# Presentation: 527987

**Please Take a Handout Located in the Back of the Room**

## What Employers Need to Know About Urine Drug Collections & Breath Alcohol Testing

**Presented by:  Manny Chavez**

## Qualified Services

**Collection 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 Site

- Privacy enclosure for urination
- Single toilet room preferred
- Toilet or void receptacle
- Water source for hand washing, preferably outside privacy enclosure
- Restricted access during collection

## Requirements For Collection 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 Briefing

- Collector verifies employee identity
- Donor checks outer garments
- Empty pockets and display contents
- Allow employee to keep wallet, footwear.

## Urine Specimen Collection Procedures (Cont’d)

- Collection site personnel inspects collection room _before and after_ each specimen collection
- Collector completes step 1 of CCF
- Employee washes hands

## Urine Specimen Collection 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 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 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 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 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 Custody And Control Form

##  Medical Review Officer Copy

## Distribution of Copies

-  **Copy 1** Placed in pouch and sent to laboratory
-  **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 Procedures

**Lab receives and records all samples**
**Completes Screen and/or Confirmation tests-GC/MS**
**Reports results to MRO**

## MRO 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 Collection

- Observed Collections
- Same Gender as Employee
- Specimen is Out of Temperature Range
- DER or MRO requirement

## Problem 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 Equipment

-  **Use of “Screening Only” devices ASD/EBT**
** ****Advantage of “EBT” vs “ASD”**
** ****Used for “Screening and Confirmation”  tests**

## Saliva Alcohol Test 

**ASD**

## Screening Devices

**Alco-Sensor IV**

## Approved EBT Device

**RBT-IV**

## EBT 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 Devices

## Alcohol 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 and 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 Alcohol Tests

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

## Test Refusals Specific to Drug 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??????**_

## Slide 33

## 	Viking had 'Whizzinator'drug-masking kit
	RB 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.”

**	****RB 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.”