This doesnotconstitute a refusal to test. 2104 0 obj
<>/Filter/FlateDecode/ID[<6F596FBAE4C4AE45969D286DF38402D7>]/Index[2089 80]/Info 2088 0 R/Length 96/Prev 472322/Root 2090 0 R/Size 2169/Type/XRef/W[1 3 1]>>stream
%PDF-1.6
%
Contact Joe Reilly & Associates Inc at 321-622-2020 or joe@joereilly.com. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Why do initial drug tests need to be confirmed? (7) For verified positive tests, the drug(s)/ metabolite(s) for which the test was positive, (8) For cancelled tests, the reason for cancellation and. G`Fq$fwqMv$;3WS`|e000 At least 45 mL of urine is required for analysis. chain-of-custody and laboratory procedures were correct, the MRO must report the verified positive test and the identity of the substance(s) to the employer or designated agent according to established company procedure and DOT regulations( 40.163.) When selecting a qualified MRO, you should conduct the following activities and retain documents resulting from these activities: 1.Review qualifications, medical licenses, memberships, and other relevant training and experience to ensure that minimum standards are met. substituted test result had to be cancelled because the test of the split specimen could not be performed. Make sure that only approved DOT urine CCFs are used. A public agency (e.g., treatment facility) operated by a state, county, or municipality; or, A person or organization under contract to the employer to provide alcohol or drug treatment and/or education services (e.g., the employer's contracted treatment provider); or, A sole source of therapeutically appropriate treatment under the employee's health insurance program (e.g., the single substance abuse in-patient treatment program made available by the employee's insurance coverage plan); or, A sole source of therapeutically appropriate treatment reasonably available to the employee (e.g., the only treatment facility or education program reasonably located within the general commuting area.). All confirmed positive specimens must be retained by the laboratory for a minimum of 1 year. (c) In both cases, the collector should ensure that all copies of the original (first) chain of custody form are destroyed or disposed of properly (e.g., shredded, torn into pieces). John Hawes is the CCO and co-founder at SureHire Occupational Health Testing. However they can still establish their own drug testing protocol, which may include non-DOT urine drug tests. A collection site is defined as "a place designated by the employer where individuals present themselves for the purpose of providing a specimen of their urine to be analyzed for the presence of controlled substances." Such an arrangement would simplify the certification process. You must supply this information on the same business day on which you are notified of the problem, transmitting it by fax or courier. Shipping Containers: the containers should be acceptable to the carrier you will be using and should be sealable to prevent undetected tampering. 3. Urine CCF: this form is used by the collector to document the exchanges of the specimen from the time of production by the donor until the test is completed. The specimen bottle seal is broken or shows evidence of tampering. The donor must urinate into a collection cup or specimen bottle. Urine Collectors. complete copy of 49 CFR part 40 to the contract facility representative and require compliance with all applicable DOT requirements as part of the contract. The circumstances under which the MRO must disclose such information are in 40.327: The MRO must tell the driver that the laboratory has determined that the driver's test result was positive, adulterated, substituted, or invalid, as applicable. An MRO is defined in the regulation as a licensed physician (M.D. The collector must immediately collect a new specimen using direct observation procedures (see 40.67). One such non-DOT test is the 10 panel test, which provides a more precise analysis of drug levels, even when trace amounts are much lower. Note: The collector must not ask the employee to initial the labels/seals while they are still attached to the CCF; they must be initialed after they are placed on the bottles. 2. Proceed to the room used for urination and provide a specimen in the collection container. Upon request, the SAP must provide this documentation to DOT agency representatives and to employers and C/TPAs who are using or contemplating using his/her services. They should avoid any remarks that may be construed as accusatory, offensive, or inappropriate. The specimen is not poured off from the DOT-mandated specimen. Copy 1 of the CCF must not be used to to report drug test results. The combination of immunoassay screening with confirmation by gas chromatography/mass spectrometry (GC/MS) makes the possibility of error extremely remote. xb```b``i``a``ga@ V dahS,+:*UeTWORzltVesO&sX3lnJNv-B/Z&(fZ2Mu%*d.whyHYxik%QVvBTC?Z>-E5!im;CZt,:w ?o,4*f]P' jQ0!B# 18. The procedure for collecting a urine specimen as outlined in 49 CFR Part 40 is very specific and . Secure any other doors or windows opening into the collection room. You could not and no-one else going considering . rinted collector name and no collector signature. A solid bar or soap gives the employee the chance to conceal soap shaving under his or her fingernails and subsequently use them to attempt to adulterate the specimen. A drug-eluting stent is a medical device made of wire mesh that is inserted into a patient's artery during a procedure 7 Reasons Your Company Should Invest In Drug Testing, Cannabis Metabolites: What You Need To Know, Marijuana and Pregnancy: What You Need To Know, Cannabis in the Workplace: What To Consider About Off-Duty Marijuana Consumption, 9 Machine Safety Myths You Need To Stop Believing, Fit For Work Testing: Components Involved In A Comprehensive Musculoskeletal Examination, Fit For Work Testing: Components Involved In A Comprehensive Health Interview, Fitness-to-Work Testing: What It Is, And Why It's A Critical Piece To Establishing A Strong Health and Safety Culture, How To Use Engineering Controls To Keep Your Employees Safe By Reducing Hazards, 5 Job Tasks That Are Potentially Ergonomically Hazardous, 8 Signs and Symptoms of Magnesium Deficiency, Low Impact Cardio: 7 Effective And Joint-Friendly Workouts, 5 Plant-Based Protein Sources To Incorporate Into Your Diet, Staying Hydrated: 5 Tips To Help You Drink More Water, 6 Common Sleep Myths That You Should Stop Believing, 6 Apps That Could Help Improve Your Sleep Hygiene, Pandemic Insomnia: 10 Tips To Improve Your Sleep Hygiene, The Dangerous Effects of Sleep Debt In the Workplace, What Employers Can Expect From An OSHA Investigation, 7 Hacks To Stay Cool & Sleep Well During Hot Summer Nights, Standstill Accidents: What They Are, And How To Avoid Them, 4 Common Safety Hazards For Truckers And How To Minimize Risk, Employers in non-DOT industries may consider urine drug tests, can still establish their own drug testing protocol. Provide the MRO with copies of 49 CFR part 40 and part 382. Copyright 2022
Thepurpose of this review is to verify and validate test results. Changes in the sequence of these procedures, errors, or omissions in some of the steps may result in the collection being unacceptable for testing at the laboratory or the results being declared invalid upon review by the MRO. This summary must be consistent with 49 CFR part 40. No further testing (e.g. The SAP must conduct a face-to-face follow-up evaluation to determine if the employee has actively participated in the education and/or treatment program and has demonstrated successful compliance with the initial assessment and evaluation recommendations, provide the DER with a follow-up drug and/or alcohol testing plan for the employee, and provide the employee and employer with recommendations for continuing education and/or treatment. An official website of the United States government Here's how you know. 12. You should ensure that all collection site staff are trained to prepare the collection site, collect specimens, examine specimens for tampering or sample adulteration, observe collections, split the specimens, and properly label and preserve the chain of custody of specimens. (If an alcohol breath test is also scheduled, the alcohol test should be conducted first, if practicable.). contact the MRO, lack of actual notice of the verified positive test, or other circumstances unavoidably prevented the driver from contacting the MRO in time. All of our courses listed can be purchased online. They are presented in chronological order to represent the proper order for the steps in obtaining, documenting, and securing a urine specimen. The following employers are . If the employee cannot produce positive identification, the collector must contact the DER to verify the identity of the employee. If you use an off-site collection site staffed by medical/technical personnel, it must meet DOT requirements. Section 4. The collector requests the employee to present an acceptable form of identification. The collection site must be secured when not in use or, if this is not possible (e.g., when a public restroom is used), the site must be visually inspected prior to specimen collection to ensure that. Within 4 minutes of receiving the specimen, record the temperature. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. The bottle must be identified with a unique identifying number identical to that appearing on the urine CCF. A metabolite is a modified form of a controlled substance that has been chemically altered by the body's metabolic system. United States Department of Transportation, National Registry of Certified Medical Examiners, ADA Requirements for Over-the-Road Bus Companies, Apply for a New USDOT Number and/or Authority, Pocket Guide to Large Truck and Bus Statistics, Consortium/Third-Party Administrators (C/TPAs). It contains minimal graphics and formatting to ease transmission and downloading of the document from the Internet. The action you just performed triggered the security solution. In most cases, employees who state they cannot provide a specimen will, in fact, provide sufficient quantity to complete the test process. 9. Verify the identity of the driver through the use of an official photo identification card (CDL). Identification of either a controlled substance or its metabolite in the urine indicates use of the controlled substance in the recent past. If the information is not already preprinted, the collector enters the required information in Step 1 of the CCF (employer's name, address, telephone, fax number; employee SSN or employee ID number (refusal by the employee to provide a SSN is not a refusal to test, but requires the collector to annotate this in the remarks); reason for test; drug test to be performed; and collection site information. (d) If the collector inadvertently reverses the seals (i.e., places the "A" bottle seal on the split bottle and vise-versa) and the collector subsequently notices this, thecollector should note this in the "Remarks" line and continue the collection process. Note: The MRO copy (Copy 2) may be faxed to the MRO's secure fax machine, it may be scanned and the image sent to the MRO's secure computer, or it may be mailed or sent by courier to the MRO. Single-Use Collection Cups: the cups must be individually and securely wrapped and shall be unwrapped in the presence of the driver at the time of specimen collection. Laboratories have procedures that permit them to "re-designate" the bottles. hbbd```b`` A$/|"+^`RLf If it's related to the drug testing industry, we can surely help. The wrong form used - (i.e. Single-Use Temperature Measurement Device: the device shall be capable of measuring temperatures within the range of 32 to 38 Centigrade. The collector must provide a signed statement (i.e., a memorandum for the record). 14. Report to the specimen collection site as soon as possible after notification to report. This list may serve as a memory jogger in the event a Medical Review Officer (MRO) calls you to discuss the results of your test. DOT drug tests look for 5 specific drugs: Cannabis, Cocaine, PCP, Amphetamines, and Opioids. 8. 2. If the employee refuses to fill out any information, the collector must, as a minimum, print the employee's name in the appropriate place. 0
These services include specimen collection, laboratory testing, MRO and SAP. 5. The collector or collection site must ensure that each shipment collected is shipped to a laboratory as quickly as possible, but in any case within24 hoursor during thenext business day. When this occurs, the collector should use the following corrective procedures: (a)If the seal is broken while being removed from the chain of custody form or during. These instructions should be available at all times for reference and may be provided in a checklist format to allow the collection site personnel to indicate when each step in the collection process has been accomplished. The laboratory must provide to you a statistical summary report every 6 months, on January 20 and July 20 each year. After the employee gives the specimen to the collector, the collector must check the temperature of the specimen, check the specimen volume, and inspect the specimen for adulteration or substitution. and Enter in the "remarks" line the findings concerningthe temperature. (6) Result of the test (i.e., positive, negative, dilute, refusal to test, testcancelled) and the date the result was verified by the MRO. For example, a bottle of eye drops may have been brought inadvertently and would have to be secured by the collector and the collection process would continue. You should, therefore, ensure that the collection site personnel rigorously follow your guidelines for specimen collection. 0000005336 00000 n
Every effort should be made to minimize the number of persons handling the specimen. This is likewise one of the factors by obtaining the soft documents of this dot urine specimen collection guidelines by online. Examples written instructions for drivers and collection site personnel are provided in the appendix at the end of this chapter. The MRO must give this warning to the driver before obtaining any medical information as part of the verification process. Note: There is no corrective procedure available if the seal is broken after the employee leaves the collection site. Thecollector, not the employee, must then remove the tamper-evident seals from the CCF and place them on each bottle, ensuring that the seal labeled "A" is placed on the primary bottle with at least 30 mL of urine and that the seal labeled "B" is placed on the bottle of 15 mL of urine. The first two situations involve the urine specimen collector. Note: If the laboratory courier does not hand-deliver the specimens to the laboratory, but subsequently places the specimens into a commercial delivery system, the specimens must be placed into a shipping container to minimize damage in transit. When the services of an MRO have been retained, you should do the following: Describe procedures for disclosure of verified positive test results and the confidentiality that is required for medical information not specifically related to use of controlled substances. Workplace Testing Powered by SureHire Inc. endstream
endobj
1535 0 obj
<>/Size 1523/Type/XRef>>stream
The remainder of this chapter discusses the interaction of DOT and FMCSA regulations in defining your controlled substances testing program. Review and interpret a driver's confirmed positive, adulterated, substituted, or invalid test result by (1) reviewing the driver's medical history, including any medical records and biomedical information provided; (2) affording the driver an opportunity to discuss the test result; and (3) deciding whether there is a legitimate medical explanation for the result, including legally prescribed medication. Specimens in plastic bags, which have not been placed into shipping containers or which are awaiting a laboratory courier, must be kept in a secure location. Have the driver wash and dry his/her hands. The MRO must also advise the driver that, after informing any third party about any medication the driver is using pursuant to a legally valid prescription under the Controlled Substances Act, the MRO will allow 5 days for the driver to have the prescribing physician contact him/her to determine if the medication can be changed to one that does not make the driver medically unqualified or does not pose a significant safety risk. 3. 0
If the employee has not had the opportunity to wash his or her hands, they may do so now. %%EOF
Reporting a Verified Positive Test Result, If, after appropriate review, the MRO concludes that no legitimate medical reason exists for a confirmed positive test, and that the. This manual does not apply to specimens submitted for testing under U.S. Department of Transportation (DOT) Procedures for Transportation Workplace Drug and Alcohol Testing Programs (49 CFR Part 40). John graduated in 2001 from the University of Alberta with a Bachelor of Science degree in physical therapy. or D.O.) The MRO must warn a driver who has a confirmed positive, adulterated, substituted, or invalid test that the MRO is required to provide to third parties drug test result information and medical information affecting the performance of safety-sensitive duties that the driver discloses in the verification process, without the driver's consent (see 40.327). Only one specimen should be collected at a time. The MRO must explain that, if further medical evaluation is needed for the verification process, the driver must comply with the MRO's request for this evaluation and that failure to do so is equivalent to expressly declining to discuss the test result. 8. The collector directs the employee to read, sign, and date the certification statement and provide date of birth, printed name, and day and evening contact telephone numbers in Step 5 on Copy 2 of the CCF. All information appearing in these guidelines is in the . Office of Drug & Alcohol Policy & Compliance. These instructions should emphasize their responsibilities to maintain the integrity of the specimen collection and transfer process and to protect the dignity and privacy of the driver providing the sample. 0000002229 00000 n
Procedures for collecting urine specimens shall allow individual privacy unless there is a reason to believe that a particular individual may alter or substitute the specimen to be provided. Contact Us. The laboratory must confirm all positive screens with GC/MS. If for temperature, the second collection will be by direct observation. The results of the laboratory analysis will be forwarded to your employer's Medical Review Office (MRO). (This may be done at the same time that the collector checks the temperature box.) You should also enter into a contract with a second laboratory for split-sample analysis, and to serve as a back-up in case problems arise with the first laboratory. SAPs cannot refer an employee requiring assistance to their own private practices, or to a person or organization from which they receive payment, or to a person or organization in which they have a financial interest. When an employee is asked to remove his or her hat or head covering, and refuses to do so based on religious practice, the collector may exempt the employee from removal of the head covering, unless the collector has an observable indicator that the employee is attempting to hide inside the head covering adulterants or other substances which may be used in an attempt to adulterate or substitute a specimen. Note: If the employee refuses to sign the form or provide date of birth, printed name, or telephone numbers, the collector must make a notation on the "Remarks" line to that effect and complete the collection. Keep in mind that the return-to-duty test cannot be conducted until the SAP makes the follow up interview and you receive the fit for duty letter. The collector will then send both specimens to the laboratory. 20. The direct supervisor of the driver should not serve as the collection site person for a urine test, unless there is no other way to collect the specimen. You should also request a copy upon an audit by FMCSA. 1. If the driver has not contacted the MRO within 72 hours of being notified of a verified positive controlled substances test, the driver may present to the MRO information documenting that serious illness, injury, inability tocontact the MRO, lack of actual notice of the verified positive test, or other circumstances unavoidably prevented the driver from contacting the MRO in time. The MRO should also document for his/her own files the basis for having made the positive determination. %PDF-1.4
%
The regulatory requirement is found in 49 CFR, section 40.85. 49 CFR section 40.163 requires the MRO to report to you the results of every controlled substances test. This tests for cannabis, cocaine, amphetamines, opioids and phencyclidine (PCP). The collector must inspect the specimen for unusual color, presence of foreign material, or other signs of tampering. Observe the specimen collector unwrap a specimen container. The collector prepares the collection site to collect urine specimens. =|*@3:&!XV:WS,v=sy