Donor Checks Outer Garments


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Donor Checks Outer Garments

  1. 1. The Keys to Unlocking a Successful Collection Program Urine Drug & Alcohol Testing Presented by: Manny Chavez
  2. 2. Qualified Services <ul><li>Collection Site Personnel Training Requirements: </li></ul><ul><li>Qualified as “Collector” </li></ul><ul><li>Qualified as “BAT/STT” </li></ul><ul><ul><li>Basic information </li></ul></ul><ul><ul><li>Qualification training </li></ul></ul><ul><ul><li>Initial proficiency demonstration </li></ul></ul><ul><ul><li>Refresher training </li></ul></ul><ul><ul><li>Error correction training </li></ul></ul>
  3. 3. Requirements For Collection Site <ul><li>Privacy enclosure for urination </li></ul><ul><ul><li>Single toilet room preferred </li></ul></ul><ul><li>Toilet or void receptacle </li></ul><ul><li>Water source for hand washing, preferably outside privacy enclosure </li></ul><ul><li>Restricted access during collection </li></ul>
  4. 4. Requirements For Collection Site (Cont’d) <ul><li>Other water sources in privacy enclosure turned off or secured </li></ul><ul><li>If facility is normally used for other purposes, restrict access to collection materials and specimens </li></ul>
  5. 5. Employee Briefing <ul><li>Collector verifies employee identity </li></ul><ul><li>Donor checks outer garments </li></ul><ul><li>Empty pockets and display contents </li></ul><ul><ul><li>Allow employee to keep wallet, footwear. </li></ul></ul>
  6. 6. Urine Specimen Collection Procedures <ul><li>Collection site personnel inspects collection room before and after each specimen collection </li></ul><ul><li>Collector completes step 1 of CCF </li></ul><ul><li>Employee washes hands </li></ul>
  7. 7. Urine Specimen Collection Procedures (Cont’d) <ul><li>Employee or collector selects wrapped single specimen collection cup and unwraps in presence of both </li></ul><ul><li>Collector gives employee collection container and directs him to provide at least 45 ml of urine in privacy enclosure </li></ul><ul><li>Collector instructs employee not to flush toilet </li></ul><ul><li>Collector may set a reasonable time for voiding </li></ul>
  8. 8. Urine Specimen Collection Procedures (Cont’d) <ul><li>Check specimen temperature within 4 minutes. </li></ul><ul><li>Inspect specimen for signs of tampering or adulteration </li></ul><ul><li>Check specimen for adequacy (at least 45 ml) </li></ul><ul><li>Complete step 2 of the CCF </li></ul>
  9. 9. Urine Specimen Collection Procedures (Cont’d) <ul><li>Collector splits specimen into two bottles (primary - 30 ml and split - 15 ml). Do NOT top off </li></ul><ul><li>Collector seals, labels, and dates the bottles in full view of the employee </li></ul>
  10. 10. Urine Specimen Collection Procedures (Cont’d) <ul><li>Employee initials labels after labels are applied to bottles </li></ul><ul><li>Employee reads, signs, and provides requested information on step 5 copy 2 of CCF. Refusal to sign is not a refusal to test </li></ul>
  11. 11. Urine Specimen Collection Procedures (Cont’d) <ul><li>Collector signs, dates, and completes the remainder of the CCF </li></ul><ul><li>Both specimens will be shipped in a single shipping container with the completed CCF </li></ul>
  12. 12. Federal Custody And Control Form
  13. 13. <ul><li>Medical Review Officer Copy </li></ul>
  14. 14. Distribution of Copies <ul><li>Copy 1 Placed in pouch and sent to laboratory w/specimens </li></ul><ul><li>Copy 2 Faxed/given to MRO within 24 hours </li></ul><ul><li>Copy 3 Collector Copy </li></ul><ul><li>Copy 4 Employer Copy sent (Within 24 hours) </li></ul><ul><li>Copy 5 Given to Donor (Note: Donor may list any medications they are taking) </li></ul>
  15. 15. Laboratory Procedures <ul><li>Lab receives and records all samples </li></ul><ul><li>Completes Screen and/or Confirmation tests-GC/MS </li></ul><ul><li>Reports results to MRO </li></ul>
  16. 16. MRO General Procedures <ul><li>Reviews all tests </li></ul><ul><li>-MRO Contacts Donor on “ Pending Positive ” tests </li></ul><ul><li>-MRO makes decisions regarding legitimacy of donor medical explanations </li></ul><ul><li>-The MRO is the “Gate Keeper” of the testing process and releases the final Disposition </li></ul><ul><li>-Arbitrators, employers, or anyone else “Can Not” Overturn the MRO’s medical judgment </li></ul>
  17. 17. Problem Collection <ul><li>Observed Collections </li></ul><ul><ul><li>Same Gender as Employee </li></ul></ul><ul><ul><li>Specimen is Out of Temperature Range </li></ul></ul><ul><ul><li>DER or MRO requirement </li></ul></ul>
  18. 18. Problem Collection <ul><li>Insufficient Volume (Shy Bladder) </li></ul><ul><ul><li>Employee may drink up to 40 oz. –Not a refusal if donor declines to drink </li></ul></ul><ul><ul><li>Distributed reasonably through a period up to 3 hours or until sufficient specimen provided, whichever occurs first </li></ul></ul>
  19. 19. Alcohol Equipment <ul><li>Use of “Screening Only” devices ASD/EBT </li></ul><ul><li>Advantage of “EBT” vs. “ASD” </li></ul><ul><li>Used for “Screening and Confirmation” tests </li></ul>
  20. 20. Saliva Alcohol Test ASD
  21. 21. Screening Devices Alco-Sensor IV
  22. 22. Approved EBT Device RBT-IV
  23. 23. EBT Requirements <ul><li>Approved by the National Highway Traffic Safety Administration (NHTSA), listed on the Conforming Products List (CPL) without asterisks </li></ul><ul><li>Perform external calibration checks per NHTSA-approved Quality Assurance Plan (QAP) </li></ul>
  24. 24. Calibration Devices
  25. 25. Alcohol Test Procedures <ul><li>Require positive ID from employee </li></ul><ul><li>Explain testing procedures (show instructions on back of ATF) </li></ul><ul><li>Complete step 1 of the ATF </li></ul><ul><li>Direct employee to read and sign step 2 </li></ul><ul><li>BAT or employee may select a sealed mouthpiece. </li></ul>
  26. 26. Test Refusals Common to Drug and Alcohol Tests <ul><li>Failure to appear within specified time </li></ul><ul><li>Failure to remain at testing location </li></ul><ul><li>Failure to provide urine specimen or breath sample as applicable for DOT test </li></ul><ul><li>Failure to provide sufficient volume of urine, or breath without valid medical explanation </li></ul><ul><li>Failure to undergo a medical examination </li></ul><ul><li>Failure to cooperate with any part of the testing process </li></ul>
  27. 27. Test Refusals Specific to Alcohol Tests <ul><li>Failure to sign the certification on Step 2 of the Alcohol Test Form </li></ul>
  28. 28. Test Refusals Specific to Drug Tests <ul><li>Failure to permit an observed or monitored test as required (40.67 (1) and 40.69 (g) </li></ul><ul><li>Failure to take a second test required by the employer or collector </li></ul><ul><li>A drug test result that is verified by the MRO as adulterated or substituted </li></ul>
  29. 29. “ Beat the Test ”
  30. 30. “ Beat the Test” Money Back Guarantee!!!
  31. 31. “ Beat the Test” <ul><li>$150.00 ea Whizzinator </li></ul><ul><li>“ Best Thing Out There, Don't Be Fooled By Those Drinks This Works Every Time.” -The Eggfella, CA </li></ul><ul><li>“ I have literally spent thousands of dollars on cleansers and 24 hr. formula's. NOTHING worked until whizzanator. Thanks for the freedom.” -Greg, CA </li></ul><ul><li>&quot;You guys did a great job! It works super!&quot; </li></ul><ul><li>-Naien A., Herndon, VA </li></ul>What People do to beat a test??????
  32. 33. <ul><li>Viking had 'Whizzinator'drug-masking kit </li></ul><ul><li>RB Smith tells cops it's for cousin, but has checkered drug history Jim Mone / Updated: 6:49 a.m. PT May 12, 2005 </li></ul><ul><li>MINNEAPOLIS - Vikings running back Onterrio Smith, who has a history of violating the NFL’s substance-abuse policy, was briefly detained by airport police last month after they found an elaborate kit used to beat drug tests. </li></ul><ul><li>Police at the Minneapolis-St. Paul International Airport questioned Smith on April 21 after a search of his bag discovered vials of white powder, according to a police report. </li></ul><ul><li>Smith told officers it was dried urine used in conjunction with a device called “The Original Whizzinator.” The officer who filed the report wrote that Smith “told me that it was dried urine for making a clean urine test.” In addition, he had a bottle of pills labeled “cleansing formula.” </li></ul>