Test Anxiety
Which president started the "war on drugs" campaign?
Ronald Reagan
What does "DER" stand for?
Designated Employer Representative
Name two additives to urine which have been used to attempt to subvert a urine test
drain-o, bleach, water, soap, lemon juice, visine
What happens when a temperature is noted by the collector to be out of range?
Directly Observed Specimen
How many hairs are required to perform hair drug testing?
90-120 strands, or about the diameter of a #2 pencil
What does "MRO" stand for?
Medical Review Officer
Who decides if a drug test result is a false positive?
MRO
Name two techniques used to try and pass a hair analysis test
detoxifying shampoo
shaving body hair
Who can conduct an observed test?
The collector must ensure that the observer is of the same gender.
TRUE or FALSE
A bald Santa presents for a random drug test.
It is acceptable to collect hair from his beard for testing.
TRUE
...just remember to be nice.
Name 4 indications/reasons for drug testing
Random
Pre-Employment
Follow Up
Return-To-Duty
Post Accident
What happens when someone wants to have a split specimen tested?
It is sent to a different SAMHSA lab for testing
A donor asks you, the collector, what will happen when their oral fluid "pops positive" for marijuana?
Refer the donor to the DER for any questions involving employer drug testing policy.
Future State :)
A collector performs OF testing under DOT regulations without verifying that the device was not expired.
What is the result of this collector error?
The lab will report that the specimen has been "Rejected for Testing" and the MRO must report as "Test Cancelled"
A worker is escorted to you for a reasonable suspicion OF specimen collection and BAT testing.
Who can be present during the performance of these procedures?
ONLY the collector and the donor
exception: if a DOT agency representative is present. Supervisor, HR, etc. may NOT be allowed to observe this process.
Under DOT, drug testing must be performed at labs certified by _______________________.
The Department of Health and Human Services (HHS)
How many hairs are needed for a hair analysis
90-120, or about the size of a pencil lead
Name one way urine samples are tested for validity
creatinine concentration
specific gravity
pH
oxidizing adulterants
What else (besides the Custody and Control Form) must a donor initial?
Specimen Seals.
What is the cannabis analyte which is tested for in Oral Fluid drug testing?
THC
What are the NIDA 5 or SAMHSA 5 (name them!)
cannaboids
cocaine
amphetamines,
opiates
PCP
How can one avoid a positive drug test?
DON'T DO DRUGS
Scenario:
Donor provides a specimen and the temperature is outside the acceptable range.
During the observed collection, the collector notes the donor is attempting to conceal a device designed to carry "clean" urine. What is the correct response?
The collector stops the collection.
Collector thoroughly documents the circumstances surrounding the event into the Remarks section of CCF.
Collector notifies the DER.
(this is a refusal to test)
When does the clock start for a shy bladder situation, AND how long does the donor have to provide an adequate specimen?
When the donor attempts to provide a specimen, but is not adequate
3 hours
Scenario: DOT testing
A donor presents an initial urine specimen of 20 mL, and three hours later presents a second specimen of 30 mL.
What should happen next?
Discard ALL specimens (unless a temp was out of range, or shows evidence of tampering)
Complete documentation of the shy bladder process on the log and any unusual observations on the Remarks section of the CCF
Notify the DER