Top Nav Menu

Author Archive | jchristensen07@gmail.com

DEA releases alert due to spike in Fentanyl releated deaths

DEA releases alert due to spike in Fentanyl releated deaths

Every so often a drug unexpectedly breaks of from the pack and begins to take a larger than usual toll on users. While some of these drug break outs can be attributed to larger social trends like the popularity of Molly (MDMA)  in association with electronic music or “rave” dance parties some drug break outs are a bit more mysterious. Such is the latest outbreak of the use of Fentanyl, a legally prescribed super potent synthetic opioid pain-killer. The recent increase of use of Fentanyl is detectable by the number of bodies it leaves behind. On March 18th, the DEA released a nationwide alert to highlight the current trend.

Fentanyl is a legally prescribed drug and is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin. Ingestion of small doses as small as 0.25 mg can be fatal. It can be easily absorbed through the skin often via transdermal patch

fentanyl packagingSupervisors managing employees who perform safety sensitive duties in the workplace should be aware of this current trend.  

Some alarming statistics release by the DEA on March 18th:

  • “In the last two years, DEA has seen a significant resurgence in fentanyl-related seizures. According to the National Forensic Laboratory Information System (NFLIS), state and local labs reported 3,344 Fentanyl submissions in 2014, up from 942 in 2013.”
  • Between 2005 and 2007, over 1,000 U.S. deaths were attributed to Fentanyl – many of which occurred in Chicago, Detroit, and Philadelphia.
  • New Jersey saw a huge spike in Fentanyl deaths in 2014, reporting as many as 80 in the first six months of the fiscal year.
  • Rhode Island and Pennsylvania have also seen huge increases since 2013. In a 15-month period, about 200 deaths were reported in Pennsylvania related to Fentanyl.

Opioids in the workplace

Although the above statistics are worrying, what’s unknown and probably more concerning in regards to workplace safety, are the unknown number of people who would presumably be taking Fentanyl on the job. All the ingredients that would make Fentanyl ideal for workplace abuse are there – legally obtainable via prescription, highly addictive, undetectable use (patch under clothing).

Supervisors operating within federally regulated drug testing programs and even those operating within drug free workplace programs who have the ability to order reasonable suspicion drug tests should be aware of the signs and symptoms of opioid abuse. In the workplace, it’s not important that supervisors identify the specific substance an employee might be abusing rather it’s important to immediately remove employees from performing safety sensitive duties who are exhibiting the signs and symptoms of potential drug use or abuse.

What to look for (common signs and symptoms of opioid use):

  • fentanyl transdermal patch

    Fentanyl transdermal patch

    Drowsiness or nodding

  • Constricted or pinpoint pupils
  • Slurred speech
  • Impaired attention or memory
  • Depressed respiration
  • Euphoria

 

Opioid withdrawal symptoms: Dilated pupils, anxiety, irritability, anger, agitation, nausea, vomiting, diarrhea, sweats and chills.
Supervisors working within industries regulated by the Department of Transportation (FMCSA, FAA, FTA, PHMSA and FRA) are required to take 60 minutes training on signs and symptoms of drug use and 60 minutes of alcohol signs and symptoms of alcohol abuse at least once. (FRA requires 3 hours and FAA requires 12-18 months recurring training).

Why online training for your DOT compliance training program?

Why online training for your DOT compliance training program?

elearning keyOK so you have lots of choices when it comes to delivering DOT supervisor training, why should you choose online training? DVDs, in-class training, bringing in consultants, each approach has its advantages and disadvantages.  We won’t dive into a lengthy pros and cons analysis here, there are plenty of articles that do that. Rather, in this post we’ll just focus on the strengths of eLearning as it related to DOT supervisor and drug free workplace drug and alcohol training.

Online training works best when…

  • You need to ensure training occurs prior to performing a job. Some employee education and training can be part of a longer term initiative that allows your employee to immediately begin work and obtain skills and knowledge over time. Other training should be performed prior to an employee performing their job. Safety training for employees performing safety sensitive duties or supervisors of those employees falls into the latter category. In the case of DOT supervisor training for reasonable suspicion, employees subject to federally regulated or DOT drug testing and the supervisors of those employees should ideally receive training prior to performing their job. Time gaps are liabilities. Online training makes it easy to ensure that training is available on demand, anytime 24/7 so your supervisor can be in compliance.

 

  • It’s costly to take employees off the job. 

 

  • It’s difficult to schedule a mass class training session. Scheduling mass training sessions can be a bit of a roll of the dice. If you have for example, 25 or more employees who are required to complete a training course it can be tempting to round them all up and schedule a mass training course so you can check all their names off the list. A common problem with this plan is that, inevitably, a few employees might not be available because they’re needed out in the field or maybe they needed to take that day off. So what happens? You end up scheduling multiple class trainings to ensure each person has options. Now you’re juggling schedules often resulting in your having to hold a second session of the class in an attempt to ensure everyone can attend – doubling your efforts, with no guarantee all your required employees can attend either class.

 

 

  • Your employees are dispersed or mobile. If you have a dispersed or employees working remotely or onsite, then scheduling in-class training is pretty much off the table. In this case, online training maybe more than just a good option, it might be your only option.

 

  • You need to document training for compliance purposes. Most online training programs track the name, date and time a course was taken by an employee as a native part of the process. Even if you’re keeping a separate training log it’s always nice to know you have back-up records accessible anywhere, anytime.

 

  • You need to re-train employees over time. Best practices for most any type of training, safety training in particular, would be that employees are exposed to the course material more than once. Although repetition hasn’t proven a fail-safe way to ensure employees are retaining information, it doesn’t help that people forget a good chunk of information over time. Online training courses can work as a great supplement to any training approach even if it’s not your primary method.

 

  • You want to ensure comprehension. Although no one particular training method represents a fail-safe way to ensure information retention and comprehension, online courses can ensure employees are not just passively participating. If you’re simply setting and employee in front of a DVD or even holding mass class training you have no real way to ensure employees are engaging with the information. They simply might break out their cell phone and check the scores for yesterday’s games or check Facebook or daydreaming about that upcoming fishing trip next week. Online training courses, like AtHandTraining.com courses, only allow the user to obtain a certificate of completion after passing multiple in-content quizzes and passing a final test. Users simply must acknowledge the correct answers to critical key points to progress the course. In addition, eLearning can increase retention up to 60%

 

Even just a few years ago utilizing online training might have been a challenge for some organizations because it couldn’t be guaranteed that all employees have access to PC’s or the internet. However, internet connectivity is commonplace now and the rise of mobile devices with internet access has made online training easier than ever to deploy. Over 77% of U.S. corporations report using online learning to enhance their employees training and educational programs. We at AtHandTraining have it easy to deploy our online courses as our courses can be delivered to any mobile smart phone, iPhone, any PC or Mac, any Windows or Android based tablet and any iPad (with the free Articulate app).

 

 

AtHandTraining provides 60/60 DOT supervisor training for reasonable suspicion for $40 or less. View pricing and purchase now here.

credit cards accepted

Buy DOT Supervisor Course

Buy DOT Employee Drug Awareness Course

Buy DFWP Supervisor Course

Buy FAA Recurring Course

Will the The CARERS Act affect DOT Drug Testing Programs?

CARERS Act

Will the The CARERS Act affect DOT Drug Testing Programs?

 

Senators Rand Paul (R-KY), Cory Booker (D-NJ), and Kirsten Gillibrand (D-NY) introduced legislation amend the Controlled Substances Act (CSA)  that will allow the use of medical marijuana in states where it is legal without risk of federal prosecution.

What are the chances of passage?

With the Republican dominated Congress and the current political landscape being so toxic, one could see this one being DOA. However, there’s some serious momentium in both public support and recent legislative victories that might make this an interesting one to watch. Consider…

  • 23 states and the District of Columbia have laws that legalize and regulate marijuana for medicinal purposes
  • Polls show roughly three-quarters of Americans support legalizing marijuana for medical use.
  • According to a recent Gallup poll 58% of the public feels marijuana should be flat out legalized
  • DrugPolicy.org nation’s leading organization promoting drug policies calls it “our best chance ever to end the federal war on medical marijuana”.

Pro-marijuana legislation is on a serious winning streak at the state level. Even at the federal level Congress recently approved an amendment that bars the Justice Department from using its funds to prevent states from implementing their medical marijuana laws. Among the conservative crowd change seems to be in the air. Sen. Ted Cruz (R-Texas) and former Florida Gov. Jeb Bush (R) are on record supporting states’ rights to legalize pot and according to a PEW poll, 63% of young Republicans are in favor of legalization.

With all this public support and momentum, it might be that the only thing standing in the way is politics. In other arenas, Republicans have taken strong stances against anything that might look like a victory for the left.

How would this impact DOT regulated drug testing programs?

Nothing in the proposed CARERS Act allows doctors to directly prescribe Marijuana as medication. Although it would reclassify marijuana from a schedule I to schedule II classification (recognizing its medicinal value) – doctors cannot prescribe substances that have not been approved by the FDA. Currently doctors can only make a recommendation which is a prerequisite for users to obtain a medical marijuana card and register with the state, but they cannot write a prescription. Therefore, any DOT employee performing a safety sensitive job could not have a THC positive drug test laboratory overruled by a medical review officer.

The DOT released a formal notice regarding medical marijuana clarifying their position. The Department of Transportation’s Drug and Alcohol Testing Regulation – 49 CFR Part 40, at 40.151(e) – does not authorize “medical marijuana” under a state law to be a valid medical explanation for a transportation employee’s positive drug test result.

According to Senator Rand Paul’s website the Compassionate Access, Research Expansion, and Respect States (CARERS Act) would effectively:

  1. Recognize states’ responsibility to set medical marijuana policy & eliminate potential federal prosecution 
  2. Reschedule marijuana from schedule I to schedule II, recognizing “accepted medical use” – Marijuana is currently listed as a Schedule I drug, meaning it does not currently have accepted medical use in the United States.
  3. Allow states to import cannbidiol (CBD), recognized treatment for epilepsy and seizure disorders –
  4. Provide veterans access – Doctors in Department of Veterans Affairs facilities are currently prohibited prescribing medical marijuana. The CARERS Act would allow VA doctors to recommend medical marijuana to military veterans.
  5. Permit financial services and banking for marijuana dispensaries 
  6. Expand opportunities for research – The CARERS Act removes unnecessary bureaucratic hurdles for researchers to gain government approval to undertake important research on marijuana.

If the CARERS Act passes it’s sure to create more confusion for employers and employees who have been inundated with a slew of new state laws. This happened, and is still happening with states like Colorado allowing recreational marijuana use. HR, safety managers and drug free workplace coordinators managing DOT regulated programs should focus on ensuring their staff has a clear understanding of the DOT drug testing regulations so they don’t have to rely on hearsay from their fellow employees.

AtHandTraining’s DOT supervisor training course and DOT employee drug and alcohol awareness courses can help reinforce  important drug policy and DOT regulatory knowledge.

 

credit cards accepted

 

 

 

 

Buy DOT Supervisor Course

Buy DOT Employee Drug Awareness Course

Buy DFWP Supervisor Course

Buy FAA Recurring Course