All Duke University Health System (DUHS) staff will be screened for the presence of illegal drugs and alcohol levels greater than 40-mg %. Selected university positions require substance abuse screening based on federal, state or institutional regulation. Testing will occur through the use of urine (drug) and saliva (alcohol) screening. Staff who do not pass this screening will not be hired and are not eligible to reapply for hire for one year. If you are a new hire and refuse testing, you will not be employed. This includes staff who transfer from the university (including School of Medicine, School of Nursing, Duke Clinical Research Institute, and the Private Diagnostic Clinic) to DUHS who were not included in pre-placement drug testing at their time of hire.