The Keys to Unlocking a The Keys to Unlocking a Successful Collection ProgramSuccessful Collection Program

Urine Drug & Alcohol TestingUrine Drug & Alcohol Testing

Presented by: Manny ChavezPresented by: Manny Chavez

Qualified ServicesQualified ServicesCollection Site Personnel Training

Requirements: Qualified as “Collector” Qualified as “BAT/STT”

• Basic information• Qualification training• Initial proficiency demonstration• Refresher training• Error correction training

Requirements For Collection SiteRequirements For Collection Site

Privacy enclosure for urinationSingle toilet room preferred

• Toilet or void receptacle• Water source for hand washing, preferably

outside privacy enclosure• Restricted access during collection

Requirements For Collection Requirements For Collection Site (Cont’d)Site (Cont’d)

• Other water sources in privacy enclosure turned off or secured

• If facility is normally used for other purposes, restrict access to collection materials and specimens

Employee BriefingEmployee Briefing

Collector verifies employee identity• Donor checks outer garments• Empty pockets and display contents

Allow employee to keep wallet, footwear.

Urine Specimen Collection Urine Specimen Collection ProceduresProcedures

• Collection site personnel inspects collection room before and after each specimen collection

• Collector completes step 1 of CCF• Employee washes hands

Urine Specimen Collection Urine Specimen Collection Procedures (Cont’d)Procedures (Cont’d)

Employee or collector selects wrapped single specimen collection cup and unwraps in presence of both

• Collector gives employee collection container and directs him to provide at least 45 ml of urine in privacy enclosure

• Collector instructs employee not to flush toilet

• Collector may set a reasonable time for voiding

Urine Specimen Collection Urine Specimen Collection Procedures (Cont’d)Procedures (Cont’d)

• Check specimen temperature within 4 minutes.

• Inspect specimen for signs of tampering or adulteration

• Check specimen for adequacy (at least 45 ml)

• Complete step 2 of the CCF

Urine Specimen Collection Urine Specimen Collection Procedures (Cont’d)Procedures (Cont’d)

• Collector splits specimen into two bottles (primary - 30 ml and split - 15 ml). Do NOT top off• Collector seals, labels, and dates the bottles in full view of the employee

Urine Specimen Collection Urine Specimen Collection Procedures (Cont’d)Procedures (Cont’d)

• Employee initials labels after labels are applied to bottles

• Employee reads, signs, and provides requested information on step 5 copy 2 of CCF. Refusal to sign is not a refusal to test

Urine Specimen Collection Urine Specimen Collection Procedures (Cont’d)Procedures (Cont’d)

• Collector signs, dates, and completes the remainder of the CCF

• Both specimens will be shipped in a single shipping container with the completed CCF

Federal Federal Custody Custody

And And Control Control FormForm

Medical Medical Review Review Officer Officer CopyCopy

Distribution of CopiesDistribution of Copies Copy 1 Placed in pouch and sent to

laboratory w/specimens Copy 2 Faxed/given to MRO within 24

hours Copy 3 Collector Copy Copy 4 Employer Copy sent (Within 24

hours) Copy 5 Given to Donor (Note: Donor may

list any medications they are taking)

Laboratory ProceduresLaboratory Procedures

• Lab receives and records all samples

• Completes Screen and/or Confirmation tests-GC/MS

• Reports results to MRO

MRO General ProceduresMRO General Procedures Reviews all tests

-MRO Contacts Donor on “Pending Positive” tests

-MRO makes decisions regarding legitimacy of donor medical explanations

-The MRO is the “Gate Keeper” of the testing process and releases the final Disposition

-Arbitrators, employers, or anyone else “Can Not” Overturn the MRO’s medical judgment

Problem CollectionProblem Collection

• Observed Collections• Same Gender as Employee

• Specimen is Out of Temperature Range

• DER or MRO requirement

Problem CollectionProblem Collection• Insufficient Volume (Shy Bladder)

• Employee may drink up to 40 oz. –Not a refusal if donor declines to drink

• Distributed reasonably through a period up to 3 hours or until sufficient specimen provided, whichever occurs first

Alcohol EquipmentAlcohol Equipment

• Use of “Screening Only” devices ASD/EBT

• Advantage of “EBT” vs. “ASD”• Used for “Screening and

Confirmation” tests

Saliva Alcohol TestSaliva Alcohol Test

ASDASD

Screening DevicesScreening Devices

Alco-Sensor IV

Approved EBT DeviceApproved EBT Device

RBT-IVRBT-IV

EBT RequirementsEBT Requirements• Approved by the National Highway

Traffic Safety Administration (NHTSA), listed on the Conforming Products List (CPL) without asterisks

• Perform external calibration checks per NHTSA-approved Quality Assurance Plan (QAP)

Calibration DevicesCalibration Devices

Alcohol Test ProceduresAlcohol Test Procedures

• Require positive ID from employee• Explain testing procedures (show

instructions on back of ATF)• Complete step 1 of the ATF• Direct employee to read and sign step 2• BAT or employee may select a sealed

mouthpiece.

Test Refusals Common to Drug Test Refusals Common to Drug and Alcohol Testsand Alcohol Tests

Failure to appear within specified time Failure to remain at testing location Failure to provide urine specimen or breath

sample as applicable for DOT test Failure to provide sufficient volume of urine,

or breath without valid medical explanation Failure to undergo a medical examination Failure to cooperate with any part of the

testing process

Test Refusals Specific to Test Refusals Specific to Alcohol TestsAlcohol Tests

• Failure to sign the certification on Step 2 of the Alcohol Test Form

Test Refusals Specific to Test Refusals Specific to Drug TestsDrug Tests

• Failure to permit an observed or monitored test as required (40.67 (1) and 40.69 (g)

• Failure to take a second test required by the employer or collector

• A drug test result that is verified by the MRO as adulterated or substituted

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What People do to beat a test??????

Viking had 'Whizzinator'drug-masking kitRB Smith tells cops it's for cousin, but has checkered drug history Jim Mone / Updated: 6:49 a.m. PT May 12, 2005

MINNEAPOLIS - Vikings running back Onterrio Smith, who has a history of violating the NFL’s substance-abuse policy, was briefly detained by airport police last month after they found an elaborate kit used to beat drug tests.Police at the Minneapolis-St. Paul International Airport questioned Smith on April 21 after a search of his bag discovered vials of white powder, according to a police report.Smith told officers it was dried urine used in conjunction with a device called “The Original Whizzinator.” The officer who filed the report wrote that Smith “told me that it was dried urine for making a clean urine test.” In addition, he had a bottle of pills labeled “cleansing formula.”