Hospital to Employees: CBD Products Containing THC Could Get You Fired

By Ben Smart, WECT News

WILMINGTON, NC (WECT) – A healthcare system in southeastern North Carolina is warning its employees that using cannabidiol (CBD) products could cause their drug tests to come back positive for compounds from marijuana, resulting in disciplinary action up to getting fired from their job.

In an internal note sent in late February, New Hanover Regional Medical Center advised its roughly 7,000 employees that some CBD products could contain enough tetrahydrocannabinol (THC) — the chemical in marijuana that makes users feel high — to trigger a positive result in the required drug testing.

“NHRMC considers THC found on a drug test as a positive result for an illegal substance. A positive urine drug test will subject you to Progressive Discipline Process, up to and including, termination of employment,” the note reads.

CBD products are in legal limbo in North Carolina. CBD oil is legal but is not regulated by the U.S. Food and Drug Administration. That means there is no official regulatory agency that tests CBD oil to make sure what’s inside matches the label.

Scientific research

While CBD hype has exploded recently, scientific research is still relatively limited but studies show promising results for a variety of conditions, including anxiety, PTSD, insomnia, and chronic pain.

Researchers in 2017 tested 84 CBD products purchased online, including oils, tinctures and vaporization liquid. They found about one in five CBD products also contained THC even though they were not labeled as containing the compound.

“Promoters often claim that the product is THC-free and its use will not show up on a drug test,” the NHRMC message reads. “Because CBD products are not FDA regulated, there is no guarantee what you are buying is THC-free. It may have various levels of THC depending on how it is produced, where it is manufactured and the potency/formulation of the product.”

Hemp, which is made into CBD oil, is only allowed to contain up to 0.3 percent THC under North Carolina law. If it contains more, the cannabis is considered to be illegal.

NHRMC employees are tested before they are hired, and also randomly screened, according to NHRMC Media Relations Coordinator Julian March.

“THC can be present in products advertised as CBD products, which are not regulated by the FDA. The presence of THC in urine would trigger a positive result on a drug test. Testing will not determine if THC is from CBD or marijuana use,” March wrote to WECT about the NHRMC note. “We have advised employees that using CBD products could put them at risk for a positive drug test result.”

The hospital system uses an “outside, federally-approved drug testing lab for all urine drug tests. Lab testing methods specifically target THC metabolites,” according to the internal note. “If an initial screening is positive for THC metabolites, secondary testing will be performed to confirm that result.”

THC metabolites are chemicals created in the body when THC is broken down.

Novant Medical Director Dr. Charles Bregier told WBTV using CBD products will not likely cause a user to fail a drug test.

Smart, B. (2019). Hospital to employees: CBD products containing THC could get you fired. WECT News. Retrieved from


Do you need Substance Abuse Professional Services?

ASAP has a nationwide reach in all 50 states and U.S. territories. Our trained and knowledgeable team will assist you in understanding the process and signing up. It’s fast and easy to enroll with ASAP! 888.792.2727 x607

Scroll to Top