What You Need to Know About DOT Drug & Alcohol Collections & Recent Updates 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 Employees must wash their hands after being directed to by the Collector.

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 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)

Unusual Collection Observed Collections  Same Gender as Employee  Specimen is Out of Temperature Range  DER or MRO requirement  Check for Devices used to Cheat the Test

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 Testing 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)

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 monitor test as required (40.67 (1) and (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

Test Refusals Specific to Drug Tests As of August 25 th, 2008 these are considered Test Refusals:  1. An employee admits to the collector that he or she adulterated or substituted their specimen.  2. The employee behaves in a confrontational way that disrupts the collection process.

Test Refusals Specific to Drug Tests  3. The employee fails to follow the observer’s instructions to raise and lower their clothing and to turn around to permit the observer to determine if the employee has a prosthetic or other device that could be used to interfere with the collection process.  4. The employee possesses or wears a prosthetic or other device that could be used to interfere with the collection process.  5. The employee refuses to wash his or her hands – after being directed to do so.

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Questions & Answers Manny Chavez will be available for questions immediately following this presentation Room