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In addition to our background screening services, ESS provides a complete suite of drug testing solutions. Drug

In addition to our background screening services, ESS provides a complete suite of drug testing solutions. Drug
testing is an integral part of any screening process.

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ESS Drug Testing ESS Drug Testing Document Transcript

  •  www.es2.comDRUG TESTING  
  •  ©2013 Employment Screening Services, All rights reserved. 2    In today’s society, it is necessary for businesses to protect both their companies as well as theiremployees. This has resulted in an increase in the use of background screenings as part of the hiringprocess. Background screenings are often referred to as a first line of defense for businesses. Havinga screening process in place enables employers to make more informed decisions when hiring, andpotentially prevent workplace risks such as theft, fraud, abuse and violence. Screening programs caneven protect against costly negligent hiring lawsuits.  Proven SuccessEmployment Screening Services (ESS) is dedicated to protecting companies and their employees throughextensive background screenings and drug testing services. ESS combines experience, advanced technology andunparalleled customer service to ensure that an employer’s screening services are fast, affordable and effective.We provide a wide range of solutions that help our clients reduce turnover, limit liability and solve problems — allwhile improving their bottom line.Founded in 1994, by Sheila Benson, ESS now serves clients around the world through its headquarters inBirmingham, Alabama and additional offices in California, Florida, Georgia, South Carolina, Tennessee and Texas.ESS operates with the philosophy that customer service and communication are the most important values of aprovider. Through the years, the hallmarks of the company’s success have been service to the customer,investment in employees, and adoption of the latest technology in products. As a founding member ofthe National Association of Background Screeners (NAPBS), ESS knows how important screening programs arefor business in both the hiring process and long-term success. We constantly are improving upon our processesand deliver accurate results with the utmost care and professionalism. In addition to its core employeebackground screening and drug testing services, ESS has evolved into a full-service human resources and riskmanagement solutions provider. ESS provides the solutions businesses need today to navigate through the ever-changing laws and regulations and ultimately streamline the screening process for employers.  Drug Testing SolutionsIn addition to our background screening services, ESS provides a complete suite of drug testing solutions. Drugtesting is an integral part of any screening process. Statistics show that more than 75% of all substance abusersare employed, according to the Substance Abuse & Mental Health Services Administration. Employers must takesteps to ensure the safety of their employees and business patrons. Common problems with drug abuse in theworkplace include lost productivity and frequent accidents. Some businesses are even mandated by thegovernment with drug testing regulations. Regardless of your business type or reason, including drug testing inyour screening process is a smart form of protection for both your business and employees.Drug Testing Programs curb abuse by:• the fear of getting caught• the probability of getting punished• the severity of the penaltyThe broad range of drug testing services offered by ESS will fulfill the specific needs of your organization. ESScan help establish a program for your company’s drug testing that is tailored to the demands and requirementsof your industry. Our trained team can guide you through the process and help educate you on the options, bestpractices and requirements of drug testing in the work place.The full-service drug testing solutions at ESS have a broad reach and offer convenience and rapid turnaround forfast and accurate results.
  •  ©2013 Employment Screening Services, All rights reserved. 3    Scope of ServicesESS offers a wide variety of drug screening services and has extensive expertise in regulated and non-regulatedenvironments. ESS can help design and implement a successful program to accommodate your needs and thoseof your regional locations in a simple and consistent manner. ESS uses only SAMHSA certified laboratories for theprocessing of its drug tests. ESS is also an active member in both DATIA and SAPAA.  Collection SitesESS utilizes a network of partners for our drug testing solutions that ensures highest level of service and timelyaccess nationwide. With over 10,000 collection locations in all 50 states and internationally in Canada, Mexico,Guam, and Puerto Rico, ESS’ collection network offers convenient options to any organization, anywhere.On-Site CollectionESS can arrange for collections to be done at your location. This is a good option for a large group that needs tobe tested at one time. On-site collection offers a drug testing solution that is convenient and helps reducedowntime due to traveling off-site for testing. Utilizing on-site collection ensures that all of the tests are done in atimely manner and also eliminates the delays of waiting on individuals to get their administered.Areas of SpecialtyESS provides drug test solutions for many types of businesses with a broad range of needs. ESS specializes inthe following areas of drug testing:• Pre-employment Drug TestingPre-employment drug testing is most often performed as a part of the job application process. In order toprotect their business, employers often implement a drug-free workplace. Pre-employment drug testinghelps identify individuals who abuse drugs and further protects the company from poor hiring decisions.Courts have consistently upheld the legality of requiring a pre-employment drug test as a condition ofemployment. For compliance, employers should obtain a written consent and clearly indicate drug testingis a requirement for employment. Pre-employment drug testing should be done after a job offer has beenmade and before the applicant is added to the payroll. With ESS, Employers can simply set up drugtesting with Schedule Now or by an automated email that can be sent prompting applicants to schedulethe test themselves at one of the many available locations.    • Random Drug Testing ProgramsSome employers have written policies that require employees to take random or annual drug tests. ESScan develop a random testing program that selects the candidate and assures each individual fulfills thespecified requirements. Employee names are entered into a computer system, and the computer selectsthose to be tested for an unbiased process. The computer needs the employee names, a uniqueidentifier, such as an SSN or employee ID #, the frequency of testing and if required the percentage ofthe employee population to test through the yearly program. Typically, employees may be chosen morethan once in a year and sometimes in consecutive selection periods.This has proven to be an effective tool in reducing substance abuse in the workplace. Employees do notknow they have been selected until they are required to submit a specimen eliminating possibilities forsubstitution attempts. Once notified of being selected for a random test, an employee should immediatelyreport for their test
  •  ©2013 Employment Screening Services, All rights reserved. 4    • Reasonable Suspicion Drug TestingFor overall workplace safety, reasonable suspicion drug testing is one of the most valuable aids anemployer can have if it is properly used. When a supervisor has reasonable cause to believe that anemployee may be impaired as a result of drug or alcohol use, a reasonable suspicion drug test can beperformed. The supervisors assessment is based on personal observation of the employees behavior.Supervisors should document in writing the behaviors that give rise to the suspicion that the employee isunder the influence of drugs and/or alcohol.• Post-Accident Drug TestingWorkers that are in a safety sensitive environment can be more susceptible to accidents. When theseincidents occur, many regulations require post-accident drug testing within 8-32 hours. This type oftesting can also be used to reduce the liability and risk for businesses. ESS’ vast network includes clinicswith extended hours coverage, hospital emergency room services, and mobile collectors to ensure accessto post-accident/incident drug and alcohol testing 24-hours-a-day, 7-days-a-week for both regulated andnon-regulated business environments. Our post-accident drug testing is designed to meet mandatedregulations such as DOT.• DOT Drug Testing and PhysicalsThe United States Department of Transportation (DOT) has strict policies about the drug tests andphysical exams required of its workers and contractors. ESS is fully versed in the policies anddocumentation requirements to help your organization avoid costly fines. The DOT services from ESScover agencies such as FMCSA, FAA, FRA, PHMSA, USCG and FTA. Our Random and Post-Accident DrugTesting work seamlessly with our DOT services. ESS can assist in development and implementation of acomprehensive program for DOT drug testing, alcohol testing, and physical examinations that can helpensure a safer and more productive workplace.• Student Drug Testing & ImmunizationsImmunization and Drug Testing have become an important aspect of requirements for students. Theseprerequisites are often part of the curricula associated with certain majors, frequently those pursuing ahealth-related profession. Sometimes the requirements are simply part of the standards imposed by theschool or even upon student athletes.With U-Screen, ESS is able to provide a solution that is convenient and affordable. Through an extensivenetwork of labs and doctors, or even scheduled on-campus collections, students are able to receive thenecessary shots or drug tests which then get reported back to ESS and are accessible through the U-Screen web portal. These results can be integrated with other services like background screening for astreamlined process that reduces administrative burdens for the school. ESS manages the entire processand provides easy instructions and assistance to the students throughout the process.• Athlete Drug TestingESS is an expert in athletic drug testing and is prepared to manage all aspects of your program. Drugtesting programs can be 1) mandatory for interscholastic student athletes, 2) voluntary as part of astudent assistance program, or 3) based only on reasonable suspicion. NCAA requires that programsfollow their guidelines on banned substances. The consequences to the school for not following theseguidelines could lead to NCAA sanctions. We have found that random urine drug testing by far is the bestdeterrent to drug use by students because the students may be selected at any time for testing. Arandom testing program gives the students another reason to say "No!" Voluntary programs do helpthose students who have been caught breaking the rules by using drugs or alcohol, but has little impacton students using drugs and not getting caught. Reasonable Suspicion programs are very effective inmonitoring behavior of students that have previously demonstrated issues with drugs or alcohol.We have an expert staff dedicated to coordinating and communicating with your team. This meansproviding detailed instructions and training on the entire process from start to finish. We will also developa rollout plan and training program for all locations. During the rollout, ESS will provide onsite supportand training, manage all results while completely automating the records and reporting functions, andfield incoming calls and emails. We understand the importance of keeping all test result dataconfidential. Drug testing collectors will collect a sample in a private respectful manner and work with oneathlete at a time, ensuring privacy and confidentiality.
  •  ©2013 Employment Screening Services, All rights reserved. 5    Types of Drug TestsThe primary drug testing method used by ESS is urine collection and analysis, which is the most common type oftesting for a screening. ESS offers 5-Panel tests along with 9-Panel and 10-Panel options to expand the drugtypes found in the screening. ESS also offers many other methods of testing to cover a broad range of needs.The methods of testing available include:• Drug TestA drug test is a technical analysis of a biological specimen to reveal the presence or use of certainsubstances.• Urine Drug TestingStandard and most common drug screen. In this test, a urine sample is analyzed for substances asspecified with either a 5, 9 or 10 panel test.• Hair Drug TestingThis type of drug detection analyzes a hair sample to reveal the use of substances. Hair drug testing canreveal results over a longer period of time, even for up to 30, 60, or 90 days.• Oral Fluid Drug TestingOral fluid-based drug tests can generally detect substances use during the previous few hours to roughly3 days. A saliva sample is used for this test with a simple swab collection.• Instant testingESS utilizes the E-Screen electronic drug testing solution for instant drug testing. This test is a quick wayto provide nearly-instant negative screen results – often in less than an hour after collection. Non-negatives are verified at a laboratory in the traditional 2 to 4 days.• Breath Alcohol Drug TestA breath alcohol test determines how much alcohol is in your blood by measuring the amount of alcoholin the air you breathe out (exhale). The test is done with a machine in which a person blows into.Medical Review Officer (MRO)ESS utilizes Medical Review Officers with our drug testing solutions, which is required by many states and for allDOT drug screens. A Medical Review Officer is a licensed physician who is responsible for receiving and reviewinglaboratory results generated by an employer’s drug testing program. The MRO evaluates medical explanations forcertain drug test results and ensures the integrity and authenticity of all tests.Drug Testing TechnologyElectronic Drug TestingESS offers an automated system that makes managing the drug screening process simple and efficient. TheElectronic Registration feature enables both ordering and scheduling of drug tests online and can be accessed24/7 through web access.• Electronic OrderingESS can easily integrate drug testing with your background screening capabilities. Drug tests can beordered online in a similar manner to other screens. Recruiters and HR Professionals use Schedule Now toquickly order a drug test for their applicants.
  •  ©2013 Employment Screening Services, All rights reserved. 6    The other method for ordering sends an email to applicants prompting them to schedule their drug tests.ESS can establish criteria in the system that your determine for the time-frame applicants have to gettheir drug test done.• Electronic SchedulingThe email applicants receive from our system includes a web link for scheduling their drug test. Oncethey click on the link, the applicant’s current address is used to populate a list of collection sites within 10miles. If they prefer, the applicant can change the address, for example to their work address, for themost convenient location of their choice.
  •  ©2013 Employment Screening Services, All rights reserved. 7    Applicants then print a pass they must take with them to the clinic. The chosen clinic will have all thedonor information and test to perform prior to their arrival to expedite the process.
  •  ©2013 Employment Screening Services, All rights reserved. 8    • Electronic ReportingOnce the needed test and results are completed, you are notified through email. Results will be posted inour system and can easily be accessed by administrators.  
  •  ©2013 Employment Screening Services, All rights reserved. 9    ESS Quick Reference Guide – Drug Testing
  •  ©2013 Employment Screening Services, All rights reserved. 10    Drug Testing Glossary  Chain of CustodyChain of custody is the term that refers to the process of ensuring and providing documentation of properspecimen identification and handling from the time of collection to the receipt of laboratory results. If the resultscome under legal challenge, the specimen must have been handled according to chain of custody proceduresexactly and accurately. The chain of custody protocol assures the specimen belongs to the individual whoseinformation is printed on the specimen bottle label, no adulteration or tampering has taken place, exactly whohad possession of the specimen and when, how the specimen was transported and stored before it was analyzed,no unauthorized access to the specimen was possible, and the specimen was handled in a secure mannerCollection Site (Patient Service Center)A facility where individuals present themselves for the purpose of providing body fluid(s) to be analyzed forspecified controlled substances.Collection ProcessAll specimen collections should be done utilizing a secured restroom. After the donor has removed any bulkyobjects and washed their hands they should choose a sealed specimen collection kit. All seals are removed in thedonor’s presence and the donor should then be asked to provide a urine specimen. Following the collection ofdonor’s specimen the chain of custody form should be filled out and completed while the donor is present. Afterall the specimen bottles, chain of custody form, and specimen bags are sealed then the donor may be allowed toleave.Department of Transportation (DOT)The DOT is an operating administration of the United States administering regulations requiring alcohol and/ordrug testing in accordance with 49CFR Part 40 of the federal regulations. A DOT drug screen is a screen thattests a specimen for five drugs (Opiates, PCP, Amphetamines, Marijuana and Cocaine) A DOT-approved chain ofcustody form is used during the collection process and a split sample is collected and both specimens areforwarded to the laboratory for testing. Once the laboratory completes the testing process the result is forwardedto the Medical Review Officer (MRO) for review. Following the MRO’s review, results are reported to thedesignated reporting agency.Drug Testing PolicyA well drafted policy outlines what type of testing will be conducted, the terms and definitions surrounding drugscreening, and recourse for positive test results. A policy is also utilized to convey a strong message of zerotolerance towards drugs and alcohol in the workplace.Medical Review Officer (MRO)According to DOT regulations, all DOT drug screens must be reviewed by an MRO. Many states also require anMRO review. A Medical Review Officer (MRO) is a person who is a licensed physician and who is responsible forreceiving and reviewing laboratory results generated by an employer’s drug testing program and evaluatingmedical explanations for certain drug test results. This service is also available for Non-DOT testing, if desired.During the MRO’s review it may be necessary for them to contact and speak directly with the donor to verify anytypes of medication the donor has taken. The client will not be notified if this occurs and will only be notifiedwhen a test result is available.Non-DOT Drug ScreenA Non-DOT screen is a screen that can test for a wide range of drugs such as; Opiates, PCP,Amphetamines/Methamphetamines, Marijuana, Cocaine; which is considered a 5-panel drug screen. This can beexpanded upon by testing for the above five drugs and adding Barbiturates, Benzodiazepines, Methadone,Methaqualone, Propxyphene; which is considered a 10-panel drug screen. A urine alcohol (ethyl) can be added toeither panel if desired.
  •  ©2013 Employment Screening Services, All rights reserved. 11    Patient Service TechnicianA designated person trained in specimen collection procedures who insures that 1) donors are identified correctly,2) chain of custody protocol is strictly followed, 3) donors’ dignity is preserved, 4) no sample is adulterated ordiluted during collection, and 5) donors and clients receive the best possible evidentiary collection and testingservice possible.Post-Accident TestingTesting of an employee who is involved in an on-the-job accident (vehicular or otherwise) which may haveinvolved human error and may have caused a fatality, serious injury, or significant property damage.Pre-Employment TestingA candidate for employment must pass the drug and/or alcohol test as a condition of employment. Testing canbe performed as part of the application process 1) before an offer of employment is made, 2) as a part of thehiring process after an offer of employment is made but before the employee commences work, or 3) shortlyafter the individual begins work but continued employment is contingent upon successful completion of the drugand/or alcohol test.Random TestingThe testing of employees who are chosen on a “neutral-selection” basis without advance notice. True randomtesting is conducted by pooling a selected percentage determined by the client from the total number of qualifiedparticipants’ numbers in the random pool. ESS recommends that clients familiarize themselves with their statelaw; some states prohibit random testing while others restrict it to “safety sensitive” positions.Reasonable Suspicion/Cause TestingThe “cause” required is an objective, factual, individualized basis for testing, such as when an employee’sobserved behavior or physical appearance suggests drug and/or alcohol use or possession of drugs and/oralcohol.Drug Testing AffiliatesAny Lab Test NowAny Lab Test Now is the first direct access lab testing services company. With 145+ stores across the U.S., AnyLab Test Now makes it easy for consumers and businesses alike to manage their health by providing directaccess to clinical, DNA and toxicology testing services. Any Lab Test Now partners with many major, high-qualitylaboratories throughout the U.S. to provide affordable and comprehensive lab testing services directly.  ATNATN has performed workplace drug testing since 1997 and has quickly developed into one of the nation’s mostadvanced toxicology laboratories. Its personnel have an average of 20 years of experience in substance abusetesting, and their state-of-the-art laboratory employs the latest technology, including high-throughputinstruments and highly efficient specimen processing systems. This volume makes ATN one of the country’slargest single-site drug testing laboratories.ConcentraConcentra is a healthcare company serving patients, employers, and the healthcare industry. Concentra is thelargest provider of healthcare services in the nation. Concentras corporate culture has evolved and beenenriched by the addition of new leadership and companies. But all along it has operated by a core set of values: afundamental commitment to integrity, a dedication to improving healthcare, a focus on positive outcomes forpatients and customers, and a commitment to excellence, among others. Concentra has always placed emphasison creating successful outcomes for various customer groups, including patients, employers, administrators, andpayers.
  •  ©2013 Employment Screening Services, All rights reserved. 12    Drug and Alcohol Testing Industry AssociationThe Drug and Alcohol Testing Industry Association (DATIA) was founded in 1995 as the National Association ofCollection Sites, and has grown to represent over 1300 members, and expanded its scope. DATIA now representsthe entire spectrum of drug and alcohol service providers including collection sites, laboratories,consortiums/TPAs, MROs, and testing equipment manufacturers. DATIA’s activities and outreach efforts with thebusiness community and federal government to expand the market for workplace drug and alcohol testingservices produces growth and increased opportunities for organizations and the industries. DATIA’s activerepresentation of your interests in Washington, DC ensures that the industry’s voice is heard by key policymakersin Congress and Federal Agencies — on issues that various businesses depends on.eScreeneScreen puts the largest network of occupational health providers at your fingertips with the EOHN (eScreenOccupational Health Network). eScreen’s growing nationwide network of over 1,350+ clinics installed with theeScreen Drug of Abuse systems and 2,000+ clinics performing lab-based specimen collections provides awidespread network to meet your drug screening needs.EMSIExamination Management Services, Inc. (EMSI) provides medical information, risk management and investigativeservices to the insurance, healthcare, legal, wellness and business communities. EMSI offers a solution for drugspecimen collection or alcohol testing, assistance with employee wellness programs, DNA collection or medicalstaffing services for health fairs, we can create a workplace program that targets the unique needs of each client.LabCorpLabCorp operates a nationwide network of primary testing locations and patient service centers, and routinetesting is the cornerstone of the company’s industry-leading national network. That delivery and service networkmakes it possible for LabCorp to easily offer an extensive esoteric testing portfolio and groundbreakingtechnologies to a broader audience, including medically important genomic tests. LabCorp’s reputation andproven record in the area of advanced genomic testing continues to attract the leading minds and technologicalpioneers in the field. Its laboratories participated in the development of genomic applications using PolymeraseChain Reaction (PCR) technology and LabCorp was the first commercial laboratory to provide this innovativetechnology to health care providers. LabCorp laboratories have been at the forefront of new molecular tests todiagnose, treat and manage disease, particularly in the areas of infectious disease, oncology andgenetics.LabCorp combines its expertise in innovative clinical testing technology with specialized Centers ofExcellence.MedtoxMEDTOX operates a SAMHSA-certified drug testing laboratory, a CAP and CLIA-certified clinical laboratory and adiagnostic division which is an FDA registered establishment. Our comprehensive laboratory and diagnostictesting services coupled with our commitment to excellent customer service ensures that our clients testingprograms operate as efficiently and effectively as possible. We are committed to building strong relationshipswith our clients; being responsive to their questions and adaptable to their needs.Quest DiagnosticsQuest Diagnostics is the world’s leading provider of diagnostic testing services, information and services thatpatients and doctors need to make better healthcare decisions. With a medical and scientific staff ofapproximately 900 MDs and PhDs, Quest Diagnostics has an extensive network of convenient patient locationsand laboratories and a range of complementary diagnostic products. Quest Diagnostics is driven to discover anddeliver diagnostic insights and innovations that help to improve human health.SAMHSASubstance Abuse Mental Health Services Administration (formerly NIDA, National Institute of Drug Abuse) is thedepartment of the federal government that regulates and certifies laboratories currently processing DOTspecimens. Laboratories with the SAMHSA certification are also available to test Non-DOT samples. Theselaboratories confirm all positive drug screen samples by GC/MS testing.US HealthworksBased in California, U.S. HealthWorks Medical Group was founded in 1995. With close to 200 locations in 17states, and 2,000 employees including approximately 350 affiliated physicians – U.S. HealthWorks centers servethousands of patients each day throughout the country. ESS utilizes their drug testing services.