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WELLNESS AND THE CLEVELAND CLINIC’S NICOTINE TESTING IN PRE- EMPLOYMENT PHYSICALS

By Asbjorn Osland and Pamela Wells Department of Organization & Management College of Business
San José State University

“As a leading healthcare organization dedicated to fighting disease and advocating healthy living, our policies and procedures must reflect that commitment,” said Delos M. “Toby” Cosgrove, M.D. CEO and President of Cleveland Clinic. “Having banned smoking from our campuses and launched a communitywide program to promote smoking cessation, incorporating Cotinine testing is a natural extension of our efforts to highlight the perils of tobacco use.”

The Cleveland Clinic informs applicants when they apply for work that those that “applicants who test positive for tobacco products will not be considered for employment and will be referred to tobacco cessation resources paid for by Cleveland Clinic. After 90 days, applicants successful in quitting will be encouraged to reapply.”

Existing personnel are not covered by this policy. The Clinic continues to offer existing personnel extensive support and guidance to quit using tobacco.

Use of Tobacco by Employees

One has to recognize that some people enjoy tobacco. Standing outside with a group of friends smoking during a break provides camaraderie. Pacing one’s actions throughout the day by indulging in a smoke break is pleasurable for many. Smoking also satisfies one’s oral needs that may otherwise be met by eating; weight gain is one of the unpleasant consequences for many smokers that quit. Nicotine also helps some smokers focus and enhances their mental alertness. Finally, smoking is highly addictive and nicotine satisfies one’s physiological needs. One could point out that smokers save Social Security and Medicare money because they die prematurely but no one would argue that this is desirable. It’s

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