DOT testing For Alcohol
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1. Screening Test
- Breath or Oral
2. Confirmation Test-Evidentiary (EBT) . ONLY breath
What are the opioids tested for?
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1) Morphine
2) Codeine
3) 6-Acetylmorphine
4) hydrocodone
, 5) hydromorphone
6) oxycodone
7) oxymorphone
What happens if a correctable flaw is not corrected?
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Lab reports "rejected for testing"
How long must the laboratory retain positive specimens?
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one year
MRO may request to hold longer if it looks like a legal case
When can the collector give the employee permission to leave?
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Only after the testing process is complete; urine obtained (45ml) and both
collector and employee complete CCF
MRO Review of Results:
What functions must be performed personally by the MRO?
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o Provide a medical review of the test
o Interview the donor
o Determine legitimate medical explanation for non-negative tests
o Timely flow of test results
o Notify of drug results
What are the reasons for a Direct Observation?
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RTD
Invalid no med explanation
Cancelled (+) and no split
Creatinine concentration > 2 and < 5
Creatinine concentration >5 if other reasons
Observed tampering by collector, adulteration
Temp out of range
MRO’s Reporting of Result:
At what point may the MRO report a positive, substituted, adulterated or invalid result
to the employer?
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·After 72 hours/10 days or safety issue A negative result? (40.127-161) after
verification
Are employers required to offer a SAP?
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NO. However to have the employee return to work, SAP eval must be
conducted and compliance with SAP recommendations
Can/should the split specimen test be done at the same laboratory as the first test?
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No. Sent to a 2nd lab
What are the metabolites of Oxycodone?
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Oxymorphone --> Oxymorphine glucuronide
also hydrocodone impurities
When can quantitative results be released to the donor?
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With in 10 days of written request
MRO Contact and Interview with the Donor:
When the donor is notified of positive test how long does he have to validate with RX
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1. Screening Test
- Breath or Oral
2. Confirmation Test-Evidentiary (EBT) . ONLY breath
What are the opioids tested for?
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1) Morphine
2) Codeine
3) 6-Acetylmorphine
4) hydrocodone
, 5) hydromorphone
6) oxycodone
7) oxymorphone
What happens if a correctable flaw is not corrected?
Give this one a try later!
Lab reports "rejected for testing"
How long must the laboratory retain positive specimens?
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one year
MRO may request to hold longer if it looks like a legal case
When can the collector give the employee permission to leave?
Give this one a try later!
Only after the testing process is complete; urine obtained (45ml) and both
collector and employee complete CCF
MRO Review of Results:
What functions must be performed personally by the MRO?
,Give this one a try later!
o Provide a medical review of the test
o Interview the donor
o Determine legitimate medical explanation for non-negative tests
o Timely flow of test results
o Notify of drug results
What are the reasons for a Direct Observation?
Give this one a try later!
RTD
Invalid no med explanation
Cancelled (+) and no split
Creatinine concentration > 2 and < 5
Creatinine concentration >5 if other reasons
Observed tampering by collector, adulteration
Temp out of range
MRO’s Reporting of Result:
At what point may the MRO report a positive, substituted, adulterated or invalid result
to the employer?
Give this one a try later!
·After 72 hours/10 days or safety issue A negative result? (40.127-161) after
verification
Are employers required to offer a SAP?
, Give this one a try later!
NO. However to have the employee return to work, SAP eval must be
conducted and compliance with SAP recommendations
Can/should the split specimen test be done at the same laboratory as the first test?
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No. Sent to a 2nd lab
What are the metabolites of Oxycodone?
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Oxymorphone --> Oxymorphine glucuronide
also hydrocodone impurities
When can quantitative results be released to the donor?
Give this one a try later!
With in 10 days of written request
MRO Contact and Interview with the Donor:
When the donor is notified of positive test how long does he have to validate with RX
