MONITORING TREATMENT - Urine Drug Testing Monitoring Agreement Issues
Random urine monitoring should be specified in agreement (drug contract) if it is to be done at all
Avoid sending when you can…By asking “If I check your urine right now, will I find anything in it?”you might be able to address a difficult situation and build patient trust at the same time.
To lessen the confrontational drama often associated with a positive screen, try to re-direct the energy toward the patient's sense of accountability by asking an open-ended question…"Your urine was positive for drugs, what happened??”
Base frequency of screening on assessment of patient’s risk for misuse
Consider combine with pill (patch) counts
Combine with utilization of a State Prescription Drug Monitoring Program
