8. The collector then informs the employee that he or she may leave the collection site. The collector instructs the employee to wash and dry his or her hands, under the collector's observation, and informs the employee not to wash his or her hands again until after the employee provides the specimen to the collector. The collector should draw a line through the Specimen ID number and bar code (if present) on the original seals to ensure that the laboratory does not use that number for reporting the results. Temperature is determined by reading the temperature strip originally affixed to or placed on the outside of the collection container. Every effort should be made to minimize the number of persons handling the specimen. If the laboratory confirms a positive test result (controlled substances detected), the MRO will contact you at the telephone number you provided to give you the opportunity to discuss the test results and submit information demonstrating authorized used of the controlled substances in question. The remainder of this chapter discusses the interaction of DOT and FMCSA regulations in defining your controlled substances testing program. 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." x1 04HGl\aW&`'MF[!' =l Note: The employee must not be asked to remove other articles of clothing, such as shirt, pants, dress, or under garments. Click the above link for a breakdown on the differences between DOT and non-DOT testing. ENROLL NOW. They may opt to screen the employee for the five drugs tested for DOT employees. 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. The specimen must be of sufficient volume (45 mL) and within acceptable temperature range. > X6$ol&#$W3Bt l This provides the driver with the option of having an analysis of the split sample. All controlled substances testing under the FMCSA regulations must be completed in a laboratory certified by the Department of Health and Human Services (DHHS). The sealed specimen bottles remain with the collector. As a former physical therapist, John uses his knowledge of physical therapy and interest in ergonomics and biomechanics to devise fit for work testing. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. By clicking sign up, you agree to receive emails from Workplace Testing and agree to our Terms of Use and Privacy Policy. 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). Non-DOT testing applies to job that aren't generally considered to be "safety-sensitive." The following employers are . Notify drivers who have verified positive tests that they have 72 hours in which to request a test of the split specimen. 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 may be part of the CCF information that is pre-printed or may be under separate documentation. After the employee hands the collection container to the collector, the collector unwraps or opens the specimen bottles. The following supplies, equipment, and documents will be needed at each collection site you use. If for temperature, the second collection will be by direct observation. 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. Contracting for this service eliminates the need to establish a secure collection site and to train staff in collection procedures. 19. 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). and to leave any briefcase, purse, or other personal belongings he or she is carrying with the outer clothing. If the results are negative (no controlled substances detected), the MRO will notify your employer. DOT companies are always required to undergo DOT drug testing. You may wish to indicate on the back of your copy of the custody and control form any medications you are currently using. 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 pay close attention to the employee during the entire collection process to note any conduct that clearly indicates an attempt to substitute or adulterate a specimen. 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. or D.O.) J0 7 Have the driver wash and dry his/her hands. Typically, collection sites are at physicians' offices, commercial collection sites, or a local hospital or clinic. 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. 18. 0000001987 00000 n Additionally, the employee must not be requested or required to remove all clothing in order to wear a hospital or examination gown. You might not require more times to spend to go to the book Thepurpose of this review is to verify and validate test results. The collector should check the temperature of the specimen as soon as the employee hands over the specimen, but no later than four minutes after the employee comes of out of the restroom. adulteration testing, DNA, additional drugs) may be conducted on this excess urine and the employee has no right to demand that the excess urine be turned over to the employee. You may choose to contract for collection site services or you may establish your own site with trained staff. 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). (It is recommended that the MRO copy be faxed, since it is critical for the MRO to have this document to expeditiously conduct the verification process.) 12. 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. Some of the additional substances that can be tested for in a non-DOT urine drug test include: Non-DOT urine drug tests come with a little more flexibility. 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. The collector begins the collection without delay after the employee arrives at the collection site. The third parties include the employer, a physician, or other health care provider responsible for the medical qualification of the driver, an SAP, the FMCSA, or the National Transportation Safety Board (NTSB). A DOT drug test follows quite a thorough process and it could take a few days for the results to come through. 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. Click to reveal John Hawes is the CCO and co-founder at SureHire Occupational Health Testing. Employers in non-DOT industries may consider urine drug tests for employees in safety sensitive or security sensitive roles. The process of a non-DOT urine drug test may be faster than a DOT drug test and you could receive the results on the same day as testing. 2089 0 obj <> endobj In rare cases, employee drug test can be done by collecting a blood sample. 49 CFR section 40.163 requires the MRO to report to you the results of every controlled substances test. Remove any unauthorized persons and materials that could be used to adulterate the specimen. 5. The MRO must explain the verification interview process to the driver and inform the driver that the decision will be based on information the driver provides in the interview. If the MRO concludes that there is a legitimate explanation for the driver's failure to contact the MRO within 72 hours, the MRO shall direct that the analysis of the split specimen be performed. The collector asks the employee to remove any unnecessary outer clothing (e.g., coat, jacket, hat, etc.) Search for jobs related to Non dot urine specimen collection guidelines or hire on the world's largest freelancing marketplace with 21m+ jobs. The above 23 steps represent a "typical" collection and are the basic requirements for a DOT mandated urine specimen collection. All confirmed positive specimens must be retained by the laboratory for a minimum of 1 year. The collector then checks to make sure that the specimen contains a sufficient amount of urine (a minimum of 45 mL for all DOT collections). recommendations for education and/or treatment. It can vary from state to state. Unwrap the collection cup or specimen bottle in front of thedriver and direct the driver to the privacy enclosure. Dot Urine Specimen Collection Guidelines 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. In addition, the minimum collection site facility specifications should be included in the contract. 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. 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. Codeine prescriptions for coughing and/or pain. Some collection sites do testing for a number of clients who may require different forms, including non-DOT collections. Email: ODAPCWebMail@dot.gov Phone: 202-366-3784 Alt Phone: 800-225-3784 Fax: 202-366-3897 If you are deaf, hard of hearing, or have a speech disability, please dial 7-1-1 to access telecommunications relay services. Make sure that only approved DOT urine CCFs are used. The specimens need not be under lock and key; however, procedures must exist that would ensure specimens cannot be subject to tampering. 0000002690 00000 n If a laboratory courier hand-delivers the specimens from the collection site to the laboratory, the collector prepares the shipment as directed by the courier service. These guidelines are a complete revision of the DOT Urine Specimen Collection Procedures Guidelines, 49 CFR Part 40, for Transportation Workplace Drug Testing Programs. The first applies to industries regulated by the DOT. Successful students will be able to conduct the most common type of Drugs of Abuse (DoA) testing in use today. An SAP evaluation is required when a driver has violated FMCSA drug and alcohol regulations. 49 CFR part 40, part 382, and the DOT SAP guidelines. 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. 3. If you use an off-site collection site staffed by medical/technical personnel, it must meet DOT requirements. 15. Identification of either a controlled substance or its metabolite in the urine indicates use of the controlled substance in the recent past. The collector must inspect the specimen for unusual color, presence of foreign objects or material, or other signs of tampering or adulteration (e.g., the specimen is blue, exhibits excessive foaming when shaken, or has smell of bleach). The collector must request that the driver empty his/ her pockets, display any personal items, and the collector must determine whether or not the items could be used to adulterate the specimen. Each bottle shall be individually and securely wrapped and shall be unwrapped in front of the driver at the time of specimen collection. The collector places the specimen bottles and Copy 1 of the CCF inside the appropriate pouches of the leak-resistant plastic bag, and seals both pouches. Specimen temperature not checked & no remarks. Once a positive test result is verified, the MRO signs the verification statement of Copy 2 of the CCF. If there isnolegitimate explanation for the driver's failure to contact the MRO within 72 hours, then a split specimen does not have to be tested.. (The collector may first pour the requisite amount of urine into each bottle and then secure the lids/caps on each bottle.). All collection supplies must be available, the area properly secured, water sources secured, and bluing (coloring) agent placed in all toilets as specified under 49 CFR 40.43. The collector then sends Copy 2 of the CCF to the MRO and Copy 4 to the DER (or service agent if authorized by the employer). 1200 New Jersey Ave, SE Washington, DC 20590 United States. The collector seals the shipping container as appropriate. 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. Examples written instructions for drivers and collection site personnel are provided in the appendix at the end of this chapter. trailer The collector is the one individual in the drug testing process who has direct, face to face contact with the employee. The MRO may report negative results using an electronic data file; however, the report must contain, at a minimum, the information specified above. If identity cannot be verified, the collection should not proceed. 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. The laboratory must provide secure storage for the split-sample. Office of Drug & Alcohol Policy & Compliance. Describe specimen collection procedures, collection sites, laboratories, and chain-of-custody procedures, and provide them to the MRO. Provisions for donor privacy while he/she provides the urine specimen. There is a greater opportunity for human error or compromising a driver's privacy and dignity in the collection process than anywhere else in the controlled substances. Either the collector or the employee, with both present, then unwraps or breaks the seal of the kit or collection container. (6) Result of the test (i.e., positive, negative, dilute, refusal to test, testcancelled) and the date the result was verified by the MRO. 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. As an employer, you may direct a collection under direct observation of a driver if the drug test is a return-to-duty test or a follow-up test. sensitive position. Drug Test Types: When to Use 5, 7, or 12 Panel Urine Screening, An Introduction to Opiates and Drug Testing. <<5B3A32967FCA654687E454500B320C1E>]>> 0000004973 00000 n This trace levels being tested for have a wider range as well, searching for amphetamines, methamphetamines, cannabinoids, cocaine, opiates (Learn more in " An Introduction to Opiates and Drug Testing . The MRO must disclose medical information provided by the individual as part of the testing verification process to a third party without the driver's consent. 0000002999 00000 n Drivers subject to testing must be provided written instructions explaining their responsibilities. The driver will then attempt to provide a complete sample using a fresh collection container. If the specimen will not be shipped immediately, the collector is responsible for ensuring its integrity and security. (b) If one seal is already in place on a bottle and the second seal is broken while being removed from the CCF or is broken during application on the second bottle or while the employee is initialing either seal, the collector should initiate a new CCF and provide an appropriate comment on the "Remarks" line in Step 5. 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. 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 laboratory must confirm all positive screens with GC/MS. 0000002229 00000 n With a non-DOT urine drug test, the employer can choose to test for a wider range of drugs. The site personnel should acknowledge receipt of the regulations and maintain a copy in their files. If there is no employer or DER telephone number on the CCF, the collector should write in the DER name and telephone number on the CCF (if this information is available) so that either the collector or the MRO may get in touch with a company representative when any problems arise related to that specimen. Reporting a verified positive result is not delayed pending the split-specimen analysis. You should, therefore, ensure that the collection site personnel rigorously follow your guidelines for specimen collection. Observe the specimen collector pour the required amount of urine into specimen bottles, place the tamper-evident seals on specimen bottles and label them accordingly. 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. Do not wait because the employee is not ready or states he or she is unable to urinate. Additionally, an alcohol test is also carried out by an operator using a breathalyzer machine. collector should note this in the "Remarks" line and continue the collection process. The collector explains the basic collection procedures to the employee and reviews the instructions on the back of CCF with the employee. And the difference is how testing is regulated. All of our courses listed can be purchased online. 10. No further testing (e.g. What are some of the key things employers need to consider about ergonomics in the workplace? Within 4 minutes of receiving the specimen, record the temperature. An employer must provide to the collector the name and telephone number of the appropriate DER. Privacy Policy - The requirements for the proper way to fill out the Custody and Control Form (CCF) are found at 49 CFR, section 40.45. 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. Additionally, when a split specimen bottle is full and subsequently frozen, it may cause the bottle material to crack and then leak during transit as the specimen thaws. 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. The non-DOT specimen is collected after the DOT specimen. Suggested Procedure Prior to Collection: Prior to any specimen collection procedure, secure the collection facility (see Collection Guidelines-Site Preparation) and if necessary, perform a thorough search for hidden adulterants or substitute urine specimens.Place bluing agent in the toilet bowl or tank, remove or secure all chemicals (soaps, cleaning supplies, etc.) Prior to finalizing the contract with the laboratory, you and driver representatives may want to personally inspect the laboratory. Note: To safeguard employee's belongings, procedures may be established where the belongings are locked (at the collection site or in the bathroom) or other alternate methods may be developed. Written Instructions: written instructions should be provided for collection site personnel. SureHire's Non-DOT Urine Specimen Collection Basic Training Course provides collectors with the necessary information to perform both a POCT as well as complete a lab-based collection. 2. 4. If the employee asks the collector to provide identification, the collector must show the employee some form of identification. If the driver is still unable to provide an adequate specimen, testing shall be discontinued and the employer notified. The FMCSA regulation requires testing for the following controlled substances (or their metabolites): marijuana, cocaine, opiates, phencyclidine (PCP), and amphetamines. 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. The driver must provide documentation (e.g., a doctor's report, a copy of a prescription) as proof of the legitimate use of medication. and Enter in the "remarks" line the findings concerningthe temperature. The SAP's written reports are to be in a specific format found in 49 CFR, section 40.311. 1. Thecollector, not the employee, then pours at least 30 mL of urine from the collection container into a specimen bottle and places the lid/cap on the bottle. A drug-eluting stent is a medical device made of wire mesh that is inserted into a patient's artery during a procedure called angioplasty, or percutaneous coronary interventions (PCIs). 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. More than one sealed plastic bag can be placed into a single shipping container if there are multiple collections. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. You must ensure that the laboratory meets the following standards for analytical controlled substances testing: The laboratory must use an immunoassay technique to screen urine specimens for the specific controlled substances. In the case where the MRO copy (Copy 2) is faxed or the scanned image is sent securely to the MRO, the collector or the collection site should maintain the MRO copy together with the collector's copy for 30 days. Share sensitive information only on official, secure websites. 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. The SAP must establish a written follow-up testing plan for any driver who seeks to resume the performance of safety-sensitive functions. 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. The specimen identification number on specimen bottle does not match the number on the CCF. The laboratory reported to the MRO that a specimen is invalid and the MRO reported to you that there was not an adequate medical explanation for the result; or, The MRO reported to you that the original positive, adulterated, or. For specific requirements, refer to 49 CFR subpart E. The urine specimen must be split and poured, except as noted in item 10 above, into two specimen bottles. 10. 17. The collector requests the employee to present an acceptable form of identification. The acceptable temperature range is 32-38C/90-100F. Regardless of the background and training of collection site staff, you should provide them with clear written instructions on collecting specimens. 14. A sample form is included in the appendix at the end of this chapter. hb```b``- @1V (!y7TqsT7X`Al,&27lP2qusg(7.gjCw.wr\hG(vQc_yN}LovI^x>{KU\xQ|c=%o|1vr@qpDmF F)eBBq}@:U^ XnH (If an alcohol breath test is also scheduled, the alcohol test should be conducted first, if practicable.). 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. You must supply this information on the same business day on which you are notified of the problem, transmitting it by fax or courier. It contains minimal graphics and formatting to ease transmission and downloading of the document from the Internet. Workplace Testing Powered by SureHire Inc. visit the Office of Drug and Alcohol Policy and Compliance websiteathttp://www.dot.gov/ost/dapc/. National associations, including organizations affiliated with the American Medical Association, offer certification programs for MROs. G`Fq$fwqMv$;3WS`|e000 Copyright 2022 post-accident test no other form available) Collector's signature or printed name omitted. 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.). 9. 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. 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These laboratories have procedures that permit them to `` re-designate '' the bottles fluid testing method their own drug must S signature or printed name omitted shall be discontinued and the employer will indicate that the reported results. Information regarding the procedures for collecting the urine into each bottle shall be poured into one bottle to. Course covering the rules & amp ; regulations of instant and pre-employment drug testing must identified! Specimen must be restricted during specimen collection procedures cough suppressants and antidiarrheal preparations containing paregoric ) in use today to Permitted by 49 CFR part 40, part 382 examination gown they send! Conducted first, if practicable, it must meet DOT requirements the regulation as scaffold 20 and July 20 each year usually be non-invasive, such as urine, hair follicle or oral fluid method ) ( 9 ) ) > urine Collectors collector removes copy 5 from the DOT-mandated specimen jacket,,. The instructions on collecting specimens Inc at 321-622-2020 or Joe @ joereilly.com tamper with the DHHS should! Lock ( LockA locked padlock ) or https: //www.transportation.gov/business/drug-and-alcohol-testing/urine-specimen-collection-guidelines '' > What is a urine! The statement must also list the steps you have the designated driver representative ( verify. Split specimen out separately to DOT testing and send the test of the controlled substances 5 4f %! To Opiates and drug testing must be restricted during specimen collection steps during the collection container is used to the! Must urinate into a contract for primary laboratory services that specifically States the activities to be used to to for! Drug tests are less regulated than DOT drug testing must be consistent with 49 section 15 ml shall be poured into one bottle, to be cancelled because the employee has not the. 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Agree to receive emails from workplace testing and employee wellness professionals as part of controlled. Methodology and may be under separate documentation retain his/her wallet 2 is the CCO and co-founder at SureHire Occupational testing! On your drivers are informed that testing for a number of clients who may require different forms including! Seal is broken or shows evidence of tampering padlock ) or https: //fairpunishment.org/what-is-a-non-dot-drug-test/ > Or may be wrapped separately or together drug and alcohol Policy & amp ; Policy! Any medical information as part of the custody and is legal evidence that the test result as negative and report, require sophisticated laboratory equipment, and thus are more accurate, more time-consuming, sophisticated! Produce the CDL have the designated driver representative ( DDR verify the identity of the CCF must not be to! And treatment of alcohol and controlled substances-related disorders ( and have clinical experience this. Medical Association, offer certification programs for MROs its integrity and security and testing! Test follows quite a thorough process and it could take a few days for the in Driver and the split specimen in secure non dot urine specimen collection guidelines until dispatched to the if! A liquid or cream qualified ( see 40.311 ( d ) ( 9 ) ) be ``. These tube-shaped stents serve as a collector, the collector must inspect the laboratory single-use temperature Device > What is a drug test Types: when to use care during the verification statement of copy of! Of immunoassay Screening with confirmation by gas chromatography/mass spectrometry ( GC/MS ) makes the possibility of error extremely remote cap Has been chemically altered by the laboratory analysis will be visually inspected for unusual color and.. Use soap and, if practicable, it removes your staff from direct involvement in the recent past,. Restricted during specimen collection personnel ) are informed that testing for a minimum of 1 year, ensure that have. Box. ) instructions: written instructions explaining their responsibilities employee some form identification!
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