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5 Panel or a 10 Panel Drug Test? What's the Diff?

 

Our friends at EDPM have a great blog series going called Top 10 Factors in Developing a Drug Testing Program .  Here is installment number 3 written by Anoop Mishra:

So You Think You Can Drug Test? Factor #3: Testing Panels

"I know that he's on something - send him in for a drug test!" 

Ever heard, thought or said this?  If so, you're not alone. We sometimes think that drug testing will be the definitive answer to any "suspicious" behavior at work.  While drug testing can be a very effective, the reality is that a drug test can't catch everything.  This does raise the question:  what is my drug test catching (and not catching)?  Today, we’ll look at Factor #3: Testing Panels as we explore the Top 10 Factors in Developing a Drug Testing Program. In so doing, we'll focus on lab-based urinalysis since this testing modality is most common among employers and offers a much greater selection of test panels compared to others (hair, oral fluid, instant testing).  

What's the Baseline?

Most employers are familiar with the standard "5-panel" in employee-based testing, which tests for five drugs: Amphetamine, Cannabinoids (Marijuana), Cocaine, Opiates, and Phencyclidine (PCP).  The 5-panel is all that is permitted by the Department of Transportation (DOT) in its mandatory testing program.

drug testing for prescription abuse

 

What are some additional testing options?

Employers can look at testing for a multitude of other drugs including:

  • 10-Panel Test - For most non-regulated employers, however, a 10-panel drug test typically will work better.  In addition to testing for the standard five drugs, this panel also tests for abused prescriptioned drugs like Benzodiazepines, Barbiturates, Methadone, Methaqualone, and Propoxyphene. The real advantage to this test is that there usually is no price difference between a 5-panel and 10-panel test.
  • Expanded Opiates (Oxycodone, Hydrocodone) - A standard 5 or 10 panel will not test for frequently abused painkillers like Lortab or Oxycontin.  Even though these drugs are Opiates, they require a special test.  More employers today are opting for this "expanded opiates" panel due to the tremendous rise in abuse in the last 10 years.
  • Nicotine Testing - With the increase in healthcare costs and workplace wellness programs, some employers using nicotine testing as a way to incentivize employees not to smoke.  A nicotine test can be "added" to a standard drug test or be conducted as a separate test altogether.
  • Healthcare Professional Testing - Employers in the healthcare industry (e.g., doctors, nurses, clinical workers, etc.) need to consider that their employees will have access to many more drugs than the average employee - drugs like Meperidine, Tramadol, Fentanyl.  These test panels are more expensive and sophisticated, but are highly advisable in these workplaces.
  • "Club" Drug Panels - Other drugs of abuse are more common in younger demographics - "club" drugs such as MDMA (Ecstasy or "X"), GHB, Hallucinogens (LSD), and synthetic cannabinoids (K-2 / Spice).  These tests are less common, but may be more relevant for employers with a traditionally younger workforce (e.g., restaurants).
  • Anabolic Steroids - Steroids testing is available, but is pretty limited in workplace drug testing programs. This type of testing may make sense for law enforcement, personal fitness industry, or in drug testing student/professional athletes.  

As you determine what drug test panel might work best for your workplace, you should take into account the following factors:

  • Industry (e.g., healthcare, construction, food services)
  • State and Federal Regulations (e.g., DOT regulated)
  • Workforce Demographics (age of employees)
  • Scope of Job Functions (e.g., safety positions, office work)
  • Geography (what drugs may be more common in your area)

If you would like EDPM to assist you in determining what test panel might work best for your workplace, contact us by clicking here

In our next installment in this blog series, we'll consider Factor #4:  Random Testing - how to structure an effective random testing program.

EDPM is a great partner of Premier's.  If you want to include an EDPM 5 or 10 panel drug test as part of your next background package, let Premier know and we'll set it up for you.   

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Comments

Here's why I will never test one of my employees, and why I have never submitted to an employer drug test - it's a violation of privacy. 
What my employees do after they leave the office is none of my business. 
I personally don't use marijuana (I just don't enjoy it), but unless an employee shows up to work high, his home use doesn't effect his job performance. It will, however, show up on a drug test. 
Now, with a zero-tolerance policy, I'd have to terminate an employee, then expend the resources find, interview, hire, and train someone to replace him. If he's a particularly talented employee, actually "replacing" his value to the company may not even be possible. 
And that's in addition to paying for drug test processing. 
 
I believe that workplace drug testing policies are a crutch - something HR departments inevitably encourage not because testing is beneficial, but because HR reps need to prove that their positions are important. 
 
If you want to know if your employee is high or drunk on the job, take him aside and ask him. If you don't trust him enough to expect an honest answer, lay him off. If you can't get honest answers from your employees, you need to learn how to build rapport. Not how to pick the right drug test. 
 
Unless the job requires driving or operating in or around dangerous machinery. In which case, test away.
Posted @ Friday, November 19, 2010 1:45 AM by Dan
I dont believe drug testingis a realiable way to determine if an employee is abusing drugs. So what if someone goes home and smokes a little weed. If they dont come to work doing it, it shouldnt be a big deal. Employees abuse the right. They can just say someone is "acting" weird and send them for a drug test. There is a BIG difference if someone is an addict that is abusing drugs and someone who is not abusing them. I just think it is wrong to treat people like that.
Posted @ Friday, April 29, 2011 9:10 PM by Alicia
5-panel drug testing is really good to know about employee's whole medical condition.
Posted @ Friday, September 23, 2011 2:20 AM by XpressMedCare Laurel
It sounds like some of you need to research the effects of marijuana on your employees instead of finding excuses not to test them. Something that says in your system long enough to be tested obviously is having an effect. Tests do not indicate how recently it was used. I certainly expect a days work for a days wage. What is the quality of work I can expect from a drug user? Yeah, its only pot. I know. get your head out of the sand and check it out. I have lived the nightmare of employees that smoke "on their own time" and they are not worth it.
Posted @ Tuesday, November 01, 2011 3:50 PM by Joseph
This guy Joseph is an idiot, obviously. THC stays in your system for a very short time. It is the metabolite that sticks around for a long time. Judging by his logic, no one should be drinking either. Alcohol is after all a drug, making drinkers drug users.
Posted @ Tuesday, December 20, 2011 2:27 PM by Dino
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