Download - Instruct Donor To Remove Outer Garments
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Joseph H. Lofgren, Audit Team Leader
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Why Inspect?
Collection Sites are final and central component to entire D&A
program
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The ENTIRE program depends on the accuracy of a single test between one employee and one collector.
Public
Transit Employees
Program Management
Donor / Collector
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Collection Site Visits
FTA Method
– Scheduled up to one month ahead of time
– Open Process– Instruction/Seminar Format– Identity & Purpose clearly stated– Includes academic review of scenarios (non-normal collections)
– ‘Mock’ sample
Cons: Best collector provides demonstration
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Collection Site Visits
Inspector carries questionnaire Can get a thorough understanding of collection site policy and collector’s knowledge
Can openly inspect equipment, facility, and security of enclosure
Can openly inspect credentials and certifications
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Collection Site Visits
• Mock collection should go just as collector would normally conduct it
• Corrections should be conveyed AFTER the mock collection
• The dynamic can be so uncomfortable for a nervous collector that certain mistakes may be compounded
• A review of CCF’s from that site beforehand is extremely helpful
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Collection Site Visits
Begin with: FTA Collection Site Questionnaires (http://transit-safety.volpe.dot.gov/DrugAndAlcohol/TechnicalAssistance/default.asp)
Both Drug and Alcohol questionnaires are available
Set a date Familiarize yourself with the questionnaire fully
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Collection Site Visits
There are two components to collection site mock-collections
1. Mock collection
2. Question review
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Collection Site Visits
Mock Collection
Is a demonstration of the procedures normally used during collections
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Collection Site Visits
Questions Reviews
Is an academic discussion covering scenarios specifically described in 49 CFR Part 40
Often does not include demonstrations
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Collection Site Visits
A quick guide to beginning a mock collection
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Drug & Breath Alcohol Tests
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Collection Site Visits
Does the collector:
- Ask for photo ID?
- Require a consent form?(Q: What is an acceptable form to have?)
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Does the collector:
- Instruct donor to remove outer garments?
- Instruct donor to empty their pockets?
- Allow the donor to keep their wallet?
- Explain the procedures?
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Breath Alcohol Collection
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Does the collector:
Use a Federal ATF?
Complete the steps correctly?
Use an approved EBT or saliva testing device?
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Demonstration of Correct ATF Steps
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Does the collector:
Have certifications and training records?
Keep regular accuracy checks recorded?
Maintain their equipment as required?
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Does the collector:
Have a copy of the Quality Assurance Plan (QAP)?
Have a copy of 49 CFR Part 40?
Understand how to load, and troubleshoot problems with the device?
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Does the collector:
Have an EBT for confirmation tests if they use saliva tests?
Have any experience with positive tests?
Understand special circumstances, such as refusals, etc.?
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Drug Collection
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Does the collector:
Ask donor to wash hands?
Secure all external water sources?
Open sealed specimen containers in front of donor
Give donor a 55ml container?
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Does the collector:
Instruct the donor to remain within site of the collector?
Inspect the enclosure?
Add bluing to the toilet?
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Does the collector:
Give the donor a 4-minute time limit?
NOTE: This presentation describes MOCK-collections only. Auditors recommend using a water specimen (low temperature reading can be disregarded)
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Once in the enclosure:
Are all concealment areas secured or removed?
Are all chemicals and fluids removed?
Are the ceiling tiles accessible?
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Once in the enclosure:
Are there windows, doors, panels, or pass-through ports?
Is the toilet tank lid secured?
Is the water off?
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Does the collector:
Check the temperature strip?
Check the quantity?
Distribute the specimen into each of 2 bottles?
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Does the collector:
Provide a clean and suitable writing surface?
Use a Federal CCF?
Ensure all steps completed correctly on the CCF?
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Demonstration of Correct CCF Steps
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Does the collector:
Place specimen label seals on bottle?
Date the seals?
Instruct the donor to initial the seals?
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Does the collector:
Seal the specimens into a shipping bag?
Monitor only one donor at a time?
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Discussion Scenarios
Shy-bladder procedures Uncooperative donor Leaving the collection site Frequency of courier Security of stored specimen General facility security Collector training (certificate?)
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Does the collector:
Have your correct phone number?
Transmit Copy 2 of the CCF directly to the MRO after each collection?
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Does the collector:
Welcome visits?
Get regular refresher training?
Afford donors confidentiality and privacy before, during, and after the collection?
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Does the collector:
Communicate directly with you?
Use the correct forms?
Understand the importance of the collection process as relates to your compliance?
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Does the collector:
Also perform other USDOT-regulated tests?
Have hours or availability that match your hours of safety-sensitive operations?
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Your next steps:
Get questionnaires (http://transit-safety.volpe.dot.gov/DrugAndAlcohol/TechnicalAssistance/default.asp or Audit Team Leader)
Make an appointment with your collection site
Visit & evaluate Require corrective actions Re-visit
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Remember:
Your collection site should be your partner in this process
Should be willing to help you with your collection changes required
Should be accurate and exacting
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Thank you for your attendance