Drug Testing
Department of Transportation
OSHA
Miscellaneous Services
Injury Care
100
Name 4 other types of drug screens other than urine lab tested?
What is hair, oral, breath, blood, urine rapid?
100
Name 4 additional branches that fall under DOT besides Federal Motor Carrier
What is FAA- Aviation, FRA- Railroad, FTA- Transit and PHMSA- Pipeline
100
At what noise level is a company required to conduct audiometric testing and how many hours does the employee have to be exposed?
What is whenever an employee's noise exposures equal or exceed an 8-hour time-weighted average sound level (TWA) of 85 decibels or more
100
What is an isihara test
What is an eye exam that is conducted with 14 plates and test for color blindness
100
Per OSHA, what is considered Recordable Medical Treatment? A. Xray of the lumbar spine; B. Laceration repair with steri-strip; C. Removing a foriegn body from the eye; D. All of the above
What is C. Removing a foriegn body from the eye
200
What does the E in Ecup mean and what does the M in Mcup mean.
What is Electronic and Manual
200
What percentage of drivers must be drug screened and receive breath alcohol testing to meet random testing requirements
What is 50% for drug screen and 10% for breath alcohol
200
According to OSHA how often is a company expected to perform audiometric testing
What is baseline audiograms occuring within 6 months of an employees first exposure and annually after the baseline
200
What is a titmus test?
What is a machine that tests for far, near, color, stereo depth and depth perception
200
What is the email address to request Utilization Reports?
What is Level3Request@concentra.com
300
What level is a Breath Alcohol is considered positive by Concentra standards? A. .02; B. .08; C. .10; D. .05
What is A. .02?
300
Name 2 out of 4 requirements that any employee performing a safety sensitive position must complete before returning back to regular duty after having a positive drug screen or refusing to test.
What is the Employee must complete a series of requirements including: * education before being returned to duty. * a return-to-duty drug test and the results must be negative. * After that employee is returned to duty, the employee must complete at least 6 follow-up tests in the first 12 months after the person returns to their safety sensitive position. * The Follow-Up tests must be unannounced and can not be substituted for other tests (random testing).
300
What is the mandatory OSHA guidelines for a Respiratory Protection Program?
What is a written policy, respiratory questionnaire and fit test
300
What is TB and how is it spread?
What is Tuberculosis is a disease spread by bacteria in the air when someone with TB cough or sneezes. Someone nearby can breathe the bacteria into their lungs
300
Name at least 7 different reports that can be sent to the employer when using Concentra for injury treatment
What is: Injury Activity Status Recheck Reminder Missed Appointment Referral Report Patient Summary Report Medical Transcription Report (with proper approvals) PT Transcription Report (with proper approvals) State Specific Reports (where applicable) Utilization Report/ Level Report
400
What does CMCA stand for and what type of accounts are good leads for CMCA?
What is Concentra Medical Compliance Administration. *small and large accounts that request one consolidated invoice at the end of the month *accounts with multiple locations that cross our markets and zones. *Accounts that need consistent protocols across all markets
400
Name 3 Qualifing reasons why a DOT Post Accident Drug and Alcohol Test would need?
What is Human fatality, bodily injury resulting in medical treatment and when a citation is written with a vehicle being towed
400
Name 5 components that Concentra recommends for a Respiratory Protection Program?
What is written policy, baseline PFT, Physical examination, respirator questionnaire and fit test
400
What are the steps in the HepB Immunization process?
What is you have your 1st injection; then 30 days later your 2nd injection; and the 3rd injection is 6 months from the 1st injection followed by a Titer to determine if the person is immune.
400
Describe the 3 activity levels that a provider may recommend to an injured worker?
What is No Activity, Modified Activity, Regular Activity.
500
What are the 9 drugs tested in the 9 panel drug screen?
What is Amphetamines, Barbiturates, Benzodiazepines, Cocaine, THC, Methadone, Methaqualone, Opiates, Phencyclidine, Propoxyphene
500
Name atleast 4 measurements/areas of focus that the providers review to determine if a sleep study is needed?
What is BMI, Age, Neck Circumference, Mallampati score of 3/4, undersized jam (micrognathia), sleep history, previous diagnosis,
500
Explain the different between a Qualitative and Quantitative Fit Test
What is Qualitative fit testing uses a challenge agent like banana oil or saccharin. The test is subjective and relies on the workers sense of smell while a quantative fit test uses a device that measures exact leakage of respriator mask.
500
What does ADApt stand for and what does it do?
What is Americans with Disabilities Act Physical Therapy and Concentra developed the ADApt® program in response to the (ADA) and it’s effect on occupational medicine. Concentra’s obligation as a healthcare provider is to meet the needs of employers to: 1) comply with the requirements of the law, and 2) effectively evaluate employees/applicants when making recommendations on the person’s ability to perform the essential functions of the job. Employers expect, and the ADA requires, these medical recommendations to be objective, job-related, and consistent with business necessity.
500
Name 4 expected pieces of information that the medical provider should discuss with the employer and when should this occur?
What is the Employers should be told *diagnosis, *activity status, *treatment plans and *recheck visit date and --should be done on the initial visit (preferably while the employee is still in the center). ONLY INFORMATION PERTINENT TO THE INJURY SHOULD BE DISCUSSED WITH THE EMPLOYER. No private health information that does not influence the injury can be discussed.
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