Tuesday, September 8, 2009

WHAT YOU NEED TO KNOW ABOUT COLLECTION SITE PROCEDURES FOR DRUG SCREENING

REMEMBER TO BRING YOUR PHOTO ID !

Careful systems have been designed to ensure accuracy and reliability of your test results. The testing procedure below assures you and your employer that your specimen has been properly collected complies with the highest chain of custody protocols. This assures you that your specimen can not be mixed up or tampered with. All test results are confidential and will not be released by the laboratory to anyone but the Medical Review Officer (MRO). Results will only be released by the MRO in confidence to your Designated Employee Representative (DER) or when required by law.
In the event that the Laboratory has reported a positive, adulterated or substituted result to the MRO, your results will be reported to the DER after you have had an opportunity to talk to the MRO. The MRO will then verify the results as a negative or a true (verified) positive, adulterated or substituted sample.
Lab Based Drug Testing Protocol:
You will be asked to provide photo ID to the collector. If you do not have proper identification, a company representative maybe asked to identify you.
You will be asked to take off your coats and leave your bags in the room. You will also be asked to empty all of your pockets out on the table and show around your waist line. You may also be asked to take off your belt, hats and sunglasses. You will also be asked to display around your ankles.
You will then be escorted to the washroom area and asked to wash your hands before providing a sample.
Your collector will mark with a line the amount of a sample needed. You may then enter the secured washroom. Secured means there is a blueing agent in the toilet and all water sources are secured.
After you have provided the sample into the cup you must pass it to the collector before flushing the toilet. If you flush the toilet before the collector has the sample then the test will be deemed void and you must wait to provide another one.
If you are unable to provide an adequate sample, drink fluids and wait till you are able to. You will be given 3 cups of water over a three hour time frame.
If the initial sample you provide is not adequate or with in temperature range it will be discarded and you will be asked to wait and provide another sample. You will not be permitted to leave the facility until an adequate sample is given or three hours have passed. You maybe directed to a licensed physician for a medical assessment.
Not providing an adequate sample maybe considered a refusal to test unless there is a legitimate medical reason. If you decided to leave the facility without providing a second sample it will be deemed a refusal to test and reported to your DER immediately.
Once you have given your specimen to the collector, the temperature will be observed. You will not be given access to wash your hands till after the sample has been passed to the collector.
The collector will then pour the sample into two separate containers and place a security seal on each. One of the containers (bottle B) is referred to as the split specimen; it will be kept sealed and securely stored.
You will be asked to sign the appropriate certification statements regarding authenticity of the specimen and the integrity of the collection process. You will be given a copy of the Drug Testing Chain of Custody Form (CCF) for your records. You may want to keep a note of all of your prescription medications and the amounts taken over the passed few weeks, in case you are contacted by the MRO.
The specimens will remain secured until they are couriered to the testing laboratory.
If your drug screen is identified as positive by the lab, or any other concerns are identified, you will be contacted by the MRO to discus the results. Failure to speak to the MRO will be considered failure to complete the testing process, and the MRO will report the lab results to your company.
Once the MRO has completed this review, the company will be advised whether your test result was negative, positive, tampered with or cancelled. PLEASE NOTE:
Your Specimen will only be tested for substances that are requested, your collector can inform you of the exact test asked for at the time of your appointment.
If the collector has any reason to believe the specimen has been tampered with, adulterated or substituted, a second sample will be collected as soon as possible. This maybe collected under direct observation or monitored observation.
If, after discussion with the MRO, you disagree with the test result, you may ask for a retest and the B Sample to be sent to another laboratory for confirmation of the results. This may or may not be covered by your employer. If the second test does not confirm the initial results, the test result obtained with the first sample would be cancelled. Express (POCT) Drug testing protocol:
Read step 1 through 9 in the Lab based testing protocol.
The collector will test the sample for adulteration and the drugs specified immediately.
If the sample appears to be tampered with, adulterated, or substituted in any way the collector will immediately call your DER to ask for further instruction.
The DER may request that the sample be sent to the lab for further testing. If this is the case the collector will then proceed with steps 10 though14 of the Lab based protocol.
If the Testing device states that there are no drug analytes present you will be asked to fill in the statement of certification and will receive a copy of the test results. DONOR CHECKLIST
1. Bring Photo Identification
2. Do not void immediately prior to going to the collection site for your test.
3. Provide Specimen and give it to the collector.
4. Fill in the appropriate Donor information on the CCF
5. Keep the donor copy of the form for your records.
6. List any medications you have taken in the past few weeks and doses, this should be kept in an easily accessible place in case the MRO needs to ask you questions.
7. Do not forget to take your personal belongings with you on your way out.

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