The Keys to Unlocking a Successful Collection Program Urine Drug & Alcohol Testing

1. The Keys to Unlocking a Successful Collection ProgramUrine Drug & Alcohol Testing Presented by: Manny Chavez

2. Qualified Services Collection Site Personnel Training Requirements: • Qualified as “Collector” • Qualified as “BAT/STT” • Basic information • Qualification training • Initial proficiency demonstration • Refresher training • Error correction training

3. Requirements For Collection Site Privacy enclosure for urination • Single toilet room preferred • Toilet or void receptacle • Water source for hand washing, preferably outside privacy enclosure • Restricted access during collection

4. Requirements For Collection Site (Cont’d) • Other water sources in privacy enclosure turned off or secured • If facility is normally used for other purposes, restrict access to collection materials and specimens

5. Employee Briefing Collector verifies employee identity • Donor checks outer garments • Empty pockets and display contents • Allow employee to keep wallet, footwear.

6. Urine Specimen Collection Procedures • Collection site personnel inspects collection room before and after each specimen collection • Collector completes step 1 of CCF • Employee washes hands

7. Urine Specimen Collection Procedures (Cont’d) • Employee or collector selects wrapped single specimen collection cup and unwraps in presence of both • Collector gives employee collection container and directs him to provide at least 45 ml of urine in privacy enclosure • Collector instructs employee not to flush toilet • Collector may set a reasonable time for voiding

8. Urine Specimen Collection Procedures (Cont’d) • Check specimen temperature within 4 minutes. • Inspect specimen for signs of tampering or adulteration • Check specimen for adequacy (at least 45 ml) • Complete step 2 of the CCF

9. Urine Specimen Collection Procedures (Cont’d) • Collector splits specimen into two bottles (primary - 30 ml and split - 15 ml). Do NOT top off • Collector seals, labels, and dates the bottles in full view of the employee

10. Urine Specimen Collection Procedures (Cont’d) • Employee initials labels after labels are applied to bottles • Employee reads, signs, and provides requested information on step 5 copy 2 of CCF. Refusal to sign is not a refusal to test

11. Urine Specimen Collection Procedures (Cont’d) • Collector signs, dates, and completes the remainder of the CCF • Both specimens will be shipped in a single shipping container with the completed CCF

12. Federal Custody And Control Form

13. Medical Review Officer Copy

14. Distribution of Copies • Copy 1 Placed in pouch and sent to laboratory w/specimens • Copy 2 Faxed/given to MRO within 24 hours • Copy 3 Collector Copy • Copy 4 Employer Copy sent (Within 24 hours) • Copy 5 Given to Donor (Note: Donor may list any medications they are taking)

15. Laboratory Procedures • Lab receives and records all samples • Completes Screen and/or Confirmation tests-GC/MS • Reports results to MRO

16. MRO General Procedures • Reviews all tests -MRO Contacts Donor on “Pending Positive” tests -MRO makes decisions regarding legitimacy of donor medical explanations -The MRO is the “Gate Keeper” of the testing process and releases the final Disposition -Arbitrators, employers, or anyone else “Can Not” Overturn the MRO’s medical judgment

17. Problem Collection • Observed Collections • Same Gender as Employee • Specimen is Out of Temperature Range • DER or MRO requirement

18. Problem Collection • Insufficient Volume (Shy Bladder) • Employee may drink up to 40 oz. –Not a refusal if donor declines to drink • Distributed reasonably through a period up to 3 hours or until sufficient specimen provided, whichever occurs first

19. Alcohol Equipment • Use of “Screening Only” devices ASD/EBT • Advantage of “EBT” vs. “ASD” • Used for “Screening and Confirmation” tests

20. Saliva Alcohol Test ASD

21. Screening Devices Alco-Sensor IV

22. Approved EBT Device RBT-IV

23. EBT Requirements • Approved by the National Highway Traffic Safety Administration (NHTSA), listed on the Conforming Products List (CPL) without asterisks • Perform external calibration checks per NHTSA-approved Quality Assurance Plan (QAP)

24. Calibration Devices

25. Alcohol Test Procedures • Require positive ID from employee • Explain testing procedures (show instructions on back of ATF) • Complete step 1 of the ATF • Direct employee to read and sign step 2 • BAT or employee may select a sealed mouthpiece.

26. Test Refusals Common to Drug and Alcohol Tests • Failure to appear within specified time • Failure to remain at testing location • Failure to provide urine specimen or breath sample as applicable for DOT test • Failure to provide sufficient volume of urine, or breath without valid medical explanation • Failure to undergo a medical examination • Failure to cooperate with any part of the testing process

27. Test Refusals Specific to Alcohol Tests • Failure to sign the certification on Step 2 of the Alcohol Test Form

28. Test Refusals Specific to Drug Tests • Failure to permit an observed or monitored test as required (40.67 (1) and 40.69 (g) • Failure to take a second test required by the employer or collector • A drug test result that is verified by the MRO as adulterated or substituted

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33. Viking had 'Whizzinator'drug-masking kit RB Smith tells cops it's for cousin, but has checkered drug historyJim Mone / Updated: 6:49 a.m. PT May 12, 2005 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. 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. 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.”