DOT Drug Testing

Only if it is within acceptable temperature range

If you obtain insufficient quantity, what other factor justifies discarding the specimen?

Notify the employer at once & let them decide how to respond

In the event that you notice intent to tamper after the fact, what should you do?

Remark on CCF #1 temp out of range and cross reference CCFs with second test Explain directly observed collection Complete first CCF then set aside so donor doesn't have access to first specimen Fill out CCF #2 with cross reference to CCF #1 Provide lab with both CCFs AND both specimens

Procedure for test 1 insufficient quantity (but at least 35 mL) and temp out of range but 2nd test is sufficient and within temp range

Fax or transmit in confidential manner to DER (Ask Employer/DER)

What do you do with copy 4 (employer's copy)?

Substance Abuse Professional

What does SAP stand for?

Urine split-specimen

What kind of collection is done for a drug test?

Ensure the serial numbers on the specimen bottles match the number on the CCF

What should you do before putting the specimen bottles in the bag with the moisture piece?

Notify DER at once

What should you do if the donor never appears?

Yes

Yes or no: sloppy writing on the CCF is a fatal flaw.

Front pocket

Do the specimen bottles go in the front or back pocket?

Observed Collection

How is a Return to Duty drug test always conducted?

No, note in the remark section

If the donor refuses to initial the specimens, is this a Refusal to Test?

MD or DO

What credentials qualify to be a MRO?

Give to donor

What do you do with copy 5 (donor's copy)?

You are responsible/required to fill in the information Make a note in remarks

What should you do if the donor refuses to fill out their information in step 5?

Temp out of range on subsequent tests overrules shy-bladder

Why should you not check the temperature box until a sufficient quantity has been collected?

8 hours

Within how many hours of an accident should alcohol be tested for in the surviving driver?

Yes

Do you have to note in the remarks if the donor with a shy bladder refuses to drink liquids offered?

Employer/DER requests it When you observe materials brought with intent to tamper When collected specimen appears to have been tampered with When temp is out of range

In what four situations would you perform an observed collection?

Enclose in pouch with barcode showing for lab to scan

What do you do with copy 1?

No dialogue with donor Must keep eye contact on specimen and cup the whole time You notify DER and collection site supervisor at once when an Observed Specimen has taken place and the reason for doing so

What two instructions to you give an observer (if not yourself/collector)?

Up to 40 oz in 3 hours

How many liquids can you provide in the event of a shy-bladder and in how long of a time period?

Every 5 years

How often is refresher training?

Contact your employer or the DOT

If a donor asks the consequences for refusing to test, what do you tell him/her?

Yes

If a donor does not choose to empty his/her pockets and display items to you, is this a Refusal to Test?

1. Provide liquids to donor 2. Log the type of liquids and times offered (NOT on CCF) 3. Instruct donor not to leave testing site until entire process is done or else Refusal to Test 4. Keep track of 3 hours from time of first attempt 5. If sufficient qty and within temp range, make remark of time and sufficient qty and check temp in range 6. Complete the rest of collection process

Shy-bladder procedure with a successful outcome

Designated Employee Representative

What does DER stand for?

Error correction training within 30 days covering the area of error

What must happen and when after the collector makes a mistake causing the test to be canceled?

10%

What percent of average number of drivers must be randomly tested for alcohol annually?

50%

What percent of average number of drivers must be randomly tested for controlled substances annually?

Pre-employment

What reason for the test is where the driver shall not perform a safety sensitive function including driving until a negative test is performed?

Contact DER so they can decide if donor can still test within a period of time

What should you do if the donor did not arrive on time?

Steps 1, 2, 3, 5 (second page), 4

What steps (in order) do you complete on the CCF?

NEVER!

When do you perform the pat-down search on the donor?

Only after tamper-evident seals placed atop bottles

When must the collector and donor initial specimens A and B?

Yup

Can employers choose higher rates of their employees to be tested for alcohol and controlled substances annually?

E-mail address of donor

Do not forget to have the donor write in what in section 5 of the CCF?

No, note in the remark section

If the donor refuses to sign step 5 on page 2 of the form, is this a Refusal to Test?

Notify the employer at once Instruct employer to return donor to testing site immediately for observed collection Keep record of your notification to employer & store record with collector's copy 3 of the new test If employer doesn't return donor back for observed test, keep a record by completing a CCF and distributing the copies (becomes part of employer's testing record)

In the event you notice donor has left before you should've performed an observed collection but did not, what should you do?

Contact DER immediately Discard test 1 (temp out of range) Remark that test 1 specimen has been discarded on first CCF Create a second CCF indicating that the donor refused to provide specimen Cross reference the two CCF tests Provide lab with BOTH CCFs

Procedure for 1st temp out of range, 2nd donor refused to provide specimen

Discard test 1 specimen that was temp out of range Remark that test 1 specimen was discarded on test 1 CCF Cross reference CCFs If you are not the observer, remark name of observer Procedure for shy bladder on second CCF There will not be a specimen sent for test 2 either (no specimens overall sent) Provide lab with both CCFs

Procedure for 1st temp out of range, 2nd none provided after 3 hours of shy bladder and good faith attempts

False

True/False: A reasonable suspicion test can be called for based on a hunch, tip, history of the employee, and especially finding drugs on the employee.

Retain for 30 days unless otherwise specified per DOT agency guidelines

What do you do with copy 3 (collector's copy)?

Both specimens sent to lab and cross-referenced on CCFs

What do you do with the first and second specimens if the first was temp out of range, tampered with, adulterated, etc?

Temp out of range, test #1 of 2. See Spec. ID #(from 2nd test form)

What do you write in the remarks section for the first specimen that was temp out of range, even if insufficient quantity at at least 35 mL?

Stop the collection, document circumstances of event in remarks, notify DER at once

What happens if a donor has a device present to cheat the test?

Illicit drug families/metabolites: Cocaine, opiates, marijuana, amphetamines, phencyclidine Prescription opioids: oxycodone, oxymorphone, hydrocodone, hydromorphone

What is a comprehensive list of substances tested for in a DOT drug test?

Contact employer afterwards and tell them that you had to do an observed collection and why you had to do so

What is a federal requirement when you must perform another specimen collection with observation?

Raise (to navel) and lower (to mid-thigh) clothing and show front and back

What is a requirement before an observed collection is performed?

1. Check no & enter remarks on CCF 2. Explain to donor that the specimen was outside of acceptable temp range and DOT requires a second observed specimen collection 3. Complete all steps for the first test before proceeding to second test (keep 'temp out of range' CCF intact until you know how second test goes because of further documentation 4. Set 'temp out of range' specimen aside where donor can't access it and move to second test 5. Must use two separate CCFs — the other for the observed collection

What is the procedure (before any second test scenarios) for the first collection as temp out of range?

Speech Odor Signs/Symptoms Behavior

What must a trained supervisor be able to specifically and currently observe from an employee with a reasonable suspicion test?

DER

Who oversees all drug and alcohol testing at a company that you report to, especially for language barriers, no ID from the donor, etc?

32 hours

Within how many hours of an accident should controlled substances be tested for in the surviving drivers?

Discontinue collection Check "None Provided" Notify DER at once

What do you do if the donor cannot provide a sufficient specimen after 3 hours of shy-bladder?

Fax and mail (unless MRO states they don't need the mailed copy) to MRO within 24 hours

What do you do with copy 2 (MRO copy)?

Custody & Control Form

What does CCF stand for?