The legal landscape surrounding cannabis has shifted dramatically over the last several years. Across North America, what was once a strictly prohibited substance is now widely accessible for both medical and recreational use. Along with legalization has come an explosion of consumer wellness products, particularly those highlighting the therapeutic benefits of cannabinoids like cannabidiol (CBD) and tetrahydrocannabinol (THC).

However, as public accessibility has grown, so too has the volume of misinformation. For employers, safety managers, and employees operating in safety-sensitive industries—such as construction, transportation, manufacturing, mining, and energy—navigating the realities of cannabis use can be challenging. Misconceptions about how these compounds interact with the human body, how they affect job performance, and how they impact workplace screening can lead to serious compliance failures and safety hazards.

To help organizations maintain safe, healthy, and productive work environments, we are breaking down the science, addressing the regulatory realities, and busting the four biggest myths regarding CBD vs THC.

Need guidance on cannabis and workplace testing? Connect with our team of experts!

Myth 1: CBD and THC Affect the Body the Same Way

Because both compounds are derived from the Cannabis plant, a common misconception is that CBD and THC produce identical effects on human physiology and cognitive function. This misunderstanding often causes people to treat all cannabis-derived products with the same level of caution—or conversely, the same level of casualness. In reality, the molecular distinction between the two leads to radically different real-world outcomes.

The Chemical Divide: How Cannabinoids Interact with the Body

At a microscopic level, CBD and THC share an identical chemical formula: 21 carbon atoms, 30 hydrogen atoms, and 2 oxygen atoms. However, a slight difference in how those atoms are arranged completely changes their chemical properties and how they bind to the body’s internal systems.

Human physiology relies on a vast regulatory network known as the Endocannabinoid System (ECS). The ECS is responsible for maintaining homeostasis (balance) across various bodily functions, including mood, sleep, pain perception, and immune response.

It does this primarily through two types of receptors:

  • CB1 Receptors: Located predominantly in the central nervous system and the brain.
  • CB2 Receptors: Found mostly in the peripheral nervous system and immune cells.

THC has a strong binding affinity for CB1 receptors. When THC locks into these receptors in the brain, it directly stimulates the release of dopamine and alters neurotransmitter signaling. This reaction produces the classic psychoactive “high”—resulting in altered sensory perception, euphoria, slowed reaction times, and cognitive impairment.

Conversely, CBD is a non-homologous compound that does not fit neatly into CB1 receptors. Instead, it acts as an antagonist or modulator. It interferes with the binding of other cannabinoids and stimulates non-cannabinoid receptors (like serotonin receptors).  Because it does not directly activate CB1 receptors in the brain, CBD is generally considered non-intoxicating. It does not cause cognitive impairment, spatial disorientation, or psychomotor deficits.

The Gray Area of Marketing and Product Composition

Understanding the standalone properties of CBD vs THC is only half the battle. In the consumer marketplace, product labeling can be highly misleading. The cannabis industry divides products into three primary categories based on extract types:

  1. Full-Spectrum: Contains all naturally occurring compounds from the cannabis plant, including terpenes, flavonoids, and legal thresholds of THC.
  2. Broad-Spectrum: Contains a wide range of cannabinoids, but undergoes an extraction process designed to isolate and remove the THC entirely.
  3. CBD Isolate: Pure CBD that has been completely isolated from all other plant matter, yielding a product that is 99% pure cannabidiol.

The confusion arises because many over-the-counter products marketed heavily as “Pure CBD” or “Hemp-Derived CBD Wellness Oils” actually utilize full-spectrum extracts. Under current regulations, industrial hemp-derived products can legally contain up to 0.3% THC by dry weight. While this concentration may seem negligible, it means consumers are frequently ingesting small amounts of THC without realizing it, blurring the lines between an intoxicating and non-intoxicating product experience.

Myth 2: CBD Products Can’t Impact Workplace Drug Testing

Perhaps one of the riskiest assumptions an employee in a safety-sensitive role can make is that using a CBD product guarantees a clean workplace drug test. Because CBD itself is non-intoxicating, many assume it remains invisible during an occupational health screening. This is a costly misconception.

The Presence of Trace THC

As established, full-spectrum CBD oils, capsules, and edibles contain trace amounts of THC. Although a single dose of a high-quality, third-party-tested CBD product is unlikely to trigger a positive result on a standard workplace drug screen, real-world usage patterns are rarely limited to a single dose.

The Compounding Effect of Accumulation

THC is highly lipophilic, meaning it is fat-soluble. When a person ingests even trace amounts of THC regularly, the compound is absorbed by the body’s adipose (fat) tissue rather than being immediately flushed out through the renal system. Over days, weeks, or months of repeated use, these minute amounts accumulate within the body.

As fat cells naturally metabolize, they gradually release the stored THC back into the bloodstream, where it is broken down into various metabolites. If an employee uses an improperly filtered CBD product daily to manage sleep or inflammation, the cumulative concentration of THC metabolites can easily cross the established screening cutoff thresholds utilized in workplace laboratory testing.

Furthermore, the supplement industry remains imperfectly regulated. Independent laboratory audits frequently reveal that products labeled as “THC-Free” actually contain concentrations far exceeding legal limits due to cross-contamination or poor manufacturing standards. For an employee, relying solely on product packaging without reviewing a verifiable Certificate of Analysis (COA) introduces a significant liability risk to their employment and professional standing.

Myth 3: If Cannabis Is Legal, Workplace Impairment Is No Longer a Concern

Since the legalization of recreational cannabis across Canada and various US jurisdictions, there has been a noticeable cultural shift. Some individuals believe that legal status erases the restrictions surrounding its use, viewing it similarly to off-duty tobacco or caffeine consumption. However, public legalization does not alter an employer’s foundational safety mandates.

Legality vs. Workplace Safety Mandates

The law makes a clear distinction between an individual’s right to consume a legal substance in their private life and their authorization to be under its influence while performing professional duties. Legalization did not repeal occupational health and safety acts, which strictly require employers to maintain a safe worksite and mitigate recognizable hazards.

ConceptPublic JurisdictionWorkplace Environment
Cannabis StatusDecriminalized / Regulated Legal SaleSubject to Corporate Safety Policies & Prohibitions
EnforcementPublic Law Enforcement / Traffic SafetyInternal Health & Safety Management / Fit-for-Duty Policies
Primary MetricAge Verification & Public Possession LimitsFunctional Fit-for-Duty Status & Cognitive Competence

In safety-sensitive industries—such as construction projects, long-haul transportation, heavy equipment operations, and oil and gas extraction—the presence of cognitive or motor impairment can have catastrophic, life-threatening consequences. An incident caused by sluggish reflexes or poor spatial judgment puts the impaired worker, their colleagues, and the public at severe risk.

The Employer’s Responsibility

Employers have a legal and ethical obligation to ensure that every individual on a job site is fit for duty. This responsibility means companies must develop comprehensive, legally defensible drug and alcohol policies that explicitly address both CBD vs THC and broader cannabis usage.

Just as the legality of alcohol does not permit an employee to operate a crane while under the influence, the legality of cannabis does not permit altered cognitive states on the job. A robust policy outlines clear expectations, defines what constitutes a safety-sensitive role, and provides a clear framework for proactive testing protocols.

Myth 4: Drug Tests Measure Real-Time Impairment

When an incident occurs or a random test is administered, there is often an expectation that the testing technology mirrors a breathalyzer used for alcohol, providing an immediate snapshot of current intoxication. This expectation is a fundamental misunderstanding of standard occupational drug testing mechanics.

Detecting Compounds vs. Measuring Intoxication

Standard workplace drug testing matrices—such as urine testing and oral fluid (saliva) screening—do not measure an individual’s real-time functional impairment. Instead, they detect the physical presence of the parent drug molecule or its subsequent metabolic byproducts.

For example, when looking at cannabis, tests frequently look for THC-COOH, a secondary metabolite produced long after the psychoactive effects of THC have faded. Because of this, an employee could consume cannabis on a Saturday, experience a complete return to baseline cognitive function by Sunday, and still test positive during a random screening on Tuesday afternoon. The test confirms past exposure and the presence of the metabolite within the biological window, but it cannot definitively prove that the employee was actively high while on shift.

The Complexities of Biological Windows

Interpreting cannabis test results is uniquely complex due to the wide variance in human metabolism, body composition, frequency of use, and delivery methods.

  • Inhalation (Smoking/Vaping): Spikes active THC levels in the blood and oral fluid almost instantly, with levels dropping rapidly over several hours, though metabolites persist in urine for days or weeks depending on frequency and length of use among other factors..
  • Ingestion (Edibles/Oils): Delays the onset of effects as the compound passes through the digestive tract and liver, creating a prolonged window of impairment and a completely altered metabolic timeline.

Because cannabis behaves differently in the body compared to water-soluble substances, determining exact timelines is challenging.

Utilizing verified testing methods, Medical Review Officers (MROs), and standardized laboratory cutoffs ensures that test results are interpreted accurately, fairly, and in full compliance with relevant human rights and labour laws.

Building a Culture of Workplace Safety

Dispelling the myths surrounding CBD vs THC is vital to maintaining a safe work environment. Relying on casual assumptions about product ingredients, testing parameters, or legal rights can compromise workplace safety and lead to failed drug screenings.

For employers, the key to success lies in proactive education, clear policy communication, and partnering with verified testing providers. By ensuring workers understand the science behind cannabinoids and the realities of occupational testing, companies can protect their teams, reduce workplace incidents, and build a reliable culture of safety.

Learn how SureHire helps employers navigate evolving cannabis testing challenges with confidence. Explore SureHire’s Comprehensive Drug & Alcohol Testing Solutions today to keep your workforce safe, compliant, and productive.

When it comes to building a robust workforce, employers in heavy industry—from construction and mining to oil and gas, transport, and manufacturing—know that safety is the bedrock of operational success. Yet, despite its widespread adoption, occupational testing remains shrouded in a web of misconceptions.

In Part 1 of our Occupational Testing Myths series , we broke down some of the most common misunderstandings regarding the legality, fairness, and fundamental accuracy of workplace testing. In Part 2, we are diving deeper. We are tackling the persistent myths that view testing as a punitive “gotcha” mechanism, a bureaucratic roadblock that grinds hiring to a halt, a one-size-fits-all product, or a mere administrative checkbox.

By dismantling these four prevalent myths, we can reveal what a modern, strategically designed occupational testing program actually is: a dynamic asset that protects your workers, slashes onboarding delays, and acts as a powerful lever for corporate growth.

Myth 1: Occupational Testing Is Just Another Name for a Drug Test

Perhaps the most common misconception in the industrial sector is the interchangeable use of the terms “occupational testing” and “drug testing.” When an employee or candidate hears that they need to go in for a screening, their mind often jumps straight to a urine cup or a breathalyzer.

While drug and alcohol screening is undeniably a critical pillar of workplace safety—especially in safety-sensitive positions—it represents only a fraction of what a comprehensive testing ecosystem entails.

The Broader Spectrum of Occupational Health

True occupational testing is a holistic evaluation of an individual’s physical capability, medical readiness, and physiological suitability for a specific role. A comprehensive occupational health provider offers an extensive suite of assessments that extend far beyond substance screening:

Fitness-to-Work (FTW) Assessments: These are physical musculoskeletal evaluations designed to determine whether a worker has the strength, endurance, range of motion, and physical capacity to perform the core duties of their job without injuring themselves or others.

Audiometric (Hearing) Testing: Critical for workers exposed to high noise levels (such as manufacturing plants or drilling rigs), audio tests establish baseline hearing levels and track changes over time to prevent occupational hearing loss.


Vision Screening: Ensures that operators, drivers, and field technicians possess the necessary visual acuity, peripheral vision, and color perception to execute their tasks safely.


Spirometry / Pulmonary Function Testing (PFT): Measures lung capacity and function. This is vital for workers who operate in environments with airborne hazards, dust, or toxic gases.


Mask Fit Testing: A quantitative or qualitative evaluation ensuring that respiratory protective equipment (RPE) forms an airtight seal on an individual’s face, protecting them from hazardous inhalants.

Not sure which occupational tests are right for your workforce? Contact us for assistance!

A Culture of Care, Not a “Gotcha” Game

The ultimate goal of expanding your testing program beyond drug screening is not to “catch” employees or uncover reasons to deny them employment. Instead, it is an act of preventive medicine and proactive safety.

When an employer invests in Fitness-to-Work testing or pulmonary function monitoring, they are verifying that the worker is paired with a job that aligns safely with their body’s current capabilities. It prevents an individual with an underlying, undetected back condition from being placed in a heavy-lifting role where a catastrophic injury is almost guaranteed. By reframing occupational testing as a tool designed to ensure workers return home safely to their families at the end of every shift, organizations can shift employee perception from suspicion to mutual respect.

Myth 2: Occupational Testing Slows Down Hiring

In today’s hyper-competitive talent market, speed is everything. Project managers and HR directors often feel extreme pressure to get “boots on the ground” as fast as possible. This urgency breeds the myth that adding occupational testing to the onboarding pipeline introduces a massive bottleneck, dragging out hiring timelines and causing top-tier candidates to accept offers elsewhere.

This myth is a relic of the past—a time when testing relied on fragmented legacy systems, physical paperwork, manual phone calls, and weeks of waiting for faxed lab results.

Modern Workflows and the Digital Advantage

At SureHire, we have revolutionized the onboarding infrastructure. Modern occupational testing does not slow down hiring; when executed correctly, it can actually streamline the entire talent acquisition process.

Online Booking Portals: Instead of back-and-forth emails between recruiters, candidates, and clinics, automated digital booking allows recruiters or candidates to schedule all necessary assessments at a convenient time and location in just a few clicks.


Paperless Ecosystems: From the moment a candidate walks into a testing facility, their journey is tracked through a secure digital workflow. This eliminates the risk of lost paperwork, unreadable handwriting, and manual data entry errors.


Expedited Digital Reporting: Results are processed, verified, and delivered directly to the employer’s secure dashboard. Fit-for-duty notifications can often be generated the very same day, providing immediate clarity to hiring managers.

Accelerating Time-to-Site for Heavy Industry

For sectors like construction, mining, energy, and transportation, downtime equals lost revenue. Every day a position remains unfilled, or a worker waits on the sidelines, project timelines slip.

By leveraging an integrated digital testing platform, companies can achieve a faster time-to-site. Instead of causing delays, proactive booking ensures that a worker’s physical assessment, drug screening, and mask fit testing are completed concurrently during the standard background check window. When the candidate clears background screening, their health and safety clearances are already waiting in the portal. The result? A workforce that is ready, verified, and deployment-ready on day one.

Myth 3: One Test Fits Every Job

Another highly pervasive—and potentially dangerous—myth is the idea that an occupational test is a standardized commodity. Some organizations assume that a “standard physical exam” or a basic screening package can be applied uniformly across the entire company roster.

This approach completely misses the core purpose of occupational medicine. A heavy equipment operator, an administrative office assistant, and a remote field technician face vastly different physical demands and environmental risks. Forcing them through the exact same testing regimen is both an inefficient use of capital and a failure of risk management.


Designing Role-Specific, Risk-Based Programs

Effective occupational testing must be inherently customized, driven by the specific physical demands and risks associated with each job title. This optimization relies heavily on a foundational document known as a Physical Demands Analysis (PDA). A PDA objectively quantifies the exact physical requirements of a job—such as the maximum weight an employee must lift, how often they must crouch, or the amount of time spent climbing ladders.

When you treat occupational testing as a specialized, risk-based science rather than a blanket requirement, you avoid over-testing your low-risk staff while ensuring your high-risk field workers receive the deep-dive assessments required to protect their lives and longevity.

Myth 4: Occupational Testing Is Only About Compliance

Many corporate leaders view occupational testing through a strictly defensive lens. They see it as a mandatory cost of doing business—a regulatory hurdle imposed by occupational health and safety (OHS) legislation, insurance providers, or corporate clients demanding a verified safety record before awarding a contract.

While compliance is undeniably essential, categorizing testing solely as a regulatory compliance exercise severely undervalues its true potential. Proactive, data-driven testing programs deliver a profound return on investment (ROI) that ripples across your entire business ecosystem.

Shifting from Reactive Compliance to Strategic Safety Culture

When a company views testing simply as a checkbox exercise, they do the bare minimum. Conversely, when an organization views testing as a strategic workforce investment, they unlock several long-term operational advantages:

Reduction in Workplace Incidents and Claims: By ensuring that every worker on a job site is physically capable of their duties and clear of impairing substances, the frequency of workplace accidents plummets. This directly correlates with lower workers’ compensation premiums and fewer costly liability claims.


Minimized Project Downtime: When a major piece of machinery is damaged or an operator is injured due to a mismatch in physical capability, operations grind to a halt. Proactive screening reduces these unexpected interruptions, keeping projects on schedule and within budget.


Supporting Comprehensive Employee Wellness: Regular health monitoring—such as annual audio and vision tests—helps identify early signs of health degradation. This empowers employees to take corrective action early, fostering an organizational culture focused on long-term wellness.

Elevating Employer Brand and Worker Confidence

The benefits of a robust safety program extend far beyond the balance sheet; they also reshape how your company is perceived in the market. In highly competitive industrial sectors, top-tier talent wants to work for organizations that demonstrate a genuine commitment to keeping their people safe.

When your workforce knows that everyone standing next to them on a high-risk site has passed rigorous occupational testing, their confidence skyrockets. It sends a clear message that the company values human lives over shortcuts. This reputation as a safety-first employer acts as a powerful magnet for recruitment, boosting morale and driving down employee turnover rates.

Conclusion: Turning Safety Into Your Competitive Advantage

The myths surrounding occupational testing are often rooted in outdated experiences or a fundamental misunderstanding of modern occupational health strategies. Testing is not a punitive trap, an onboarding delay tactic, a generic commodity, or a bureaucratic burden.

When you partner with an agile, digitally integrated provider like SureHire, occupational testing transforms into a streamlined, highly customized vehicle for risk mitigation and workforce optimization. It protects your workers from preventable injuries, accelerates your hiring workflows, aligns your human capital with their physical capabilities, and elevates your company’s safety culture to a position of market leadership.

Don’t let misconceptions hold your business back. It’s time to move beyond the myths and invest in a safer, faster, and more resilient workforce.

Ready to streamline your onboarding process and elevate your workplace safety culture? Connect with our team of experts today!

In the high-stakes world of safety-sensitive industries—from the oil fields of Alberta to the construction sites of Ontario—the methodology used to ensure a drug-free workplace is as critical as the safety equipment workers wear. As the landscape of substance use and legal regulations evolves, many Canadian employers are transitioning toward oral fluid (saliva) testing.

The Canadian Model for Providing a Safe Workplace, currently in its 6th iteration, serves as the industry’s “gold standard” for alcohol and drug policies. Developed by the Construction Owners Association of Alberta (COAA) and Energy Safety Canada, this model provides a comprehensive framework that balances worker rights with the employer’s duty to maintain a safe environment.

Below, we explore the specific benefits of oral fluid testing and why it has become a cornerstone of the Canadian Model for modern workplace safety.

1. Detection of Recent Use (The Impairment Window)

Perhaps the most significant advantage of oral fluid testing over traditional urine testing is its ability to detect recent substance use.

While urine testing is an excellent tool for identifying lifestyle use (substances consumed days or even weeks prior), it often fails to detect use within the first few hours after consumption. In contrast, substances appear in oral fluid almost immediately after use.

  • Urine Testing: Highlights history (48–72+ hours for many substances. Weeks for THC depending on frequency & length of use).
  • Oral Fluid Testing: Highlights the “immediate past” (typically 12–24 hours).

For safety-sensitive industries, the goal isn’t necessarily to police what an employee does on their two-week vacation, but rather to ensure they are fit for duty the moment they step onto the site. Because oral fluid levels correlate more closely with the presence of active drugs in the bloodstream, it is a superior tool for identifying potential impairment during work hours, post-incident, or for reasonable suspicion.

2. Alignment with the Canadian Model Version 6

The Canadian Model Version 6 has specifically highlighted oral fluid lab-based testing as a viable and preferred method for certain testing scenarios. By adopting oral fluid testing, companies align themselves with best practices recognized by major industry owners and labor providers across Canada.

The model emphasizes that testing should be a “risk assessment tool.” Using oral fluid testing reduces the “reach-back” effect of urine testing—where an employee might test positive for a joint smoked 10 days ago—and focuses on the safety risk presented by more recent use. Oral fluid testing is lab-based only. This alignment helps employers navigate the delicate legal balance of human rights and workplace safety.

3. Minimized Risk of Tampering and Adulteration

One of the greatest challenges in occupational testing is “specimen integrity.” Urine collections require private stalls, which creates an opportunity for donors to attempt to switch or adulterate their samples using synthetic urine or “cleansing” agents.

Oral fluid testing virtually eliminates this risk through 100% observed collection.

  • The donor remains in full view of the technician at all times.
  • The collection process involves a simple swab of the cheek or tongue.
  • There is no need for private washrooms, which are often difficult to secure on remote job sites.

This level of transparency ensures that the results are a true reflection of the employee’s status, providing employers with greater peace of mind and reducing the need for costly “shy bladder” protocols or re-tests.

4. Non-Invasive and Respectful for Employees

A significant pillar of the Canadian Model is the fair and respectful treatment of workers. Urine collection can be perceived as invasive or embarrassing for some employees, and the requirement to provide a sample on demand can sometimes lead to delays or medical complications (paruresis).

Oral fluid testing is:

  • Quick: Most collections take less than five minutes.
  • Dignified: It can be performed in a common office or a mobile testing unit without the donor needing to disrobe or enter a washroom.
  • Accessible: It is easier to administer for individuals with certain medical conditions that make urine collection difficult.

By choosing a less invasive method, employers can foster a more positive safety culture where testing is viewed as a standard safety check rather than a punitive or intrusive ordeal.

Oral fluid testing is permitted for Reasonable Suspicion/Cause, Post Incident/Accident, Random and Pre-Access. 

5. Efficiency and Versatility in Remote Locations

For companies operating in remote regions—such as mining operations in Saskatchewan or forestry in BC—logistics are everything. Setting up a “secure” washroom facility for urine collection on a temporary site or a mobile unit is a logistical hurdle.

Oral fluid testing kits are highly portable. Because they do not require plumbing or specialized privacy partitions, SureHire can deploy Mobile Testing Units to virtually any location. This ensures that post-incident or reasonable suspicion testing happens immediately, reducing the time a worker is away from their post and getting results into the hands of decision-makers faster.

6. Legal Defensibility and Accuracy

In the Canadian legal landscape, particularly following the legalization of cannabis, the “current impairment” vs. “past use” debate is central to many labour disputes. Oral fluid testing is widely considered more legally defensible in cases where an employer must justify a “for cause” or “post-incident” test.

SureHire utilizes lab-based oral fluid testing that meets rigorous standards. When a screening test (Point of Collection) returns a non-negative result, the sample is sent to an accredited laboratory for confirmation testing using Gold Standard LC-MS/MS (Liquid Chromatography-Mass Spectrometry) technology. This ensures that every result is backed by scientific certainty and is compliant with the Canadian Model’s requirements for accuracy and confidentiality.

A Safer Path Forward

Transitioning to oral fluid testing is more than just a technical change; it is a strategic move toward a more effective safety program. By focusing on recent use, reducing tampering risks, and respecting employee privacy, oral fluid testing fulfills the core mission of the Canadian Model: to provide a safe workplace for everyone.

At SureHire, we specialize in helping companies navigate these transitions. Whether you are updating your corporate drug and alcohol policy to align with Version 6 of the Canadian Model or looking to implement mobile oral fluid testing at your remote sites, our team is here to ensure your workforce is safe, healthy, and productive.

SureHireBubble_TransparentBackground

Ready to modernize your testing program?

Contact SureHire today to learn more about our Oral Fluid Testing solutions and how we can help you stay compliant with the Canadian Model.

As cannabis legalization and use continue to evolve, employers in safety-sensitive industries—such as oil and gas, construction, and transportation—face the ongoing challenge of maintaining workplace safety while navigating shifting regulations. Managing cannabis use in the workplace requires a clear understanding of the testing methods available, their detection windows, and how they align with organizational safety policies.

Effective risk management depends on choosing the right test for the right situation. Here are a breakdown of the primary testing methods and the timelines associated with cannabis detection.

Understanding Detection Windows

A “detection window” refers to the period during which a substance or its metabolites can be identified in a person’s system. For cannabis, this window varies significantly depending on the type of test used and the individual’s frequency of use.

Urine Testing: Detecting Past Use

Urine testing remains the standard for many workplace drug programs, including those following the Canadian Model. It does not measure current impairment but instead detects the presence of THC metabolites, which are produced after the body processes cannabis.

  • Casual Use (Once per week): Typically, detectable for 1-2 weeks.
  • Chronic Use (Daily): Can be detectable for several weeks, up to 30 days or more.
  • Purpose: Best suited for pre-employment/post-offer, return-to-duty, and follow-up testing where identifying a history of use is the primary goal.

Oral Fluid (Saliva) Testing: Identifying Recent Use

Oral fluid testing has become a preferred method for situations where recent use or potential impairment is a concern. Unlike urine, oral fluid tests for the parent THC molecule, which only stays in the saliva for a short time after consumption.

  • Detection Window: Generally, 12 to 24 hours (sometimes up to 48 hours for heavy users).
  • Purpose: Ideal for post-incident and reasonable cause testing, as it provides a much closer link to recent consumption than urine testing.

Testing Methods and Cut-off Levels

To ensure consistency and legal defensibility, testing programs utilize “cut-off levels”—the specific concentration of a substance required to trigger a positive result.

Test TypeScreening Cut-offConfirmation Cut-off
Urine (THC Metabolite)50 ng/mL15 ng/mL
Oral Fluid (THC)4 ng/mL2 ng/mL

POCT vs. Lab-Based Testing

  • Point of Care Testing (POCT): Also known as express testing, these provide results within minutes. They are convenient for on-site management but should be followed by laboratory confirmation to ensure accuracy and defensibility.
  • Lab-Based Testing: Samples are sent to an accredited laboratory for analysis. While this process takes longer (2-5 days), it is the most reliable method and is often required for high-stakes safety decisions.

Managing Cannabis in a Safety-Sensitive Environment

For employers, the goal of cannabis testing is not necessarily to police an employee’s lifestyle, but to mitigate the risk of impairment on the job. A robust workplace policy should clearly define:

  1. Safety-Sensitive Positions: Identify roles where impairment poses a direct threat to the individual, their colleagues, or the public.
  2. Testing Triggers: Specify when testing will occur (e.g., pre-employment/post -offer, random, post-incident, or reasonable suspicion).
  3. Consequences of a Positive Test: Outline the steps following a confirmed positive result, including referral to a Substance Abuse Professional (SAP)/Substance Use Expert or potential disciplinary action.

Testing for cannabis is a critical component of a comprehensive workplace health and safety program. By utilizing oral fluid testing for recent use and urine testing for historical patterns, employers can create a balanced approach that respects the workforce while prioritizing a safe, incident-free environment. Contact us for help supporting your testing program

Canadians are facing increased stresses, pressures, and health challenges, leading some individuals to turn to alcohol and drugs as a coping mechanism. Recent data from the Canadian Centre on Substance Use and Addiction highlights growing concerns around mental health and substance use. As a result, the risk of workplace substance abuse has escalated, prompting employers to take proactive measures. One key step is ensuring supervisors are equipped with reasonable suspicion training to help identify and address potential issues, ultimately supporting a safe and healthy work environment.

Alcohol and drugs are known to have harmful effects on the health, safety, and overall well-being of individuals, colleagues, and the public. In workplaces, it can result in:

  1. Increases in employee injuries,
  2. Increases in property or equipment damage,
  3. Increases in absenteeism and/or sick leave,
  4. Increases in conflict and violence,
  5. Increases in turnover,
  6. Reduced productivity,
  7. Increases in theft, and
  8. Decreased employee morale.

Employers cannot initiate reasonable suspicion testing without first going through the 5-step process. Reasonable suspicion training provides critical information about how to initiate reasonable suspicion training, including the 5-step process and other tools employers can use to help manage the misuse of alcohol and drugs in the workplace.

What is reasonable suspicion?

Reasonable suspicion is a term used to describe circumstances that usually indicate a reason to complete an investigation or assessment of an employee’s fitness for duty or to explore possible explanations for an employee’s unusual conduct, actions, or appearance. The findings of this assessment may conclude that an individual is either under the influence of a prohibited substance or facing other physical/mental strains. If the assessment points toward possible substance impairment, reasonable suspicion testing may be required.

What is included in the 5 Step Reasonable Suspicion Process?

To properly complete an investigation or assessment of an employee’s fitness for duty, it’s important for supervisors to fully understand each step of the process to ensure:

  • The observed behaviours correlate with possible alcohol and/or drug use
  • The necessary documentation is collected and reported
  • The appropriate conversation is had with the employee
  • The alcohol and drug screens are completed only when necessary

The 5-Step Reasonable Suspicion Process includes:

  1. Observation. There are 4 main indicators that will help you determine if someone may be under the influence.
  2. Confirmation. Get a second opinion.
  3. Documentation. All companies should have a reasonable suspicion checklist in their drug and alcohol policies that is readily available for all supervisors and managers.
  4. Confrontation. You must effectively communicate your findings with the employee.
  5. Testing. Check your policy – understand what testing is required.
RST Checklist

Important Considerations

Consistency. there must be a consistent process followed to ensure that there is no bias involved. Ensuring that a consistent checklist is used, and the same process is followed for each case will assist the employer. If there are inconsistencies in the process, it can have a negative effect on the employer in the case that a complaint is filed.

Confidentiality. The reasonable suspicion process is extremely confidential and is not to be taken lightly. The entire process is not to be shared with any individual who is not privy to this information.

SureHire’s Reasonable Suspicion Training Programs

Reasonable suspicion training is an important tool that employers can use to help manage the misuse of alcohol and drugs in the workplace. Properly trained and educated supervisors will be able to contribute to a healthy and safe workforce by having the ability to recognize the signs and symptoms of potential substance impairment and take the appropriate actions to manage reasonable suspicion circumstances, thereby preventing safety incidents from occurring.

SureHire offers a variety of interactive and self-study Reasonable Suspicion Training programs for employees and supervisors. Our courses have been completed by hundreds of individuals across North America and have been rated 5 stars.

Learn more about Reasonable Suspicion Training and get your workers certified today!

TAKEAWAY: Workplace addiction is a real issue that can impact employees in several ways. It adversely affects workplace safety and productivity, proving costly for business owners. Fortunately, employers can use several tools, programs, and resources to help curb addiction in the workplace.

Many employers may not realize technology can help improve addiction among workers. Therefore, this article highlights the benefits of using technology for addiction and explores the options available to employers. Read on to discover the best tips for using technology to help with addiction treatment.


By Elly McGuinness

What impact does addiction have on the workplace?

According to Dr. Kelly, a professor in addiction medicine at Harvard Medical School, more than 70 percent of individuals with drug and alcohol problems continue to maintain employment because they remain “functioning.”

However, “functioning” employees affected by drugs or alcohol are costly to businesses. Decreased productivity, increased turnover, high absenteeism, increased workplace injuries, decreased morale, and reduced work quality are all potential consequences of addiction in the workplace that ultimately affect the company’s bottom line. 

Addiction impacts individuals on a cognitive, emotional, and behavioural level and has far-reaching effects across organizations. The American Addiction Centers explains that alcohol and substance use disorders are prevalent in construction, mining, manufacturing, agriculture, and transportation, often among workers in safety-sensitive roles. 

They also highlight concerning statistics around addiction in the workplace. For example, a national survey of the U.S. workforce found that 15 percent of employers admitted working while under the influence of alcohol, and three percent reported being under the influence of illicit drugs.

Luckily, employers can take several action steps to help curb addiction problems in the workplace.

What can employers do to improve addiction in the workplace?

Employers can ensure they have robust drug and alcohol policies to help address the problem of workplace addiction. Drug and alcohol testing and reasonable suspicion training are strategies that can form part of the plan to reduce and eliminate workplace addictions.

female construction worker smiling - workplace health and safety

Book Impairment Awareness Training Today!

SureHire offers impairment awareness training to help supervisors and employees understand how to identify signs of drug abuse and when to carry out reasonable suspicion testing. We offer private sessions both virtually and in-person as well as self-study sessions through our online learning centre iNTELLECT.

Learn More and Register Online!

 

Substance Abuse Professionals (SAPs) are also crucial to the equation. SAPs help employers by assessing workers with a disclosed substance abuse problem or those who tested positive on a drug or alcohol test. The assessment results enable the SAP to explain legal obligations to employers, help everyone chart a path forward, and highlight ways to accommodate a substance problem safely.

Employers can also tackle the root causes of addiction by addressing mental health and wellness in the workplace. Emotional Intelligence, also known as Emotional Quotient or EQ, is a vital piece of the puzzle when recovering from addictions. It consists of five essential areas in addiction recovery: self-awareness, self-regulation, motivation, empathy, and social skills.

Benefits of using technology to improve addiction

Digital technology has expanded the scope of addiction interventions and offers several benefits:

  • It enables evidence-based treatments to reach a broad audience
  • Tailored support is crucial in addiction intervention, and digital technology can achieve this via interactive responses and face-to-face support.
  • It ensures timely treatment options so individuals can receive the help they need when needed, rather than waiting weeks or months for an in-person appointment.
  • Digital technology is more cost-effective, making treatments available to more people.

For these reasons, digital technology is an essential consideration for employers seeking practical solutions for combating addiction. Several options are available so employers can choose the technology that will best meet their organization’s and its individuals’ needs.

What type of technology is available for improving addiction?

Digital technology for addiction is available in various formats. For example:

  1. Web-based self-help interventions

Web-based self-help interventions vary in features and offerings. Some are designed to inform and educate but do not provide therapy. Others go a step further and offer personalized feedback following an assessment. 

Web-based self-help interventions can also include a human element, with support from peers or mental health professionals. Others consist of a step-by-step program the user can work through at their own pace.

  1. Online counselling and therapy

Online counselling involves communication with a therapist via an online channel, such as video calls. It enables one-to-one interaction that surpasses the distance barrier and eliminates travelling time. It may not be suitable for all types of addiction treatment or clients, but it will benefit many.

  1. Artificial intelligence (AI) and virtual reality (VR) software

AI is an emerging technology used in addiction treatment. Once limited to text only, the technology has evolved to voice communication and applications which can detect the user’s emotional needs. 

Some technology uses gamification or virtual reality to help with addiction recovery. Certain games can help retrain the brain in those with addiction, whereas VR uses virtual avatars to navigate pathways to addiction recovery and participate in online forums.

What specific technology is available for improving addiction?

Employers and employees have a wide range of digital options for tackling workplace addictions. A few are as follows:

  • The Therapeutic Education System (TES) is an interactive web-based intervention for substance use disorders. It focuses on the Community Reinforcement Approach, Contingency Management Behavior Therapy, and HIV Prevention. Research shows that TES has the potential to improve addiction treatment outcomes.
  • The Addiction-Comprehensive Health Enhancement Support System (A-CHESS) is a smartphone app that can help support recovery from alcoholism. Other addiction recovery apps include Nomo, Sober Grid, and Pear reSET.

In conclusion, when chosen well, digital technology can help improve addiction among workers and form part of an overall plan for a safer and healthier workforce.

You May Also Be Interested In…

TAKEAWAY:  What is fentanyl, why is it used, and why are employers adding it to their drug detection program? Get answers to these frequently asked questions and more!



By Jennifer Crump

The opioid crisis continues to grow across North America, much of it driven by fentanyl and fentanyl derivatives. In many workplaces, testing for fentanyl abuse has become crucial to ensuring worker health and safety. Here are the answers to your questions about fentanyl testing.

What type of drug is fentanyl? 

Fentanyl is a prescription drug often prescribed as a treatment for severe or chronic pain following surgery or as a substitute for other opioids if patients have become tolerant of them. Prescription forms of this synthetic opioid analgesic include Actiq®, Duragesic®, and Sublimaze®. Fentanyl is often compared to morphine but is 50 to 100 times more potent. This makes also makes it more dangerous. 

In addition to its prescription form, fentanyl is produced in illicit labs and sold illegally. This is the fentanyl that is most often associated with overdoses. 

How is fentanyl used? 

Prescription fentanyl can be administered as a shot, skin patch, or lozenge. Fentanyl that is illegally produced generally comes in the form of a powder or liquid or is made into pills that look like prescription opioids. Illegal synthetic fentanyl can be delivered as a powder or liquid or made into pills that look like other prescription opioids. It is sold illegally on blotter paper, in nasal sprays, eye drops, or even candies. Street names for illegal fentanyl include apache, dance fever, friend, goodfellas, jackpot, murder8, tango, & cash. 

Because it is cheap to produce and requires relatively small amounts to create a high, drug dealers will frequently mix fentanyl with other drugs, including heroin, cocaine, MDMA and methamphetamine

What are the effects of fentanyl use? 

Like other opioids, fentanyl binds to the body’s opioid receptors in parts of the brain that control pain and emotions. This is what allows it to be used to manage chronic or severe pain. Illegal fentanyl produces an intense, short-term high and feelings of euphoria. However, over time, the brain can become less sensitive to fentanyl while failing to react to normal stimuli, leading to addiction and overdose. Additional effects of fentanyl can include: 

  • Sedation
  • Confusion
  • Drowsiness
  • Dizziness
  • Nausea and vomiting
  • Urinary retention
  • Pupillary constriction
  • Respiratory depression
  • Reduced blood pressure
  • Fainting
  • Seizures
  • Death

How long after use can fentanyl be detected? 

The timeline for detection of fentanyl differs for every person based on their metabolism, body mass, the amount ingested, the potency of dose(s), physical activity, health conditions and other factors, making it difficult to determine an exact timeline for detection. The estimated detection window for fentanyl in urine is 8–72 hours; in oral fluid, the detection window is generally 12 hours.

Will fentanyl be detected as an opioid on a standard drug test? 

Unfortunately, standard instant drug tests will not detect fentanyl, nor most other standard drug tests. This is because these tests are typically set up to detect opiates which metabolize into morphine. Fentanyl, unlike many opiates, does not metabolize into morphine. However, a targeted drug test can easily detect it in urine, hair and oral fluid tests. Fentanyl testing can be added to many standard drug tests. 

What type of fentanyl testing does SureHire offer? 

Fentanyl can be tested for as an add-on to any of the following SureHire tests:

  • Urine Express Panel 5, 8 or 13
  • Urine Lab Based 5, 8 or 13
  • Oral Fluid Lab Based 8 or 13
Stacked SureHire Logo

Want to add Fentanyl to your drug testing program?

Contact us today and speak with a member of our team!

How is fentanyl detected through lab-based urine testing?

Laboratory urine testing for fentanyl involves immunoassay testing with a cut-off threshold of 2ng/mL. The test seeks to detect Fentanyl metabolites, including norfentanyl, hydroxyfentanyl and hydroxynorfentanyl. 

What is the cut-off level for fentanyl drug testing?

Cut-off levels for fentanyl drug testing vary depending on the type of test that is ordered: 

  • Urine Express – 10ng/ml
  • Urine Lab – 2ng/ml screening and 1ng/ml confirmation
  • Oral Fluid – 1ng/ml

What is SureHire’s process for determining if a positive result for fentanyl is due to recreational or prescription use? 

As with any result confirmed as positive through GC/MS testing, the results will be forwarded to our MRO (Medical Review Officer), who will attempt to contact the individual within 48 hours. Once contact is successful, the MRO will ask the individual if there is any reason for fentanyl to be detected in their sample.

 If the individual discloses the use of fentanyl as being directed by their physician, the MRO will request proof of the prescription or evidence that the drug was administered at the direction of a physician, such as a letter from the physician. If the MRO receives these documents, they may overturn the test result and release it as negative. 

However, if the individual cannot provide proof of legitimate use of fentanyl or the MRO is unable to contact the donor within 48 hours, the result may be released as positive. Because of its potency and the long list of side effects, the use of prescribed fentanyl may still be deemed as “Negative – Safety Sensitive” by the MRO.

What is the turn-around time for receiving lab-based fentanyl test results? 

The turn-around time to receive lab-based fentanyl test results is between 2 to 5 business days.

What is the cost of adding fentanyl to a drug test? 

Contact us to request a quote today!

Stacked SureHire Logo

Want to add Fentanyl to your drug testing program?

Contact us today and speak with a member of our team!

You May Also Be Interested In…

TAKEAWAY: Drug testing specimen procedures are critical to ensuring fair and reliable results. Here are the answers to your questions regarding our urine specimen collection and dilution protocols. 



By Jennifer Crump

What is dilution?

Dilution occurs when a urine sample is diluted by the addition of large amounts of fluid, most often by someone attempting to affect the outcome of the test. However, it can also be caused accidentally by drinking large quantities of water or certain medications or illnesses. Laboratories leverage a substance called creatinine to measure dilution. If a sample lacks sufficient creatinine, it is considered diluted. 

What are creatinine and specific gravity?

Creatinine is a by-product created by the normal breakdown of muscle tissue and is excreted in the urine in constant quantities with average liquid intake. Excessive liquid intake or dilution reduces a drug’s concentration in the urine. However, it will also reduce the amount of creatinine, so urine samples used in drug-abuse testing are also tested for creatinine. If the concentration is below 20 mg creatinine/dl urine, the urine sample is usually rejected for drug testing.

When technicians find low creatinine levels in a sample, the lab will conduct another test known as specific gravity to confirm the results. This test compares the density of a urine sample to water, which has a specific gravity of 1.000. The lab will deem samples with a specific gravity of 1.005 to1.030 and low creatinine either negative dilute or positive dilute. 

Why is dilution a problem?

Positive dilute results mean that the worker tested positive for an illegal substance regardless of the dilution. A negative dilute, however, could mean that either there are no illicit substances present or the specimen was too diluted to permit detection. These outcomes pose a problem for employers who must either confirm or accept the results. This is where Medical Review Officers (MRO) can offer guidance. Dilution is a severe issue for employers because diluted samples make it more challenging to confirm that a person is using illegal drugs. 

Although a negative dilute test result alone cannot be used as grounds to reject applicants or action against existing employees, it does mean another test is warranted. Most of the time, employers require a second test following a negative dilute test. This suspends the delivery of results and can further stall hiring decisions or delay the delivery of critical help to employees who need it.  

What protocols does SureHire have in place to capture dilution? 

SureHire utilizes rapid specimen validity tests, which are semi-quantitative, colour comparison screens for the detection of creatinine and specific gravity within urine specimens. This assessment is a preliminary screen only. A more specific alternate chemical method must be used to obtain a confirmed analytical result at a Health and Human Services-certified laboratory. 

The participant is placed on a Dilution Log if a urine specimen is flagged as dilute at the collection site. Collection technicians will then ask the participant to produce additional specimens every 15–20 minutes to flush the excess water out of their system. The participant is given one (1) hour to provide an acceptable specimen before the test is deemed incomplete, and a re-test is required. 

SureHire's captured dilution specimen statistics (99.81% of urine specimens)

Book an Appointment Today!

If you’re looking for a trusted provider to help you navigate the drug and alcohol testing process, contact a member of our team today!

How can testing participants prevent dilution? 

SureHire recommends that testing participants restrict their fluid intake two hours before their appointment and limit their fluid intake 24 hours prior to their appointment. This will ensure their specimen concentration is within normal limits and prevent them from having to participate in the one-hour dilution log process.

What should employers do if they receive a negative-dilute result? 

While SureHire’s dilution protocols prevent the occurrence of negative-dilute test results the vast majority of the time, there are limitations to the collection site specimen validity tests, and negative-dilute test results may still occur. If an employer receives a laboratory-confirmed negative-dilute test result, SureHire strongly recommends that a re-test be conducted to ensure test result validity.

You May Also Be Interested In…

TAKEAWAY: What is an enantiomer? What are amphetamine enantiomers? Why is it essential to conduct an enantiomer analysis? Get answers to these frequently asked questions and more! 


By Jennifer Crump

What is an Enantiomer?

In chemistry terms, enantiomers are pairs of molecules that are chemically identical and exist as mirror images of one another. However, they cannot be superimposed on one another. The two isomers are designated as d- (Dextro) and l- (Levo), indicating the direction in which they rotate a beam of polarized light.

Despite their similarities, enantiomers often have very different effects on the human body. One enantiomer can be inactive, while another can have therapeutic effects. The enantiomers will also react with the body at different speeds and markedly different strengths. For example, methamphetamine is a controlled substance, but its L-isomer is used in several over-the-counter medications.

Because amphetamines are the primary metabolite of methamphetamine, assessing this drug is even more complex. For methamphetamines and amphetamines, the D-isomer is considered much more active biologically, and most illegal drugs are D-isomers. 

Important Note

Enantiomers are problematic in drug testing because standard drug tests, such as immunoassay, cannot distinguish between enantiomers. Because of this, they can deliver inconclusive results. Test results reported by a laboratory will not indicate the specific enantiomer because the laboratory procedure is set up to identify only the presence of amphetamine or methamphetamine. Labs must perform additional analysis to determine which enantiomer is present. 

What are amphetamine enantiomers?

Amphetamine is a central nervous system stimulant with 2 enantiomers: levoamphetamine and dextroamphetamine. The effects of dextroamphetamine on the central nervous system are more pronounced than levoamphetamine. Physicians prescribe it to treat attention deficit hyperactivity disorder and narcolepsy. However, athletes also use it to enhance performance. It is also sold illegally as an aphrodisiac and to induce euphoria.

Amphetamine and methamphetamine exist in 2 isomeric structural forms known as enantiomers. Enantiomers are non-superimposable mirror images. The 2 isomers of each substance are designated as d- (Dextro) and l- (Levo), indicating the direction in which they rotate a beam of polarized light. As with many pharmacological enantiomers, the d- and l-isomers have distinct pharmacological properties. In this case, the d- isomer of each substance has a strong central nervous system stimulant effect, while the l-isomer of each substance has a primarily peripheral action. Illegally manufactured amphetamine and methamphetamine are principally found as the d-isomer. However, significant amounts of the l-isomer of each substance may be present depending on the starting materials used by the clandestine laboratories.

When does D- and L-enantiomer analysis need to be completed?

Enantiomer analysis can help determine if positive drug tests are due to a lawful use of prescription or over-the-counter medications rather than illegal consumption. These tests may be warranted if the test participant indicates the use of a legal substance that contains the l-enantiomer. Medical Review Officers (MROs) can also order enantiomer testing for all specimens with positive amphetamines initial test results and all specimens with a positive methamphetamine confirmatory test result or request additional testing on a case-by-case basis. The analysis will differentiate between the d- and l-enantiomers. Urine containing 20% or more d-enantiomer suggests exposure to the schedule 2 substance. However, a sample with less than 20% d-enantiomer may indicate another reason for the positive test. 

Why is it essential to conduct an enantiomer analysis?

Although both are controlled drugs, the d- and l-enantiomers have very different effects on the body. From a safety perspective, l-enantiomers can be far much dangerous. Since standard drug tests do not distinguish between d- and l- enantiomers, enantiomer analysis is crucial in identifying the origin of a drug detected in a routine test. The test results will provide a percentage of the d- and l-enantiomers present in the sample. These percentages allow the MRO to more accurately determine whether the positive result was the illicit use of a banned substance or happened through a more innocent use of over-the-counter or prescribed medications.

This additional testing ensures that employers do not mistakenly rule out potential new hires or unfairly penalize employees inadvertently exposed to a drug.

What is SureHire’s process when enantiomer analysis is requested? 

SureHire does not require enantiomer analysis for every specimen. However, it is necessary if the participant has disclosed specific medical information (e.g., use of nasal inhaler within days of drug test) to the MRO. SureHire will notify the employer or recruiter who booked the appointment of the additional testing requirements and arrange for the specimen to be shipped to a certified laboratory for further analysis.

It takes approximately 5 to 7 additional business days to ship the specimen, test it, and have the MRO review the laboratory test results and issue a final result.

SureHireBubble_TransparentBackground

Your Experts in Occupational Testing

Have questions about our drug testing processes? We have a knowledgeable team ready to answer any questions you may have.

TAKEAWAY: The opioid crisis in North America continues to balloon, much of it driven by fentanyl. According to CDC data, deaths involving synthetic opioids other than methadone (primarily fentanyl) have continued to rise, with 56,516 overdose deaths reported in 2020. Canada has a fentanyl problem of its own. Of all accidental overdose deaths in the first quarter of 2022, 85% involved fentanyl. 



By Jennifer Crump

What is fentanyl, and how does it work?

Fentanyl is a synthetic opioid used legally to treat severe pain and is often prescribed following surgery. However, it is also produced and used illegally. It is also often prescribed to patients suffering chronic pain who may have become tolerant to other opioids. Scientists believe fentanyl to be 20 to 40 times more potent than heroin and 100 times more powerful than morphine. 

Like other opioids, fentanyl binds to the body’s opioid receptors in the central nervous system, which controls pain and emotions. It reduces feelings of pain by interrupting the way nerves signal pain between the brain and the body. However, over time it can also change how the brain works, reducing sensitivity and creating a dependence on the drug. 

Fentanyl can be prescribed as an injection, a skin patch, or as lozenges that are sucked like cough drops. Illegally produced synthetic fentanyl is produced in labs and is usually sold as a powder, dropped onto blotter paper, put in eye droppers and nasal sprays, or made into pills. 

How is fentanyl abused and what are the risks associated with it?

Illegal fentanyl is both cheap to produce and much more potent than other street drugs. It is also difficult to detect and can look exactly like prescription medication. All of this also makes it far more dangerous. Drug dealers often mix fentanyl with other drugs, such as heroin, to increase their effectiveness and because it is odourless and tasteless, users may not even realize they are taking it. The drug dealers who produce synthetic fentanyl seldom know or control how much fentanyl goes into each pill so users cannot be sure of what they are taking. 

Because of its potency, the risk of accidental overdose is high with fentanyl. And even small amounts of this drug can be lethal. In a recent study, the U.S. Drug Enforcement Administration found that 42% of pills tested for fentanyl contained at least 2 mg of fentanyl, considered a potentially lethal dose.

What are the signs of fentanyl abuse, and what should you do if you suspect someone is abusing it?

A worker abusing fentanyl may exhibit signs of paranoia, social withdrawal, lack of motivation, delusions and personality changes. They may also become increasingly impulsive. 

Some of the physical symptoms include:

  • Confusion
  • Depression
  • Difficulty walking
  • Muscle stiffness
  • Slowed or altered heart rate
  • Laboured breathing
  • Weakness
  • Dizziness, light-headedness and fainting
  • Shaking
  • Sleepiness
  • Slurred speech
  • Swollen arms and legs
  • Weight loss
  • Visual hallucinations
  • Nausea and vomiting
  • Itching and scratching
  • Pinpoint pupils

If you suspect someone is abusing fentanyl there are several things, you can and should do. 

  • Document everything, including complaints and anecdotes from fellow workers and observations from supervisors. 
  • Meet with the employee in person and note any apparent signs of use or intoxication. 
  • Have a supervisor or HR representative observe the employee directly. 
  • Remove the suspected user from any safety-sensitive position that could put themselves or others at risk. 

If reasonable suspicion of use is determined, arrange for immediate testing. 

How can fentanyl addiction be treated, and what are the long-term effects of abuse?

Fentanyl abuse can result in devasting long-term mental and physical effects, some of which can be irreversible. Workers may show poor judgement and mood swings, have difficulty controlling impulsive behaviour or develop depression or suicidal thoughts. Ironically, long-term fentanyl use can actually worsen pain in some patients, particularly if taken at high doses. Because of its potency, the risk of overdose and death is much higher with fentanyl than with other drugs. Physically, there are numerous long-term effects, including: 

Risk of anoxic injury or damage to body tissues from decreased oxygen supply

  • Multiple organ system damages
  • Poor nutrition and weight loss
  • Insomnia
  • Sexual dysfunction
  • Irregular menstruation

How can you prevent fentanyl abuse in your workplace?

Employers should start by helping remove the stigma surrounding addiction to encourage workers to seek help when needed. They can also foster an accepting workplace environment by integrating substance misuse prevention into existing workplace health and wellness programs, providing access to confidential screening tools and supports and educating workers on healthy ways to manage pain and stress. 

Other ways employers can help to prevent fentanyl abuse in the workplace include:

  • Reducing injury risk through education and other controls
  • Sponsoring take-back events to encourage workers to dispose of unused prescriptions and not share them with fellow workers
  • Purchasing naloxone to have on-site and train supervisors and others in how to use it
  • Ensuring health benefits and easy access to Employee Assistance Programs (EAPs)
  • Monitoring workers’ compensation claims for the possible need for pain education
  • Tailoring health and wellness programs to tackle substance abuse directly and include education on the effects of fentanyl as well as the signs of addiction
  • Training supervisors to recognize possible signs of fentanyl misuse, addiction and overdose
SureHire Logo

Add Fentanyl to Your Testing Process

Fentanyl can be tested for as an add-on to any of the following SureHire tests: Urine Express Panel 5, 8 or 13; Urine Lab Based 5, 8 or 13; or Oral Fluid Lab Based 8 or 13. 

SureHire can also provide additional assistance to employers through education, training, and support, including reasonable suspicion training for supervisors.

You May Also Be Interested In…

iNTELLECT

iNTELLECT

Browse our catalogue of expertly developed online training courses—designed to keep your team safe, compliant, and up-to-date with the latest industry best practices.

Online Training
SureHire
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.