Presentation is loading. Please wait.

Presentation is loading. Please wait.

Rapid Site Access Program A proposed better alternative to Site Access Testing.

Similar presentations


Presentation on theme: "Rapid Site Access Program A proposed better alternative to Site Access Testing."— Presentation transcript:

1 Rapid Site Access Program A proposed better alternative to Site Access Testing

2 AGENDA Safety Moment and Welcoming Remarks – Neil Tidsbury, CLR 2)Overview of RSAP – Sam Kemble, CLR 3)Case Management – Shirley Widlake, Organizational Health Incorporated 4)Prevention Efforts – Ron Beach, AADAC 5)Break

3 AGENDA 2)Overview of RSAP – Sam Kemble, CLR 3)Case Management – Shirley Widlake, Organizational Health Incorporated 4)Prevention Efforts – Ron Beach, AADAC 5)Break

4 RSAP development…by industry Stakeholders Sean Casault Lockerbie & Hole Industrial Inc. Ron Cherlet Construction Labour Relations Peter Dunfield Syncrude, Syncrude Canada Ltd. Chester Fergusson United Brotherhood of Carpenters, Joiners and Allied Workers of America, Local #1325 Shabbir Hakim/Kevin Pretty Jacobs Catalytic Ltd. Sam Kemble Construction Labour Relations Roland LaBossiere Kellogg Brown & Root (Canada) Co. Dan McBride Jacobs Catalytic Ltd. Carmen Mossing Kellogg Brown & Root (Canada) Co. Martyn Piper Alberta Regional Council of Carpenters Sandy Ritchie PCL Industrial Constructors Inc. Deloris Rushton Kellogg Brown & Root (Canada) Co. Wally Semkowich Kellogg Brown & Root (Canada) Co. Bill Spring Insulators, Local 110 Gary Truhn PCL Industrial Constructors Inc. Elana Yule Jacobs Catalytic Ltd.

5 RSAP development…reliance on expert consultations and professionals Independent Consultants Dr. Brendan Adams, MOST Barb Butler, Butler Consultants George Grant, Access Consultants Ron Beach, AADAC Legal Counsel Phil Ponting, McLennan Ross Yvon Seveny, Blair Chahley Seveny Prevention Team Industry participants Training providers AADAC Wilson Banwell Human Solutions TM Third Party Case Administration Organizational Health Incorporated Substance Abuse Expert Team Wilson Banwell Human Solutions TM Testing Administrator Mobile Industrial Health Incorporated Treatment Team Wilson Banwell Human Solutions TM AADAC Community Resources Twelve Step Fellowships Attending Physicians etc

6

7

8 Safety Controls of the Program Prevention Communication of expectations Education Monitoring for compliance Treatment and aftercare support Consequences

9 Advantages from Union/Employer and Owner Perspective Safety performance expected to improve –random testing is more effective in achieving safety objective Consistent application based on objective standards Compliance frameworks –Non-negatives are not “lost” –Put pressure in individuals to make a decision Economics –Expedited dispatch –Less expense in testing, more investment in compliance –Testing on work time, but worker returns to work after submitting sample

10 AGENDA 3)Case Management – Shirley Widlake, Organizational Health Incorporated 4)Prevention Efforts – Ron Beach, AADAC 5)Break

11 Organizational Health Incorporated RSAP Third Party Case Administration Leaders in integrated, disability care management services.

12 About OHI ä Core Business: DM, EFAP and Wellness ä Multi- disciplinary Health Professionals ä Privacy and Confidentiality a Cornerstone ä Focuses on Outcomes and Fitness for Work ä Based in Western Canada, work Nationally ä Privately owned and operated ä Personal and quality focused

13 Our Strategy ä Our clients- all RSAP registered partners ä Privacy Protected within RSAP boundaries ä Total case management services ä Linkage between registering participants, testing administrator, medical review officer, substance abuse expert (SAE) team, and treatment team ä Integration with all providers to ensure all partners receive RSAP procedural services

14 OHI Objective for ä To provide case management services that ensure RSAP participants and providers receive... ä Prompt Confirmation of active/inactive status for dispatch ä Prompt Member Contact & Referral ä Supportive monitoring of in-active members for compliance of SAE recommendations ä Determination of fitness to safely RTW ä Opt-in, Random pool and follow up list for testing

15 Registrations ä Profiles received by OHI for all registering participants: contractors, unions, owners and voluntary opt-in workers ä Contractor, owner and union information provided to OHI from CLRA

16 Registrations cont’d… ä Worker registration signed form submitted (faxed) to OHI ä OHI confirms eligibility as per opt-in requirements (test results) ä OHI confirms applicant a participant and registers worker on RSAP list

17 Confirming Active Status ä OHI electronically updates Active/Inactive Status ä If not on list and questions contact OHI

18 Testing ä Testing Administrator contacted for: opt-in participants with no results, monthly random draw, return to work and follow-ups ä MRO Test Results Report received by OHI ä Results lead to updating Active/Inactive Status ä Test results provided to SAE

19 Case Management cont’d… ä Prompt contact made with RSAP members with non-negative test results ä Referrals made to SAE for assessment and treatment recommendations ä SAE recommendations received ä Contractor contacted if any time off work required and estimated time off to comply with SAE recommendations

20 OHI Case Management ä Also notification is received from testing administrator of any member who has been tested on site and deemed unsafe to RTW for that shift ä Further information gathered and next steps planned, contractor contacted re status ä MRO results received

21 OHI Case Management cont’d… ä Manages delivery of SAE recommendations with all treatment providers ä Develops comprehensive after care program to support compliance with Canadian Model ä Develops a signed RTW agreement ä Contacts employer re active status and any limitations ä Updates Active/Inactive list

22 RSAP Continuum of OHI Services Active Status (Negative) Inactive Status (Positive) OHI Referral to SAE OHI Referral to SAE Return to Active Status Return to Active Status Test Results Random Pool Random Pool Inactive Active Active Active if Negative SAE Report to OHI Case Management Case Management Follow Up Testing

23 Scenario 1-Tom ä Sends in signed registration form ä Provides negative testing results (90 days) ä Now Active Participant – Dispatch eligible ä Is entered in random pool for testing ä Remains active as long as negative

24 Scenario 2- Joe ä Signed registration form received by OHI ä Unable to provide testing results (90 days) ä Referral made to MHIS for testing ä MRO reports non-negative results ä Inactive RSAP Status ä OHI contacts Joe and referral made to SAE

25 Scenario 2- Joe … ä SAE recommendations followed up by OHI ä Joe is compliant with recommendations ä Return to work testing results negative ä Signed Return to Work Plan with OHI ä Employer contacted and RSAP Status updated to Active ä Follow up testing-remains active if negative

26 Scenario 3- Don ä Don has Active RSAP Status ä On a Random Pool Testing has Non- Negative Results ä Contractor notified by MHIS, Don is unsafe to RTW and OHI notified ä OHI case management begins, info gathered ä RSAP status changed to Inactive

27 Scenario 3- Don ä Don contacted and referral made to SAE ä SAE Recommendations followed up ä Cleared to RTW with limitations- Active ä Follow up testing done ä Third follow up test is non-negative ä Status changed to inactive and process repeated

28 Scenario 3- Don ä Don submits written request to opt-out ä Currently not employed with a participant contractor ä However, Don cannot opt-out as has not complied with program requirements ä Don remains inactive on RSAP list until he completes requirements

29 OHI contacts for: ä ä ä ext 2229 ä Fax ä or

30 Congratulations to … ä All who contributed to development of the Rapid Site Access Program and ä Wishing all Participants Success in Implementation of this Pilot ä Questions?

31 AGENDA 4)Prevention Efforts – Ron Beach, AADAC 5)Break

32 Workplace Prevention Resources Crystal Cleland Prevention and Addictions Counsellor AADAC Adult Services Ron Beach AADAC Provincial Prevention Consultant

33 Outline AADAC services for the workplace New resources New worker orientation

34 Our Vision: A healthy society that is free from the harmful effects of alcohol, other drugs and gambling. of berta AADAC: Making a difference

35 AADAC Services Confidential No cost to all Albertans Out-patient services Residential Services Detoxification services AADAC Help Line AADAC Help Line.

36 aadac.com

37

38

39 Supporting Fitness for Work

40 Fitness for Work : The need to show up fit to do your job Well rested Wearing required safety gear Able to focus and work safely Come to work with no traces of alcohol or drugs in your system

41 Impairment A state of body or mind that causes a worker to become a hazard to themselves or others

42 Some causes of Impairment Stress Being tired Alcohol or other drug use

43 Alcohol or drug use can affect fitness for work

44 Ways that substance use can affect the workplace Individual Greater risk for injury Sick more often Lost wages Demotion or loss of job Co-workers Unsafe work environment Having to cover for co- worker Increased stress Reduced morale

45 There is a balance between your life and work Your alcohol or drug use can affect this balance

46 Drugs A drug is any substance that can be taken into the body and changes the way the mind or body works

47 Alcohol Positives May relax you Socially acceptable legal Negatives Affects judgment and vision Makes you less cautious

48 Cannabis Positives May feel relaxed or high Negatives Trouble concentrating

49 Cocaine Positives Increased feelings of energy, well- being and excitement Negatives Paranoid thoughts Violent behavior Seizures and vomitting

50 Gambling Positives Entertainment Chance of winning Negatives All gambling involves risk Stress of losing more than intended Losses add stress to other areas of life including work

51 Lower your chances of developing a gambling problem Limit the time and money you spend gambling Don’t spend your winnings on gambling Continue with other social opportunities

52 What is the fastest way to sober up ? There isn't one The only thing that will sober up a drinker is time

53 If you choose to drink or use substances: take responsibility for your actions Alcohol and drug use can impair your judgment and reflexes Makes operation of machinery unsafe You will be more likely to injure yourself or others

54 Ways to stay healthy and be fit for work ! Eat well, exercise regularly and get enough sleep Find healthy ways to deal with stress Reduce or stop behaviors that puts your health at risk like smoking or alcohol and drug abuse

55 Learn more by calling AADAC Help Line AADAC Help Line.

56 AGENDA 5)Break 6)Assessments and Recommendations – John Streukens, Wilson Banwell Human Solutions™ 7)Substance Testing – Eunice Friesen, Mobile Industrial Services Ltd.

57 AGENDA 6)Assessments and Recommendations – John Streukens, Wilson Banwell Human Solutions™ 7)Substance Testing – Eunice Friesen, Mobile Industrial Services Ltd. 8)Information Systems and Use of Personal Information – Sam Kemble, CLR 9)Dispatch – Bill Spring Insulators, Local )Contractor Protocols - confirming active status at point of dispatch and chain of custody requirements for on site random testing – Roland LaBossiere, KBR 11)Question Period

58 SAE Protocols/ Process

59 Wilson Banwell PROACT Human Solutions TM SAE Process What Can I Expect? A qualified expert in addictions A competent standardized assessment MAST/DAST DSM-IV Diagnostics Clinical Interview Recommendations based upon diagnostics Standardized Reporting

60 Wilson Banwell PROACT Human Solutions TM Possible Diagnosis Alcohol Social/ Substance Social Alcohol Abuse/ Substance Abuse Alcohol Dependence/ Substance Dependence

61 Wilson Banwell PROACT Human Solutions TM Typical Recommendations: Abuse 1.Abstinence from all illicit or non-prescribed mood-altering substances (as per company policies) 2.One- six session on Alcohol/ Substance Impacts with an appropriately trained clinician or Approved Community Resource 3.Appropriate use of beverage alcohol: 3&3 or 2&5 (male) 2&3 or 1&5 (female) 4.Any problems with alteration of alcohol use requires re- assessment 5.Substance Testing: 12 months (place a number based upon level of concern) 6.Obtain a negative drug screen prior to work re-assignment

62 Wilson Banwell PROACT Human Solutions TM Typical Recommendations: Dependence 1.Detoxification (if required) 2.Inpatient (if required) 3.Medical evaluation with GP (if required) 4.Abstinence from all illicit or non-prescribed mood-altering substances (inclusive of alcohol) 5.Regular and ongoing attendance at an appropriate 12- step group at a rate of 2-3 meetings per week for the first year 6.Short-term relapse prevention work with a qualified clinician 7.Substance Testing: 24 months (place a number based upon level of concern) 8.Obtain a negative drug screen prior to work re- assignment

63 Wilson Banwell PROACT Human Solutions TM Relapse Processes Factors influencing relapse (non- compliance, stresses, lax attitudes) Factors influencing the recommended outcomes of a relapse (reason for relapse, stage of recovery)

64 Wilson Banwell PROACT Human Solutions TM SAE Process What happens when I receive a positive test or performance based referral? Contact OHI Call the Wilson Banwell Client Service Center Attend the assessment Review the recommendations with the assessing SAE clinician Receive a client copy report Follow the recommendations

65 Wilson Banwell PROACT Human Solutions TM SAE Process What goes into an SAE report Name, date, reason for referral Summary statement & Diagnosis Recommendations Fitness for work statement Substance testing post-assessment (this information is excluded from the client report)

66 AGENDA 7)Substance Testing – Eunice Friesen, Mobile Industrial Services Ltd. 8)Information Systems and Use of Personal Information – Sam Kemble, CLR 9)Dispatch – Bill Spring Insulators, Local )Contractor Protocols - confirming active status at point of dispatch and chain of custody requirements for on site random testing – Roland LaBossiere, KBR 11)Question Period

67 Mobile Industrial Health Services Experience ▪ Respect ▪ Integrity

68 Onsite Collections

69 Day of Testing MIHS will contact the contractor site supervisor upon arrival at the site Site supervisor must immediately escort the individuals down to the collection facility

70 Supervisor Responsibilities Escort the requested individual/s immediately to the collection facility Do not allow the donor/s to eat, drink, or put anything in his or her mouth on the way to the collection facility Do not allow the donor to stop at his or her locker, or collect anything from a backpack, etc.

71 Worker Responsibilities Cooperate with testing process as directed by collector  Identified by supervisor  Removing bulky outerwear  Emptying pockets  Fluids as directed  Patience during shy bladder protocol

72 Collection Procedure Complete in about 15 minutes unless shy bladder Breath alcohol test will be completed first Urine drug collection completed last

73 Breath Alcohol Test Evidentiary Breath Tester (EBT) If alcohol level is greater than.020, a confirmation test will be done not less than 15 minutes after the first  Donor may not eat, drink, smoke, put anything in his/her mouth during the 15-minute wait time The confirmation result will be reported

74 Positive Alcohol Confirmation The collector will inform the company contact that the employee  Requires safe transportation back to his or her lodging  Is not to return to duty until contacted by OHI The collector will inform OHI as soon as is reasonably practicable

75 Urine Drug Collection Minimum of 45 mL is required  Specimen discarded if insufficient quantity Standard integrity check will be applied  temperature, behaviour, sounds, colour, odour, consistency of the specimen Donor and collector maintain visual contact with the specimen until it is sealed

76 Urine Drug Collection cont’d Specimen is split into two containers and sealed with tamper-evident, numbered seals Donor and collector maintain visual contact with the specimen until it is sealed Donor and collector sign Chain of Custody form (COC) Donor is given copy 5 of COC Donor may leave collection site

77 Integrity Fail Specimen is split into two containers and sealed with tamper-evident, numbered seals Donor and collector maintain visual contact with the specimen until it is sealed Donor and collector sign Chain of Custody form (COC) Shy bladder protocol initiated

78 Shy Bladder Protocol Total of three hours will be given (four attempts) Donor may be given 10 – 15 oz of water after each attempt Donor will be asked to attempt to provide a specimen approximately hourly Donor must not leave the collection facility until the collection is complete

79 Refusal to Test Failure to cooperate with the testing process  Refusal to empty pockets, remove outerwear Leaving the collection facility before completion of the testing process Refusal to provide a sample Adulterated or substituted sample, or no medical reason for providing insufficient quantity (MRO will determine)

80 Laboratory Testing Maxxam Analytics  SAMHSA certified  Follows strict chain-of-custody procedures Non-negative results are verified and quantified using gas chromotography/mass spectromatography (GC/MS) Result is reported to Medical Review Officer (MRO)

81 Final Reporting MRO has 48 hours to contact the donor to discuss result MRO reports final result to OHI

82 AGENDA 8)Information Systems and Use of Personal Information – Sam Kemble, CLR 9)Dispatch – Bill Spring Insulators, Local )Contractor Protocols - confirming active status at point of dispatch and chain of custody requirements for on site random testing – Roland LaBossiere, KBR 11)Question Period

83 Privacy Privacy impact assessment Against RSAP Procedural Rules to use, disclose, or retain information collected through the program for any purpose other than RSAP administration

84 AGENDA 9)Dispatch – Bill Spring Insulators, Local )Contractor Protocols - confirming active status at point of dispatch and chain of custody requirements for on site random testing – Roland LaBossiere, KBR 11)Question Period

85 AGENDA 10)Contractor Protocols - confirming active status at point of dispatch and chain of custody requirements for on site random testing – Roland LaBossiere, KBR 11)Question Period

86 Contractor Responsibilities to RSAP Register Identify company designated contact Check log in page

87 Contractor Responsibilities to RSAP Only hire individuals from the Active List Assist in facilitating testing –Random testing –Follow-up testing

88 Contractor Process for Testing Notification of random test list Provide supervisor contact information Collector contact supervisor to start collection process

89 Contractor Supervisor Responsibilities Supervisor meet with worker confidentially to advise that their name has been drawn in the RSAP random pool list Formally request the worker to participate in the request to provide a random alcohol and drug sample

90 Worker AGREES to test If the worker agrees, escort the worker to the collection site The worker must remain in the care and control of the designated supervisor who will turn over the care and control to the facilitating collector –Training of participating supervision is required –Individual not to leave the supervisor to go to the lunchroom, bathroom or into an office Worker provides sample and returns to work

91 Worker AGREES to test Supervisor reports to Company Administrator completion of test Third Party Administrator reports non-compliance and required follow up to the Company Administrator

92 Worker REFUSES to test Supervisor advises worker they are in non- compliance of the RSAP program Worker is taken off site Referred to Third Party Administrator Supervisor advise facilitating collector and company administrator

93 Worker REFUSES to test Company administrator advises Third Party Administrator Third Party Administrator will register the worker as inactive and continue with their process

94 Contractor Responsibilities Testing on work time Honor the requirements to remove worker from site Use care on issuing record of employment Last employer given first opportunity to re-employ worker

95 AGENDA 11)Question Period 12)Break for Lunch

96 Rapid Site Access Program A proposed better alternative to Site Access Testing


Download ppt "Rapid Site Access Program A proposed better alternative to Site Access Testing."

Similar presentations


Ads by Google