UDS and 2nd Chances

My boss would like me to give people second chances on their drug screens (actually said a 3 strike rule). I have an issue with this because the rules are clearly relayed to every patient who I start on meds or take over prescribing. For things like EtOH or another med prescribed by another provider I think a warning is warranted but with other things (illicits, meds off the street, etc.) I don't think there should be a strike system. How do most you all navigate these waters? It's obviously... UDS and 2nd Chances
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums