Tab 4

5

# copies for CCF

5

# of correctable flaws that require statement of correction and cancellation if no statement

7 fatal flaws

# of fatal flaws

lab with specimens

CCF copy 1 goes to

MRO

CCF copy 2 goes to

collector retains for 30 days

CCF copy 3 goes to

employer DER

CCF copy 4 goes to

donor

CCF copy 5 goes to

code of federal regulations

CFR stands for

direct supervisor of donor

Collection personnel should not be whom unless no one else available?

THC, AMP, COC, OPI, PCP

For DOT testing, always check these 5 drug panels (MACOP)

witnessed

another term for direct observation collection

privacy

another term for normal collection

yes

can wallet be inspected?

monitored

collection in multi-stall restroom, partial privacy door, collector remains outside closed stall door but inside restroom

laboratory

collection kit and CCF usually supplied by?

every 5 years

collection personnel must complete refresher training how often

ODAPC list-serve

collection personnel must subscribe to?

no undressing/gowning, medication inquiries

collection privacy issues - no nos

removal of coats/hats/jackets, pocket searches

collection privacy issues - requirements

cannot require donor to sign consent or release form

collection prohibition #1

cannot conduct collection on unconscious donor

collection prohibition #2

cannot collect urine by catheterization

collection prohibition #3

fax, 24

copy 2 is sent to MRO ideally how? within how many hours?

CCF complete, bottles packaged

copy 5 given to donor after? 2

collector's signature omitted

correctable flaw #1

no donor signature and no remark explaining failure to sign

correctable flaw #2

certifying scientist signature missing from non-negative result

correctable flaw #3

non-federal form used in error for a DOT-mandated test

correctable flaw #4

expired version of federal CCF is used, but after Sept 30, 2011

correctable flaw #5

signed statement of correction from individual who committed error

correctable flaw requires what?

new procedure for observers during direct observation

donor must position clothing so that observer can view donor's body (front and back) from chest to mid-thighs

45 mL

donor must provide at least how much urine?

specimen ID numbers on CCF and bottle do not match

fatal flaw #1

both collector signature and collector printed name are missing

fatal flaw #2

bottle seal is broken, absent, or shows evidence of tampering

fatal flaw #3

neither primary nor split specimen has at least 30 mL of urine

fatal flaw #4

specimen received at lab without CCF

fatal flaw #5 (added 1/2018)

CCF received at laboratory without specimen

fatal flaw #6 (added 1/2018)

collector performed two separate collections using one CCF

fatal flaw #7 (added 1/2018)

DOT, HHS, NRC

federal CCF only for federally-mandated testing programs such as (3)

specimen temperature not checked and no remark

for this correctable flaw, request statement of correction, but do not cancel test if statement unavailable

5 consecutive error-free mock collections, monitored by qualified collector

how does new collection personnel candidate demonstrate proficiency?

discarded, no specimens sent to lab

if 2nd specimen is not obtained due to donor refusal or shy bladder, what happens to specimen 1? anything sent to lab?

MRO must cancel test

if correctable flaw not corrected?

note this in remarks section

if donor refuses to sign and complete step 5, collector must do what?

written statement of correction, cancel test

if expired version of CCF used, what must be obtained from collector? if not received by MRO, MRO must do what?

blood test

if pt has disability preventing pre-employment drug testing, what is allowed?

40, 3

if shy bladder, how many ounces of fluid to give? how many hours to try?

opposite if a medical professional/paraprofessional

in monitored collection, monitor can be what gender, if what?

the collector

in witnessed collection, observer does not have to be?

same gender

in witnessed collection, observer must be what gender as donor?

address or phone number errors

minimal flaw #1

donor SSN incorrect or omitted

minimal flaw #2

testing authority box not checked

minimal flaw #3

reason for test not checked

minimal flaw #4

drug tests to be performed not checked

minimal flaw #5

collector name illegible or missing

minimal flaw #6

split specimen not checked

minimal flaw #7

error correction

must undergo what type of training w/in 30 days of notification of error causing cancelled test

bonafide, longstanding inability to produce sufficient quantities of urine

pre-employment drug test exception

secure water sources, put bluing on toilet, remove adulterants, restrict access and exit, suitable area for completing CCF

preparation of collection site, 5 aspects

4, 90-100F

read specimen temperature within how many minutes, temperature of specimen should be between?

fails to remain at testing site until process completed

refusal to test #1

fails to provide urine specimen for any drug test required by DOT regs

refusal to test #2

fails to permit direct observation

refusal to test #3

fails to cooperate with any part of testing process

refusal to test #4

fails to follow observer's instructions to raise clothing

refusal to test #5 (for observed collection)

prosthetic or other device that could be used to interfere with process

refusal to test #6

admits specimen adulteration or substitution

refusal to test #7

post-accident test when employee is hospitalized

special provisions for collecting from Foley catheter during when?

in donor's sight

specimen must always be what?

after seals are placed on specimen bottles

this is when donor signature and initials are obtained

direct observation

type of collection for limited circumstances, observer must be inside toilet enclosure with donor and observe urination

normal collection

type of collection in which donor goes into toilet enclosure with full privacy door and closes door, collector remains outside room

must leave outside toilet area

what about other hand-carried items?

donor may retain wallet

what about wallet?

shy bladder

what condition is present if 'none provided' checked on specimen

donor must provide specimen

what if donor normally voids via self-catheterization?

previous test cancelled as 'invalid result'

when direct observation required (as determined by MRO) #4

previous test cancelled due to split not available to reconfirm

when direct observation required (as determined by MRO) #5

previous test reported negative dilute with a creatinine of 2-5 mg/dL

when direct observation required (as determined by MRO) #6

specimen temp out of range

when direct observation required (as determined by collection site) #1

tampering attempt identified

when direct observation required (as determined by collection site) #2

All DOT return to duty and follow-up tests as a result of a previous positive

when direct observation required (as determined by employer) #6

USCG periodic tests

when is 'other' checked off for type of test

if suspect specimen is less than 45 mL and is being sent to lab as first of two specimens

when should 'single' specimen be checked?

immediately

when to use direct observation collection if specimen temp out of range

copies 2 and 4

which copies of CCF faxed to MRO and employer?

copy 1

which copy of CCF sent with specimen bottles to lab?

part 40 subparts C,D,E

which part and subparts of CFR are urine specimen collection procedures detailed