reasonable suspicion, the worker will be suspended from work until the test results are received, and a decision, based on all available evidence is made by Agency management.

I. Where the testing is triggered by reasonable suspicion, and the test results are negative, the worker will be returned to work.

J. If it is determined that the worker violated another Agency policy(ies), appropriate action will be taken.

K. Where the testing is triggered by reasonable suspicion, and the test results are positive, appropriate action will be taken.

We are confident that our clients, potential clients, workers and potential workers will find our drug policy reassuring. We take drug abuse very seriously.

What to Do If You Can Meet Our Requirements

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- Licensed Practical Nurse (LPN) | See Requirements for LPNS

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- Certified Nursing Assistant (CNA) | See Requirements for CNAs
- Certified Medical Assistant (CMA) | See Requirements for CMAs

 

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8760 Jarwood Road  |  Baltimore  | 
Maryland 21237
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