Thepurpose of this review is to verify and validate test results. An SAP evaluation is required when a driver has violated FMCSA drug and alcohol regulations. 2089 0 obj <> endobj If the MRO does not use a copy of Copy 2 of the CCF, the report must, at a minimum, include the following information: (1) Full name, as indicated on the CCF, of the driver tested. 3. 0000004973 00000 n Report to the specimen collection site as soon as possible after notification to report. Note: Couriers, postal employees, and other personnel involved in the transportation of the sealed shipping container arenotrequired to make, and should not attempt to make, additional chain of custody entries on the custody and control form. With a non-DOT urine drug test, the employer can choose to test for a wider range of drugs. 12. The collector places the sealed plastic bag in an appropriate shipping container (e.g., box, express courier mailer) designed to minimize the possibility of damage during shipment. 7. An overview of key steps and criteria for the collection process follows. cancelled) and the date the result was verified by the MRO. The DOT regulation requires an immunoassay test as the initial test. The first two situations involve the urine specimen collector. Have the driver wash and dry his/her hands. It does not have to be a picture identification or include the collector's home address or telephone number. The MRO should be certain to set a deadline for receipt of any medical information offered by the driver. 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). The collector must immediately collect a new specimen using direct observation procedures (see 40.67). Do not wait because the employee is not ready or states he or she is unable to urinate. If the employee refuses to fill out any information, the collector must, as a minimum, print the employee's name in the appropriate place. 4. And the difference is how testing is regulated. 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.) 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. 0000002690 00000 n 9. Shipping Containers: the containers should be acceptable to the carrier you will be using and should be sealable to prevent undetected tampering. Other reasons to consider non-DOT urine drug tests include whether the business is federally funded, whether it is in the transportation sector, and whether there is an existing drug or alcohol problem in the workforce. Single-Use Temperature Measurement Device: the device shall be capable of measuring temperatures within the range of 32 to 38 Centigrade. 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. File Name: dot-urine-specimen-collection-guidelines.pdf Size: 3365 KB Type: PDF, ePub, eBook Category: Book Uploaded: 2022-10-28 Rating: 4.6/5 from 566 votes. Protect the driver's privacy and testing program confidentiality. Maintain all necessary records and send the test results to the DER or to the C/TPA if you are using one. Your IP: If not based locally, have the MRO indicate how interviews with drivers will be conducted and how the MRO will coordinate with your Designated Employer Representative (DER). 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. 11. The confirmatory tests are more accurate, more time-consuming, require sophisticated laboratory equipment, and thus are more expensive than immunoassay screens. 2168 0 obj <>stream The collector prepares the collection site to collect urine specimens. The following employers are . An SAP can be (1) a licensed physician (medical doctor or doctor of osteopathy), or a licensed or certified psychologist, social worker, or driver assistance professional, with knowledge of and clinical experience in the diagnosis and treatment of controlled substances and alcohol-related disorders; or (2) an addiction counselor certified by the National Association of Alcoholism and Drug Abuse Counselors Certification Commission (NAADAC) or by the International Certification Reciprocity Consortium/Alcohol and Other Drug Abuse (ICRC). If, after making three reasonable efforts within 24 hours (and documenting them), your DER is unable to contact the driver, The information is likely to result in the driver being determined to be medically unqualified under any applicable DOT agency regulation; or, The information indicates that continued performance by the driver in a safety-sensitive function could pose a significant safety risk; or. The collector directs the employee to empty his or her pockets and display the items to ensure that no items are present that could be used to adulterate the specimen. If the employee has not had the opportunity to wash his or her hands, they may do so now. At least 45 mL of urine is required for analysis. Refusal to report for collection or refusal to cooperate with the collection process will result in a refusal to test essentially a positive test. The report also must contain the MRO's name, address, and phone number, the name of any person other than the MRO reporting the results, and the date the electronic results report is released. 8 Things Employers Should Know About DOT Drug and Alcohol Testing, Sleep Apnea in the Workplace: Your Comprehensive Guide to Proper Diagnosis, DOT Drug & Alcohol Testing: Your Comprehensive Guide to Getting It Right the First Time, 5 Ergonomics Concepts All Employers Should Know and Understand, What Your Company's Drug and Alcohol Policy May Be Missing (and How to Get It Right). Excess urine may be used to conduct clinical tests (e.g., protein, glucose)ifthe collection was conducted in conjunction with a physical examination required by a DOT operating administration's regulation. In addition, the minimum collection site facility specifications should be included in the contract. The SAP's written reports are to be in a specific format found in 49 CFR, section 40.311. startxref Codeine prescriptions for coughing and/or pain. 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. If the specimen fails to meet sufficient volume or falls outside the acceptable temperature range, you will be required to undergo a second collection. You will need certain specialized services to establish an effective controlled substances testing program and implement the requirements of the DOT and FMCSA regulations. <<5B3A32967FCA654687E454500B320C1E>]>> By clicking sign up, you agree to receive emails from Workplace Testing and agree to our Terms of Use and Privacy Policy. This information may help the employee remember what medication he or she may have taken if a positive result is reported by the laboratory to the MRO. Provisions for donor privacy while he/she provides the urine specimen. Remember, the urine specimen collector is the person responsible for collecting the urine sample from the employee. John Hawes. The combination of immunoassay screening with confirmation by gas chromatography/mass spectrometry (GC/MS) makes the possibility of error extremely remote. Under the FMCSA controlled substances regulation, you are required to conductlaboratory testing of urine specimens for five types of controlled substances. If the employee fails or refuses to initial the seals, the collector must note this in the "Remarks" line of the CCF and complete the collection process; this isnotconsidered a refusal to test. 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. A metabolite is a modified form of a controlled substance that has been chemically altered by the body's metabolic system. 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 seals from the second CCF should be placed perpendicular to the original seal to avoid obscuring information on the original seals and must be initialed by the employee (both sets of employee initials should match). Official websites use .govA .gov website belongs to an official government organization in the United States. Editorial Review Policy. Secure .gov websites use HTTPS 1536 0 obj <>stream Note: The employee may use soap and, if practicable, it should be a liquid or cream. 49 CFR section 40.163 requires the MRO to report to you the results of every controlled substances test. The MRO should also document for his/her own files the basis for having made the positive determination. 4. =|*@3:&!XV:WS,v=sy-E5!im;CZt,:w ?o,4*f]P' jQ0!B# The site personnel should acknowledge receipt of the regulations and maintain a copy in their files. 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. Also, at the direction of the specimen collector you must empty your pockets and display items to ensure that no items are present that could be used to adulterate the specimen. Contracting for collection services, however, does not relieve you from responsibility for ensuring that the complete collection process meets all applicable regulatory requirements established by the FMCSA and the DOT. Thecollector, not the employee, then pours at least 15 mL of urine into a second bottle and places the lid/cap on the bottle. ENROLL NOW. (The collector may first pour the requisite amount of urine into each bottle and then secure the lids/caps on each bottle.). However, at a minimum, the employee is subject to six unannounced follow-up tests in the first 12 months of safety-sensitive duty following the employee's return to safety-sensitive functions. You could not and no-one else going considering . Note: There is no corrective procedure available if the seal is broken after the employee leaves the collection site. The specimen identification number on specimen bottle does not match the number on the CCF. Schedule V opiate-containing preparation (e.g., cough suppressants and antidiarrheal preparations containing paregoric). Employers in non-DOT industries may consider urine drug tests for employees in safety sensitive or security sensitive roles. dot-urine-specimen-collection-guidelines 4/7 Downloaded from livefieldvisit.compassion.com on November 6, 2022 by Arnold b Williamson Washington, DC 20590 United States. visit the Office of Drug and Alcohol Policy and Compliance websiteathttp://www.dot.gov/ost/dapc/. It documents the chain of custody and is legal evidence that the reported test results apply to the donor. 14. If you use an off-site collection site staffed by medical/technical personnel, it must meet DOT requirements. 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. Note: The collector should not fill the primary or split specimen bottle up to the cap because a completely full bottle is more likely to leak in transit. 8. In addition, the minimum collection site facility specifications should be included in the contract. This website is using a security service to protect itself from online attacks. Non-DOT drug testing can include a wider range of substances. Provide the MRO with copies of 49 CFR part 40 and part 382. It is also important to establish the exact purpose of each testing process so that your drivers are not confused or unclear about what is required of them by the DOT controlled substances testing regulations and procedures, versus additional requirements imposed by your company's policy. The specimen must be of sufficient volume (45 mL) and within acceptable temperature range. It's free to sign up and bid on jobs. DOT companies are always required to undergo DOT drug testing. for specimen collection,security, and temporary storage until the specimen is transferred to an HHS-certified IITF or laboratory, and must have arrangements for the transfer of the specimens to a certified IITF or laboratory. The MRO shall refer the driver for a medical evaluation to determine whether the driver's inabilityto provide a specimen is genuine or constitutes a refusal to submit to a controlled substances test. 0000000016 00000 n Medical professionals and technicians are obvious choices for collection site staff by virtue of their training; however, they are also required to meet the same qualifications for collectors. Give the specimen to the specimen collector and observe while the collector checks the specimen for temperature, volume, and visually inspects the specimen for signs of tampering or substitution. For example, if the employee had a positive drug test, but your evaluation or the treatment program professionals determined that the employee had an alcohol problem as well, you should require that the employee have follow-up tests for both drugs and alcohol. 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. You have the right to retain your wallet and to ask for a receipt for your belongings. 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. You may operate your own collection site if staff receive proper training on preparing the collection site, collecting samples, examining samples for tampering or adulteration, observing collections, and properly labeling and preserving the chain of custody of samples, and have met the qualification requirements found in 49 CFR, section 40.33. The collection site personnel must follow these steps during the collection process. The collector seals the shipping container as appropriate. If the driver cannot produce the CDL have the designated driver representative (DDR verify the driver. The collector may set a reasonable time limit for the employee to be inside the bathroom and this time frame should be explained to the employee. As an employer, you must maintain your reports from SAPs for 5 years from the date you received them. Make sure that only approved DOT urine CCFs are used. The bottle must be identified with a unique identifying number identical to that appearing on the urine CCF. J0 7 and Enter in the "remarks" line the findings concerningthe temperature. 0000001987 00000 n Immunoassay tests, called screens, are simple to run, often automated, and relatively inexpensive. If, after making three reasonable efforts within 24 hours (and documenting them), the MRO is unable to reach the driver directly, the MRO shall contact the DER, who shall direct the driver to contact the MRO within 72 hours. Medical Information Obtained From the Driver During the Verification Process. In this case, the plastic bag may not need to be placed into a shipping container, but still need to be transported by the courier in a manner that protects the bottles from damage. Whilst employees of DOT regulated companies must undergo DOT drug testing, non-DOT companies will have a broader range of drug testing options to choose from. Seal both the primary specimen and the split specimen in a single shipping container, together with the appropriate pages of the CCF. 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. Laboratories have procedures that permit them to "re-designate" the bottles. The seal must be centered over the lid/cap and down the sides of the bottle to ensure that the lid/cap cannot be removed without destroying the seal. The collector asks the employee to remove any unnecessary outer clothing (e.g., coat, jacket, hat, etc.) This ensures that the results you receive are from tests conducted on your drivers' specimens. responsible for receiving laboratory results generated by an employer's controlled substances testing program. hbbd```b`` A$/|"+^`RLf Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. 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 collector removes Copy 5 from the CCF and gives it to the employee. Drivers subject to testing must be provided written instructions explaining their responsibilities. More than one sealed plastic bag can be placed into a single shipping container if there are multiple collections. Thirty (30) ml shall be poured into one bottle, to be used as the primary specimen. 0000001797 00000 n rinted collector name and no collector signature. Note: Part 40 requires a specific MRO's name and address on the CCF rather than the name of the clinic or medical facility. Place the specimen in secure storage until dispatched to the laboratory. Regardless of where the collection site is located, it must meet the DOT guidelines established in "Procedures for Transportation Workplace Drug and Alcohol Testing Programs" (49 CFR part 40). You may wish to indicate on the back of your copy of the custody and control form any medications you are currently using. Note: Occasionally, the tamper-evident label/seal provided with the CCF will not properly adhere to the specimen bottle because of environmental conditions (e.g., moisture, temperature, specimen bottle material) or may be damaged or broken during the collection process. The laboratory must provide secure storage for the split-sample. The collector then ensures that all copies of the CCF are legible and complete. Workplace Testing Powered by SureHire Inc. These services include specimen collection, laboratory testing, MRO and SAP. Additionally, an alcohol test is also carried out by an operator using a breathalyzer machine. 6. If for temperature, the second collection will be by direct observation. The safety-sensitive duties of a driver and the employer's interests, and. The collector must allow the driver to retain his/her wallet. The collector, not the employee writes the date on the seals. (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. The rule modified and expanded the procedural requirements for controlled substances testing, including specimen collection procedures, laboratory testing procedures, medical review officer (MRO) procedures, and substance abuse. If the Medical Examiner is qualified, he or she may be designated to also serve as the MRO. At a minimum, other sources of water must be monitored to ensure that they are not used to adulterate the sample.
Dplyr Across Everything Except, Palakkad To Coimbatore Train Time Tomorrow Morning, Costume Clothing Crossword Clue 6 Letters, Warriors-celtics Game 4, Centerpoint Opening Time, Carol's Daughter Hair Milk Cleansing Conditioner, Mexican Embroidery Book, January 2023 Bank Holidays, How To Save Excel File In Python Pandas, Holstein Sauce Recipe,