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Will the MRO report my prescribed medication use/medical information to a third party?

Historically, the DOT’s regulation required the MRO to report your medication use/medical information to a third party (e.g. your employer, health care provider responsible for your medical qualifications, etc.), if the MRO determines in his/her reasonable medical judgement that you may be medically unqualified according to DOT Agency regulations, or if your continued performance is [...]

Why are screening and confirmation cutoff levels different?

Screening and confirmation testing are performed using different methodologies that require different cutoff levels. The cutoff levels of an immunoassay (screen) are typically higher than those of a more sensitive GC-MS or LC-MS/MS confirmation test. The reason is that they test for a larger group of parent compounds, metabolites and other structurally similar compounds. If [...]

Problem Collections: Refusal to Test

Summarized from 49CFR Part 40) and adapted to non-DOT collections. We model DOT protocols for all collections. The collector may terminate the process at any point if the donor does not cooperate. No one is forcing you to remain at the collection site. If you leave after beginning the process, it is reported as [...]

Problem Collections: Shy Bladder

Summarized from 49CFR Part 40) and adapted to non-DOT collections. We model DOT protocols for all collections.  The collector may terminate the process at any point if the donor does not cooperate. Urine drug tests require either 30 or 45ml of specimen. If a donor is not able to produce sufficient specimen, the shy bladder [...]

By |March 24th, 2022|Drug FAQ|Comments Off on Problem Collections: Shy Bladder

Problem collections: Temperature Out of Range

Summarized from 49CFR Part 40) and adapted to non-DOT collections. We model DOT protocols for all collections.  The collector may terminate the process at any point if the donor does not cooperate. Temperature Out of Range Urine specimens are expected to be between 90 and 100 degrees Fahrenheit. If below 90 or above 100, the [...]

Understanding Drug Test Results

Positive – Presence of drugs above the cutoff level Adulterated – Something has been done to alter the sample Shy Bladder – Inability to provide a sample Substituted Specimen / Invalid Specimen – Substance provided was something other than human urine and could not be tested Negative Dilute – Sample is too diluted to provide [...]

What is Direct Observation? Why would an observer be required for a drug test?

It is not uncommon for people to try to defeat a drug test, either by substitution or adulteration. Substitution simply means they smuggle in someone else's urine, or synthetic urine. Adulteration means they add an adulterant to their specimen which can make it invalid. To prevent this from occurring, sometimes an observer accompanies the individual [...]

2022 DOT Random Testing Rates

The following chart outlines the annual minimum drug and alcohol random testing rates established within DOT Agencies for 2022. DOT Agency 2022 Random Drug Testing Rate 2022 Random Alcohol Testing Rate Federal Motor Carrier Safety Administration [FMCSA] The random rates did not change for 2022.  Because the random rates did not change, FMCSA is not [...]

Instructions for Completing the Federal Drug Testing Custody and Control Form for Urine Specimen Collection

When an employee submits to a urine drug test, the following specific steps must be followed by the collector. These are for Federal collections, but are generally followed for non-DOT tests a well. A donor who does not cooperate with the process may be considered to have refused to test. Download PDF here: DOT-Collection-Instructions When [...]