employee provides a Urine specimen? * Check donor ID
* Collector has ID
* Basic procedure explained
* Outer clothing removed
* Donor washes hands
* Select urine kit
* Direct to bathroom (45ml, no flush, reasonable time)
* Be alert for attempts to adulterate
What happens it the employee refuses to hand his It is considered a refusal
hands?
When can the collector give the employee Only after the testing process is complete; urine obtained (45ml) and
permission to leave? both collector and employee complete CCF
What happens if the employee leaves the It is a refusal.
collection site prior to completion of the testing
process?
Shy Bladder * Discard insufficient specimen and note time on CCF
What if the employee does not prove 45ml of * Encourage to drink up to 40oz
Urine? * Patient has 3 hours to provide (always a fresh cup)
* no specimen within 3 hours, discontinue, note on CCF, contact DER
,What does the collector check for when the *Temperature
employee presents a specimen? * Signs of adulteration
What if the collector see signs of adulteration? Second collection conducted under Direct Observation
Remarks line links 1 of 1 (1st collection) and 2 of 2 (2nd collection)
Notify DER was a DO
When is a directly observed collection * When directed by DER
conducted? * Invalid result no medical explanation
* Canceled (+) test- no split available
* Negative-dilute with Creatinine concentration > 2mg/dl but < 5mg/dl
* Return to Duty or Follow Up test
* When determined by the collector
How is a D.O. collection conducted? * Same gender "body to bottle"
* Observer does not need to be trained
* Employee declines it is "refusal"
Are all DOT specimens split? Yes. (a) 30ml/ (b) 15ml
Collector dates label and employee initials
Discard remainder if not needed for other testing
Is a monitored collection a DO? No. Conducted in multi-stall restroom to assure no tempering
, What is a Fatal Flaw? * No CCF with the specimen
* No specimen with the CCF
* No printed collector's name and no signature
* Two separate collections and one CCF
* Specimen ID and CCF do not match
* Specimen seal is broken or tampered and split cannot be re-
designated
* insufficient volume and split cannot be re-designated
What are correctable flaws? * Collector's signature omitted
* Non-federal CCF
* Expired federal CCF
Lab on finding a correctable flaw? * Document findings on CCF
* Continue testing
* Attempt correction
* Retain for minimum 5 days attempting to correct MFR from collector
What happens if a correctable flaw is not Lab reports "rejected for testing"
corrected?
How much L-methamphetamine must be present >80% L . or <20% D (methamphetamine)
to say the cause was "vicks"?