Urine drug screen collection procedure

Last UpdatedMarch 5, 2024

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COLLECTION SITE PROCEDURES a. A 10-panel drug test is a common way to check for various drugs in a person’s body. The DOT’s rule 49 CFR Part 40. The following collection procedures are in place for the probation department and all vendors who collect samples, as required by the Statement of Work. Labcorp test details for Drug Analysis Profile, Comprehensive, Urine Test Menu Provider Login Education & Experts Urine (random or spot collection) Volume. Information contained in the Jul 1, 2020 · Urine EIA “negative” or “false negative” drug screens are often encountered even when the patient is on chronic dosing. Non-adherence, diversion or in vivo dilution can also explain false negative results. 193 What happens when an employee does not provide a sufficient amount of specimen for a drug test? (a) If an employee does not provide a sufficient amount of specimen to permit a drug test (i. The collector begins the collection without delay after the employee arrives at the Apr 9, 2019 · Drug tests are frequently part of an employer’s drug-free workplace program and may require both prospective and current employees, known as donors, to provide a drug test specimen. 00am local time to learn if their screening group is required to provide a sample for UDS on that day. 89 may differ. Mar 1, 2010 · Careful attention to urine collection methods can identify some attempts by patients to produce false-negative test results. It analyzes your urine for the presence of certain illegal drugs and prescription medications. Benefits. Benefits of this test include: Used to confirm positive immunoassay. Substance use treatment programs should not use Description Urine Drug Screen Collector Training. cut-off level) a confirmation test to prove or disprove the presence of the drug or drug metabolite indicated by the screening test must be carried out on another portion of the specimen. 1. Give the container to the health care provider or assistant. What problems always cause a drug test to be cancelled and may result in a requirement for another collection? § 40. The Essentials of Urine Drug Screens. Urine drug tests are most commonly used to detect alcohol, amphetamines, benzodiazepines, opiates/opioids, cocaine and marijuana (THC). Step 1-Chain of Custody and Control Form (COC) Ensure the donor provides a valid form of identification (A photo ID that is federal or state issued meets the requirement for identification. 207: What is the effect of a cancelled drug test 1. The E-Z Split Key™ Drug Screen Cup is an all-inclusive, onsite urine drug screening device that simplifies the collection process and tests for up to 12 drugs. speed and ecstasy), benzodiazepines (valium and serapax), opiates (heroin, opium, morphine and codeine), cannabinoids (cannabis, marijuana and hashish), and cocaine (coke). Therapeutic urine drug monitoring is important for ensuring compliance to treatment strategies, as well as ensuring non-diversion for illicit purposes. This process can be completed in a variety of settings and with a variety of techniques. Although the collection location for non-medical facilities may be located on-site or at another facility, each medical facility will have a urine collection site. It can help your doctor detect problems that may be shown by your urine. 89 - other international versions of ICD-10 Z02. Jan 2, 2018 · Regulatory Topic: Drug and Alcohol Testing. 67 When and how is a directly observed collection conducted? (a) As an employer, you must direct an immediate collection under direct observation with no advance notice to the employee, if: The laboratory reported to the MRO that the specimen was negative-dilute with a creatinine concentration greater with VA Directive 5383, VA Drug-Free Workplace Program. The urine temperature should be between 32. For the Collection of Urine Specimens for Federal Agency Workplace Drug Testing Programs. Note: This handbook does not apply to Nov 5, 2018 · http://www. , an injured employee in an emergency medical facility who is required to have a post-accident test), do not delay this treatment to collect a specimen. Slower results. g. The collector pours the specimen into a bottle that is sealed with tamper-evident tape. When completing the specimen collection, the student will provide a photo ID Nov 7, 2019 · Urine specimen requirements for screening do exist, mostly in the context of mandated or routine testing. 65 09/01. Sep 11, 2019 · Summary. The hair is cut as close to the scalp as Jun 5, 2023 · (d) When a DOT urine drug test collection is conducted as part of a physical examination required by DOT agency regulations, it is permissible to conduct medical tests related to this physical examination (e. Clinical drug testing plays an essential role in managing poisoning because the self-report of the drugs taken is often unreliable. We asked Bob Schoening to discuss this issue of transgender drug screen collections. This part provides uniform procedures for collection of urine specimens for drug testing, transportation of specimens to the testing laboratory, and submission of blind samples for the purpose of quality control. Maintaining all records according to the appropriate retention schedule. The Substance Abuse and Mental Health Services Administration (SAMHSA) has a number of documents about drug testing available in the Workplace Resources Principle. A single-toilet restroom, with a full-length privacy door, or . More expensive. The shy bladder process starts after the donor makes the initial attempt to provide the specimen required for the DOT drug test. This is a current topic and many collectors around the nation have concerns. Here are Bob’s thoughts: “I think just going by the gender listed on the Driver’s License could lead to issues. Incorrect collection and preservation of 24-hour urine collections are two of the most frequent lapses in urine collections. Z02. ). The policy further reflects the Mar 21, 2019 · http://www. The audio message on the urine drug screening telephone service is played in a continuous cyclical manner. Useful for the qualitative detection and identification of prescription or over-the-counter drugs frequently found in drug overdose or used with a suicidal intent. Typically a collection of the specimen should occur within 4 minutes of providing a sample and with a volume of at least 30 mL. We perform rapid tests in many of our patient service Oct 7, 2022 · About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright Jan 21, 2020 · A Shy Bladder Log should be used to document the shy bladder process. Hair drug test collections from trained professionals. 13. Specimen Collection Procedures for Urine Drug Screens . Sep 20, 2018 · A urinalysis is a laboratory test. Remove the container from the urine stream. Gas Chromatography/Mass Spectrometry. e. Jun 5, 2023 · To be permitted to act as a collector in the DOT drug testing program, you must meet each of the requirements of this section: (a) Basic information. The self-contained cup minimizes collector exposure to urine, while the device provides fast and reliable results within five minutes. Aug 5, 2022 · Urine drug testing (UDT): This is the most common drug test. Businesses rely on laboratory-based urine testing for its cost-effectiveness, capacity to screen for a variety of different illicit drugs and ability to withstand most legal challenges. The container must be kept cool until the urine is returned to the lab. Dec 6, 2023 · The process begins with an individual providing a sample of their urine in a designated container provided by the laboratory or drug testing facility conducting the test. Label and submit the specimen according to Labcorp's procedures. Feb 12, 2013 · About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright Sep 1, 2020 · Effective Date: September 1, 2020 Updates Effective: June 7, 2021 Purpose: This policy provides guidelines for the reimbursement of urine drug testing. 8. It requires a sample of your urine (pee). The Urine Specimen Collection Guidelines [at Section 8, Directly Observed Collection, Number Drugs in blood are typically detectable within minutes to hours, depending on the drug and the dose, versus one to several days in urine. For your nearest collection centre, view our locations map, or contact our Patient Services Support Centre on 1300 732 030. The organs Reporting test summaries to the Drug and Alcohol Testing Management Information System (MIS). Collection Sites (1) A urine collection site will be identified for each VA facility. drug test. Wash your hands with soap and water for at least 20 seconds. The test is used to check kidney function. The Drugs of Abuse Reference Guide provides common drugs of abuse that may be included in a urine drug screening panel. When minutes count, Labcorp's rapid test programs offer drugs of abuse screening that is rapid and reliable. The following are minimum guidelines: 1. 13. It is important for employers to know the testing process in order to ensure proper procedures are followed to protect the interests of the company and their drivers. Other drugs such as methadone and buprenorphine can be tested, but usage of these Nov 1, 2004 · This handbook provides additional guidance to supplement the urine specimen collection requirements contained in the Mandatory Guidelines for Federal Workplace Drug Testing Programs that were published in the Federal Register on April 13, 2004 (69 FR 19644), with a November 1, 2004, implementation date. Note: This checklist applies to federal agency drug testing programs that come under . URINE DRUG TESTING: COLLECTION AND TRANSPORTATION OF URINE SPECIMENS. These guidelines, together with the 49 CFR Part 40, and the DOT Operating Administration rules, with provide collectors with the information needed in the performance of their collection duties. Blood drug testing: Healthcare providers mainly use this type of test in emergencies. If the employee needs medical attention (e. Reporting verified positives of commercial driver’s license (CDL) holders to the Washington State Department of Licensing upon termination. phencyclidine) in a SAMHSA-certified laboratory. For many urine chemistry tests, it is necessary to analyze a sample taken from an entire 24-hour excretion. , substitute urine in plain view or an attempt to bring into the collection site an adulterant or urine substitute), the collector must report a refusal to test in accordance with Section 8. This clears the urethra of contaminants. The eScreen123 system directs your clinic in completing: Rapid, lab-based urine collections. Clinical Significance. Tests may be done by a trained collector who visits your workplace to collect specimens, or employees collection of all urine specimens. The registrant is required to call the urine drug screening telephone number 1800 633 654 every weekday after 6. 1. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The importance of proper collection is the first step in assuring that an accurate and defendable drug screen is performed. Benefits The self-contained cup minimizes collector exposure to urine, while the device provides fast and reliable results within five minutes that can be photocopied for result recording. The term Shy Bladder refers to a situation in which a donor (your employee or applicant) has an inability to provide the urine specimen required, a volume of 45 ml. Download the Specimen Collection & Transport Guide to provide a handy reference for you and your staff. , a post -accident investigation) and there is no agency-designated site available, a public restroom may be used for the collection using the procedures for a monitored collection (see Chapter 7, Section E). Ordering and interpreting these tests requires an understanding of testing modalities, detection times for specific drugs, and common explanations for false-positive and false-negative results. Many illnesses and disorders affect how your body removes waste and toxins. Substituting “clean” or drug-negative urine for drug-positive urine is a common way to fool the drug-screening system. QUESTION: Part 40 directs the collector to discard the first specimen if the temperature was out of range or the specimen showed signs of tampering and the employee refused to provide a second specimen under direct observation. Q: How is a urine drug test collected? A: Urine drug testing requires a minimum of 30 mL of urine (45 mL for a U. Department of Transportation collection) collected in the privacy of a restroom. 205: How are drug test problems corrected? § 40. Return the urine cup to the Patient Jun 19, 2018 · Presumptive Drug Testing CPT Codes. com | 866-843-4545This is the third of a series of video on the DOT urine drug screening collection process. During a hair collection, the collector cuts approximately 100-120 strands of hair from the crown of the donor’s head. Integrated test cup screens for 4-14 drugs: AMP, BAR, BUP, BZO, COC, MDMA, MET, MOP, MTD, OPI, OXY, PCP, PPX, TCA, THC 1. A 24-hour urine collection is done by collecting your urine in a special container over a full 24-hour period. Trauma is disproportionately prevalent for individuals with substance use disorders and those involved in the criminal justice system. Employment screening, federal regulations D. Oct 23, 2012 · Document. Many drug screening immunoassays were initially designed for use in the workplace as a drug screening tool for employees. Urine drug screening is an office procedure that can enhance workplace Jun 13, 2023 · The collector is the one individual in the drug testing process who has direct, face to face contact with the employee. Labcorp encourages the use of an independent medical review officer (MRO) to review all non-negative test results. Both urine testing options pose a risk of false-negative results and might not detect same-day drug use. describes required collection procedures for conducting workplace drug and alcohol testing for the federally regulated transportation industry. PART II. §40. The collector prepares the collection site to collect urine specimens. If the outside of the cup has urine on it, wipe it dry with a paper towel. This urine specimen will then be sealed with a tamper-evident seal and stored until it is sent for testing. 3. This is the American ICD-10-CM version of Z02. Blood drug screen tests are performed on whole blood specimens using immunoassay screening with reflex to definitive testing. Clean-catch mid-stream specimen: Patients with orders for a urine culture and sensitivity are given the proper mid-stream urine collection kit and the appropriate instruction sheet. Find out how to prepare for a urine test, what factors affect the results, and how to interpret the outcomes. , for glucose) on any specimen remaining in the collection container after the DOT portion has been sealed into the specimen bottles. Once you’re done urinating, tightly screw the lid onto the urine cup. Low risk of false positive results. Before the specimen is tested, several steps must be taken to Jul 29, 2023 · Broadly defined, drug testing uses a biological sample to detect the presence or absence of a drug or its metabolites. , through a door not in view) is not possible. Clinical Info. Urine drug screening can be administered via two methods; instant ‘point of care’ or via laboratory analysis. These are either ‘non-negative’ or ‘negative’. urine drug screen question [QUOTE="vijayarani9369@gmail. An employer handbook titled What Feb 6, 2024 · Risk of false-positive results. , 45 mL of urine in a single void, or 2mL oral fluid in a single sampling, as applicable) you, as the drug testing devices must have written guidelines and procedures for the use of these kits. It typically involves testing urine for drugs, such as cannabis, opioids, and more. Effective Date: Tuesday, January 2, 2018. You must be knowledgeable about this part, the current “DOT Urine Specimen Collection Procedures Guidelines,” and DOT agency regulations applicable to the employers for whom you perform Yes, urine testing is the only drug test type approved for federally-mandated drug testing. Urine Specimen Collection for Drug Tests; Urine DOT drug test; Urine testing FAQs; Total annual savings based on random drug testing: $13,638. Collector marks the Urine box above STEP 2. Rapid point-of-collection testing (POCT) provides on-site screening for drugs of abuse, urine specimen validity and saliva alcohol following Labcorp’s chain of custody protocol. BACKGROUND. NationalDrugScreening. com, post Apr 23, 2023 · Clinical drug testing analyzes plasma, serum, or urine to detect the presence or absence of a drug or its metabolites. 203 Questions and Answers § 40. Aug 1, 2019 · code description; g0482 drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e. Measure and record this volume on the test request form and on the urine transport vial (see Pediatric Specimen Tubes below). Be qualified as a trained collector and have regularly conducted oral fluid drug test collections using that collection device for a period of at least one year OR have successfully completed a “train the trainer” course given by an organization (e. 89 became effective on October 1, 2023. 61 09/01. 30 mL. Drug testing cannot diagnose a substance use disorder. While direct-observation collections provide specimens of the greatest credibility, non-witnessed collections can be effective if safeguards are in place to ensure the donor does not have access to substances which may affect test results (water, chemicals, substitute urine, etc. A number of laboratories can provide testing for drugs of abuse The student will sign the urine drug screen Acknowledgement of Understanding and return it to the designated College representative. Test results are qualitative. Breath alcohol collections. Ensure that there is no unauthorized access into the collection areas and that undetected access (e. The observer must be the same gender as the donor. Paul, MN 55112. We offer two iScreenTM Urine Test Drug Screen Square Cup options, each one is intended for a different setting. The process is Nov 21, 2023 · Drug testing looks for the presence or absence of specific drugs in a biological sample, such as urine, blood, or hair. As these tests have become cheaper, more readily available, and 402 W County Road D, St. The collector, not the employee, then pours at least 30 mL of urine from the collection container into a specimen bottle and places the lid/cap on the bottle. Jun 4, 2021 · Urine drug screens are performed at select collection centres. Previous video Mar 1, 2010 · Urine drug screening can enhance workplace safety, monitor medication compliance, and detect drug abuse. Compounding this, many pediatricians are unfamiliar with proper collection procedures and with the limitations of urine drug screening . 2. , ia, eia, elisa, emit, fpia) and enzymatic methods (e Specimen collection and transport guide. Not intended for use in employment-related testing. The court is to be notified that hand-held devices are used in the initial screening of urine samples. Make sure employees empty pockets; remove outer If the collector detects any conduct that clearly indicates an attempt to tamper with a specimen (e. Urine Drug Screens (UDS) can be activating or triggering experiences for some people, especially those with trauma histories. To set up a blood drug testing program, contact Labcorp sales. Understanding how to interpret drug screens can be complex secondary to cross reactivity, drug metabolisms, patient A collection site is a place (permanent or temporary) selected by the employer where employees present themselves for the purpose of providing a urine specimen for a DOT-required drug test. Instructions for Completing the Federal Drug Testing Custody and Control Form for Urine Specimen Collection. C. On the day of the test, bring with you a list of all Collect all urine for the next 24 hours so that the morning urine void on the second day is the final collection. Do not send the entire urine collection. Collection Site Evaluation Form. Nov 28, 2023 · Learn how urine drug tests can detect illegal and prescription drugs in a person’s system. In the Overall Section Summary, assign a numerical “score” for each checklist section, based on the section evaluation: Record a “0” on the evaluation form for each section summary where serious deficiencies were identified. Transfer the requested volume into the labeled urine transport vial. You must not collect a specimen from an unconscious employee to conduct a drug test under this part. Conclusion Urine screening is an effective tool for monitoring abstinence from drug use, assessing the use of drugs in the workplace and for legal disputes. The donor can be provided up to 40 ounces of water over a 3-hour period. Medicare and private payers require the same codes to report presumptive drug testing: 80305 Drug test (s), presumptive, any number of drug classes, any number of devices or procedures (eg, immunoassay); capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges) includes CPT Code 80320, Drug Assay Procedures, Definitive Drug Testing Procedures - Codify by AAPC. Make sure that employees show proper picture ID. The same is true in treating Urine Drug Screening. This appendix describes procedures for implementing this service and other methods for detecting clients' substance use. Available Blood May 11, 2018 · Since the beginning of 2017, medical coders and billers can report 80305-80307 for presumptive testing, but are restricted to code one per day per patient for each date of service: 80305: Drug tests (s), presumptive, any number of drug classes; any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical Urine drug testing is an essential component of monitoring patients who are receiving long-term opioid therapy, and it has been suggested for patients receiving long-term benzodiazepine or A 24-hour urine collection is a simple lab test that measures what’s in your urine. Department of Transportation procedure rule. Currently, the most commonly used urine drug testing approach involves automated immunoassay either alone as a point-of-care test or as an initial screen for a 2-step testing procedure [ 7 , 8 ]. Nov 14, 2012 · Document. Routine 24-hour Urine Collection. If you are required to have an observed urine collection, you must notify Court Drug Test in advance as not all collection sites offer this service, there is usually an additional fee on top of the drug test. Following are the rules and restrictions of an observed collection; 1. Generally, there are two types of collection facilities: 1. Drug Monitoring, Panel 1, Screen, Urine - The test is a screening assay using a homogeneous enzyme immunoassay method of analysis. Then, in the container you are given, catch about 1 to 2 ounces (30 to 60 milliliters) of urine. This tip sheet can be used to inform the UDS procedure, whether observed or not, with The iScreenTM Urine Test Drug Screen Square Cup is a lateral flow chromatographic immunoassay for the qualitative detection of multiple drugs, drug metabolites and alcohol at specific cut-off concentrations in urine. 2 C (90 F) and 37. Give the patient a sterile urine collection kit. Hair drug testing requires a small sample of hair that is collected under direct supervision without any invasion of privacy. When a negative result is obtained, either after the screen or confirmation test, it can be reported to May 8, 2015 · Drug Testing. Collector ensures that the name and address of the HHS-certified Instrumented Initial Test Facility (IITF) or HHS Mar 18, 2017 · Urine drug testing is frequently used in clinical, employment, educational, and legal settings and misinterpretation of test results can result in significant adverse consequences for the individual who is being tested. It contains detailed instructions on requisitions, irreplaceable sample handling, collection procedures, infectious substances Aug 22, 2023 · 2. As the metabolization rate of drugs differs, the detection window for specific drugs or metabolites varies. 5 to 8. 7 C (100 F) with a pH of 4. This policy applies to participating and non-participating professional and laboratory providers for the following procedure codes: 80305, 80306, 80307, 80320-80377, G0480, G0481, G0482, G0483, and G0659. Advances in drug testing technology combined with a rise in the number of novel misused substances present challenges to clinicians to appropriately interpret urine drug test May 13, 2021 · Urine collectors collect specimens using Part 40 procedures, ship the specimens to Department of Health and Human Services (HHS) certified laboratories for analysis, and distribute copies of the Federal Drug Testing Custody and Control Form (CCF) to thelaboratory, medical review officer, employer, and employee in a timely and confidential manner. You will be given an appointment time at a collection centre close to you. 203: What problems cause a drug test to be cancelled unless they are corrected? Q&A: Section 40. May 13, 2016 · Posted on May 13, 2016. Physical examinations. Also known as a urine drug screen, it is a painless test used by employers, sporting officials, parents, and rehabilitation centers. Specimen validity/adulteration test strips are also available. After three hours the event is over. 651–636–7466 / 800–832–3244. The validity of urine drug screen results is dependent on specimen integrity. S. The 2024 edition of ICD-10-CM Z02. All non-nursing students will be prompted through the HireRight drug screening registration process to pay the fee for the drug screen. Download the Toolkit. Effective October 1, 2017. 43. Jun 5, 2023 · Subpart E - Specimen Collections. § 40. 5. Jun 12, 2023 · Subpart I—Problems in Drug Tests. A significant difference between our system Jan 2, 2023 · Non-DOT employers may elect to use the same process. The 24 hour urine specimen is brought to the laboratory as soon as possible as the 24-hour period is over. Urine or oral fluid are the specimens of . When making entries on a paper CCF, use black or blue ink pen and press firmly. Although urine as the concentration in urine can only be related to previous consumption and not any effect of the drug. Urine tests can often provide evidence of previous drug 6 days ago · 2022 Urine Specimen Collection Handbook (PDF | 2 MB) 2022 Urine Specimen Collection Site Manual (PDF | 532 KB) 2022 Urine Specimen Collection Site Checklist (PDF | 605 KB) Access archived specimen collection resources; Conducting Drug Tests. Typically, traces PathWest offers drug testing for the common drugs of abuse including amphetamines (e. This test is New York State approved. Take off your gloves and throw them away. When there is an immediate need to collect a specimen (e. Drug screenings plays a vital role in patient care and can help pharmacists aid in a diagnosis, document adherence and potentially identify diversion of a substance. PURPOSE. Applicable To. Appointments are preferred. Quality test results start with correct specimen collection and handling. Urine drug testing detects recent drug use and is the only testing method approved for federally-mandated testing. A. The specimen Oct 1, 2017 · Collection Site Checklist. , oral fluid collection device manufacturer, private entity, contractor, federal agency). Executive Order 12564 dated September 15, 1986, section 503 of Public Law 100-71, 5 U. 4. In children and adolescents, UDS may be used to prevent substance use, evaluate for suspected drug use or intoxication, or as part This system guides your staff through a step-by-step process to ensure your clinic always delivers secure and confidential employee drug-testing collections. All collection supplies must be available, the area properly secured, water sources secured, and bluing (coloring) agent placed in all toilets as specified under 49 CFR 40. As you start to urinate, allow a small amount to fall into the toilet bowl. May 13, 2021 · The DOT drug and alcohol testing procedures are extensive and can be found in 49 CFR Part 40 Subpart E and Part 40 Subpart L, respectively. Put the urine cup into the plastic bag and close the bag. Without the collector ensuring the integrity of the urine specimen and collection process, the test itself may lose credibility. Urine drug screening (UDS) is a laboratory test frequently used to screen for drugs of abuse, monitor for medication compliance, evaluate for suspected drug intoxication or overdose, and in office-based pain contracts (Kale, 2019; Standridge, Adams, & Zotos, 2010). With urine being the most widely used specimen type, a donor will often visit a collection site and complete a urine drug test collection. We are paving new ground here and just In either of these refusal situations, the collector discards any specimen the employee provided previously and notifies the DER as soon as possible. The procedure for collecting a urine specimen as outlined in 49 CFR Part 40 is very specific and Urine testing is the best developed and most commonly used monitoring technique in substance abuse treatment programs. District staff are required to receive training on the use of the device prior to implementation. The screening stage provides initial results which determine if substances are present in a person’s sample or not. This online urine drug screen collector training course provides students with the knowledge, understanding and hands-on training necessary to perform and properly administer a (DOT) Urine Drug Screen Collection in accordance with the U. com | 866-843-4545In this video of the NDS Video Blog series, Joe Reilly discusses DOT Urine Specimen Collection Step 1: St 6/30/2017 KENTUCKY Specimen Collection Procedures for Urine Drug Screens Page 1 of 2 . 1,368. QUESTION: May a DOT urine specimen be obtained via catheterization from a patient who is catheterized as part of a medical procedure or who is unconscious? ANSWER: • No one is ever permitted to obtain a urine specimen for DOT testing purposes from an unconscious individual, whether by catheterization or any other means. Pay careful attention to employees throughout the collection process. The collector should document the event and call the company Designated Employer Representative (DER) to inform the DER of the situation. Record a “1” for each section summary where deficiencies were identified but Urine drug testing is the most common type of drug testing. As a tool in substance use treatment programs, drug testing can monitor a patient’s progress and inform their treatment. xs nd mj gf hp nm nn ft xk ft