The purpose of this policy is to establish and maintain a drug-free workplace
at the Medical University of South Carolina (MUSC) and its affiliates (i.e.,
the MUH Authority; University Medical Associates; Carolina Family Care; Foundation
for Research Development; Health Sciences Foundation; all hereinafter referred
to as "MUSC"). Methods used to achieve this purpose include education,
intervention, rehabilitation, and disciplinary action. MUSC intends to maintain
a substance free workplace. Individuals impaired by the use of alcohol and
drugs are harmful to themselves, the University’s mission, the treatment
of patients, their job performance and the well being of co-workers, students,
and visitors. MUSC believes drug and alcohol abuse is preventable and treatable.
MUSC recognizes that health care professionals who are treated and monitored
over the course of their rehabilitation for addiction have excellent outcomes,
and the majority remains valuable providers of health care. The University
adheres to the provisions of the Drug-Free Workplace Act of 1988. Individuals
are expected and required to report for work, and to perform assigned duties,
in a condition free from the effects of alcohol and drugs.
This policy shall apply to the following individuals: faculty (see Definitions,
Section V); staff (classified and non-classified); volunteers; residents (see
Definitions, Section V); sub-specialty residents (fellows); post-doctoral
fellows; and clinical associates (all categories hereinafter referred to as
“individuals”). All MUSC students, and all visiting students (externs),
will adhere to the MUSC Board of Trustees Policies and Procedures, Student
Policy for Alcohol and Other Drug Abuse Prevention and Intervention. All outside
contractors conducting business or providing services on the MUSC campus will
be required to maintain and enforce a drug-free workplace policy applicable
to their employees. Contract employees with alleged violations of the MUSC
policy will be referred to the contracting agency for appropriate action.
- RESPONSIBILITIES OF UNIVERSITY
The Medical University of South Carolina prohibits the unlawful possession,
use, distribution, dispensation, or manufacture of alcohol or illegal drugs
on MUSC property or at MUSC sponsored activities. Any individual, who is convicted,
pleads guilty or nolo contendere, or otherwise violates this policy will be
subject to disciplinary action up to and including termination.
The use, sale, purchase, transfer, theft, or possession of an illegal drug
(see Definitions, Section V) is a violation of law. Similarly, individuals
carrying out their responsibilities on the MUSC campus under the influence
of alcohol, are in violation of MUSC policy and, therefore, subject to disciplinary
action. The Medical University of South Carolina will refer such illegal drug
activities and alcohol abuse to law enforcement, licensing, and credentialing
agencies when appropriate, and as required by law. When appropriate, the Medical
University of South Carolina will encourage physicians, nurses, pharmacists,
dentists and other licensed health care professionals to self-report to the
Recovering Professionals Program (RPP). The RPP is the division of the South
Carolina Department of Labor, Licensing, and Regulation that is responsible
for evaluating, recommending treatment and monitoring outcomes of health care
providers licensed by the State of South Carolina.
MUSC respects the right to confidentiality of recovering individuals and
will assist them to continue their education and employment. However, MUSC
also respects the rights of patients, visitors, students, employees, etc.,
and seeks to protect them from the harm that impaired individuals may cause.
MUSC encourages all individuals to seek help voluntarily and favors the earliest
possible intervention. MUSC favors a treatment program that is separate from
the disciplinary process and will make treatment and referral services available.
MUSC is not obligated to pay for rehabilitation services. Financial responsibility
will lie with the individual who chooses to participate in a rehabilitation
- RESPONSIBILITIES OF INDIVIDUAL
Any individual aware of substance abuse by another individual in the workplace
is expected to report this information to their immediate supervisor or the
Department of Human Resources. This information will then be relayed to the
individual’s supervisor. The supervisor will be required to monitor
the suspected individual’s behavior closely and to take appropriate
actions (see Section IV.A., Voluntary Intervention and Section IV.B., Mandatory
Intervention) when necessary. For residents and sub-specialty residents, the
supervisor is the attending faculty or the Program Director. The attending
faculty or Program Director must report substance abuse to the departmental
Program Director (Chair of the Department).
Any individual taking prescribed medication should inquire as to whether the
medication could impair their ability to safely perform their job functions.
If the medication could have an impairing effect, the individual should notify
his or her supervisor of the potential impairment and its expected duration.
This requirement is intended to prevent individuals from endangering themselves
Any criminal drug violation by an individual whose salary is funded though
a federal grant or contract must be reported to the contractor or grantee
in accordance with the 1988 Drug-Free Workplace Act. A report of conviction
must be made in writing by an individual within five calendar days of the
conviction to their respective Department Head, Dean, or to the Vice President
of Academic Affairs & Provost. The funding agency will be notified by
the appropriate administrator within ten days after receiving notice from
Any individual suspended or terminated due to substance abuse must be disciplined
in accordance with MUSC's policies and procedures.
The Medical University of South Carolina is committed to maintaining a safe
and healthy campus, free from the detriments of workplace substance abuse.
MUSC believes that intervention is a key element to maintaining a safe and
healthy workplace. Intervention can either be voluntary or mandatory. Voluntary
intervention is an agreement by the individual to seek or enter a rehabilitation
program for substance abuse treatment (see Section A below). Mandatory intervention
occurs when there is reasonable evidence to indicate impairment or diversion
of controlled substances in the workplace (see Section B below). The individual
under suspicion may be asked to submit to a “for cause” screen.
If the individual refuses, the individual will be subject to disciplinary
action up to and including termination.
Managers and supervisors will receive an initial orientation of the Drug
Free Workplace Prevention Policy and Procedures. Instruction will be provided
on identifying individuals with possible alcohol or drug abuse, confrontation,
and referral to an appropriate rehabilitation program. Managers and supervisors
are responsible for documenting incidents and efforts to confront the behavior.
- Voluntary Intervention
- The Medical University of South Carolina encourages individuals having
a substance abuse problem to obtain appropriate rehabilitation services
to ensure MUSC is drug free. Certain rehabilitation services are available.
These rehabilitation services include the Employee Assistance Program
(EAP), the South Carolina Vocational Rehabilitation Department, and
the Center for Drug and Alcohol Programs (CDAP). Additionally, individuals
can seek outside professional rehabilitation services and may refer
to their health insurance for approved sites. Outside rehabilitation
programs must be approved by an EAP therapist and/or the EAP Director
to ensure the program meets appropriate treatment guidelines. If an
individual’s job performance is satisfactory, their position may
not be jeopardized if the individual seeks assistance with an approved
program prior to any violation of policy or law and disciplinary action.
All requests and/or actions are strictly confidential to the extent
- The following provisions apply to any individual who is confronted
(see Mandatory Intervention, below) and voluntarily admits to having
a chemical dependency problem. Supervisors are reminded to inquire whether
the individual in question could be taking prescribed medication which
could impair their ability to safely perform their job functions.
- The Director of Human Resources will be notified. If the Director
of Human Resources is absent, the Assistant Director of Human Resources
must be notified.
- For residents and sub-specialty residents, the Departmental Chair
must be informed, and the Director of the appropriate residency
program will also be notified.
- The individual will be removed from the work area.
- The individual must attend a rehabilitation program. Outside
rehabilitation programs must be approved by an EAP therapist and/or
the EAP Director to ensure the program meets appropriate treatment
- MUSC does not assume financial responsibility for the payment
of rehabilitation services. The individual is responsible for payment
for participation in a rehabilitation program.
- The individual must notify the Director of the EAP of the rehabilitation
program in which they are enrolled. The Director of the EAP may
periodically verify enrollment.
- When appropriate, the EAP will suggest to licensed health care
professionals that they self-report to RPP (see Section II, Responsibilities
- Any individual, who elects to voluntarily participate in a rehabilitation
program, must comply with the treatment and rehabilitation requirements
set forth below.
- The individual is responsible for paying for participation in
a rehabilitation program. MUSC does not assume financial responsibility
for the payment of rehabilitation services.
- The individual must satisfactorily participate in a rehabilitation
- The Employee Assistance Program will help monitor the individual
to ensure rehabilitation requirements are satisfactorily met.
- MUSC reserves the right to periodically perform unannounced “for
cause” screening on individuals participating in a drug rehabilitation
program. Such testing may include breath-alcohol screening, blood-alcohol
testing, bodily fluids analysis, hair follicle analysis, and urinalysis.
- The individual must remain substance free after completing a
rehabilitation program. The individual will be subject to unannounced
“for cause” screening for a minimum of two years following
the completion of a drug rehabilitation program. The appropriate
Dean or the President may choose to extend the period for greater
than two years depending on the circumstances. The decision to extend
the unannounced “for cause” screening beyond two years
must be communicated to the individual and the Human Resources Department
Failure to comply with these requirements will result in
disciplinary action up to and including termination.
Sick and annual leave may be granted in accordance with policy for
the purpose of participating in public or private treatment programs.
For additional information, refer to the Medical University’s
Annual Leave Policy (No.18), Leave of Absence-Without Pay (No. 20),
Sick Leave Policy (No.19) and the Employee Assistance Program Policy
- Any individual, who admits to having a substance abuse problem
and chooses not to enroll in a rehabilitation program, will be subject
to disciplinary action up to and including termination.
- Mandatory Intervention
- Should an individual demonstrate impairment on the job, or if there
is evidence that an individual may be impaired, the observer of such
an incident should immediately notify the individual’s supervisor.
The supervisor should also be notified when there is evidence of an
occurrence of a diversion. The supervisor and at least one other individual
should witness and document the individual’s behavior.
- The supervisor should contact Internal Audit upon suspicion of a drug
diversion. Additionally, supervisors can call Internal Audit for assistance
and support for matters relating to a drug diversion.
- Supervisors must confront individuals who appear to be in an impaired
condition on the job. Supervisors are reminded to inquire whether the
individual in question could be taking prescribed medication, which
could impair their ability to safely perform their job functions. Supervisors
should also confront individuals upon the occurrence of a diversion.
An individual may be asked by the supervisor to voluntarily submit to
a “for cause” screen to determine whether he or she is under
the influence of alcohol or drugs. These types of tests include breath-alcohol
screening, blood-alcohol testing, bodily fluids analysis, hair follicle
analysis, and urinalysis. The following behaviors can be used as the
basis of a “for cause” screen:
- Observable phenomena, such as direct observation of illegal drug
use or possession;
- Excessive tardiness or absenteeism;
- Performance deviations;
- Scent of alcohol, regardless of the source of odor;
- Physical symptoms of being under the influence of drugs or alcohol
(i.e., glazed expressions, dilated pupils, red eyes, or nosebleeds);
- A pattern of abnormal, erratic, or unusual behavior during working
- Information provided either by reliable and credible sources,
or independently corroborated, which suggests on duty impairment
from drugs or alcohol;
- Evidence indicating that the individual tampered with a previous
drug or alcohol test or;
- Evidence indicating that a diversion of controlled substances
may have occurred.
- During regular working hours (8:30 a.m. - 4:30 p.m.) the supervisor
is to notify Employee Health Services that the individual must be tested
for drugs or alcohol. The supervisor should then escort the individual
to Employee Health Service where an appropriate specimen will be obtained
by the contracting drug testing facility. After regular working hours,
and on weekends or holidays, MUHA’s Emergency Services should
be notified. The supervisor should then escort the individual to Emergency
Services for testing.
- For resident and sub-specialty residents, the Program Director or
the highest ranking Departmental faculty person will be notified before
or immediately after Employee Health Services (or MUHA's Emergency Services)
has been notified. The Program Director will be notified as soon as
possible. After regular working hours, and on weekends or holidays,
the Program Director will be notified as soon as possible.
- After an individual is confronted for alcohol or drugs they can either
refuse or voluntarily submit (see Section A, Voluntary Intervention,
above) to a “for cause” screening. If the individual refuses
to submit to a “for cause” screening, they will be subject
to disciplinary action up to and including termination.
- Once a “for cause” screening is complete, arrangements
should be made for the individual to get home safely. The individual
should not be allowed to operate a motor vehicle. Therefore, the supervisor
may arrange for the individual’s family to provide transportation,
call a taxi, or have MUSC’s Department of Public Safety provide
assistance. If an individual becomes unruly or leaves the location before
transportation arrangements are made, Public Safety should be notified.
Additionally, supervisors at off-campus sites should also seek assistance
in dealing with an individual who becomes unruly or leaves the location
before transportation arrangements are made. This includes contacting
the police, if necessary. Only law enforcement personnel are authorized
to detain a suspect through physical means.
Appropriate disciplinary actions will be taken once the individual
returns to work. For further information, refer to paragraph 11 (below).
- If an individual voluntarily submits to a drug or alcohol test and
the test results are positive, the following actions will be taken.
These actions may not be all inclusive.
- The individual and supervisor will be notified of the test results.
- For residents and sub-specialty residents, the Program Director
will also be notified of the test results.
- The supervisor should contact the Director of Human Resources
for counsel and advice. If the Director is absent, the Assistant
Director of Human Resources must be notified.
- If the test is positive, the supervisor should explain to the
individual that they have the right to voluntarily seek professional
- If the individual refuses to enroll in the rehabilitation services
offered at MUSC or an outside agency, the individual will be subject
to disciplinary action up to and including termination.
- Positive drug or alcohol test results of individuals who hold
any professional licenses will be reported to the appropriate professional
board as well as the disposition (i.e., whether or not the individual
has entered a rehabilitation program).
- Costs associated with an initial “for cause” screen will
be the responsibility of MUSC. However, any costs incurred for any subsequent
tests will be the responsibility of the individual being tested.
- The individual has the right to request the retained portion of a
confirmed positive sample to be re-tested, only if there is a portion
suitable for re-testing. The requesting individual must pay for the
re-test up front and the test must be done at a properly certified lab.
If the retained portion of a confirmed positive sample comes back negative,
the individual may be reimbursed. This written request for re-testing
must be provided to the supervisor within three days. During the re-testing
period there will be no change in the individual’s employment.
- The supervisor will be responsible for determining if or when the
individual can return to work and their pay status during their suspension
or leave from the workplace. For classified and unclassified staff,
supervisors should consult with the Director of Human Resources or,
if absent, the Assistant Director of Human Resources, to determine if
or when the staff member can return to work and their pay status during
the suspension or leave from the workplace. For residents and sub-specialty
residents, the Program Director will be responsible for determining
if or when the individual can return to work and their pay status during
their suspension or leave from the workplace. Any leave of absence must
comply with MUSC’s policies and procedures.
- A post accident drug screen may be required at the discretion of
the supervisor when an employee apparently caused or played a part in
causing an on the job accident or safety related incident resulting
in the following:
- Lost time from work;
- Serious injury to themselves or others requiring medical attention;
- Significant damage to property;
- The hospitalization of one or more persons;
- If the supervisor suspects the individual may be under the influence
of drugs or alcohol.
- Individuals asked to submit to a “for cause” or post
accident screen will be immediately removed from the workplace until
the screen results are available. Once screen results are available,
the supervisor will notify the individual within twenty-four hours of
the results and pending actions. Leave status will be in accordance
with MUSC policies and procedures. Any leave of absence must comply
with MUSC’s policies and procedures. If an individual is removed
from the workplace in a not for pay status and the screen results are
negative, the individual will be paid retroactively. If the screen results
come back positive, the individual will not be paid.
- If the screen is negative, the individual may be reinstated into
their current job at the discretion of the supervisor or Dean of the
respective College (see paragraph 13, above). The supervisor should
seek counsel and advice from the Department of Human Resources. If the
screen is positive, the individual will be subject to disciplinary action
up to and including termination.
- Faculty: Refers to all individuals, regardless of compensation or tenure
status; holding full- or part-time appointments; permanent or temporary;
and will include adjunct, clinical, research, emeritus, or visiting.
- Staff: Professional and administrative personnel, other than faculty,
with duties and responsibilities that support the mission and administration
of MUSC. Staff includes full-time and part-time classified, research grant
and temporary employees, as well as unclassified administrators.
- Resident: Refers to individuals typically in a clinical post-doctoral
training program e.g., Dentistry, Medicine, or Pharmacy; also includes
individuals completing administrative residency programs on the campus.
- Illegal Drug: Refers to any drug, chemical, substance or plant/animal
material, which is classified by the Drug Enforcement Administration (DEA)
as a controlled substance with a classification of C-I, C-II, C-III, C-IV,
or C-V. In the event the drug is a controlled substance, which is a prescribed
drug in the United States, “illegal” shall mean that the drug
was not prescribed to the individual under the influence of said drug
or who was in possession of said drug.
Academic Affairs Policy AA-2004-002-Substance Abuse will be available from
the Office of the Vice President for Academic Affairs & Provost. It will
be distributed digitally and by hardcopy to all units reporting to the Provost,
and be maintained on the Office of Academic Affairs website www.musc.edu/Academic/.
The Vice President for Academic Affairs and Provost, or a designee, will be
responsible for monitoring and maintaining the policy. This policy will be
reviewed for revision every three years. This memorandum is a public document
and has no restriction on its distribution.