OPAM Workshop: Medical Review Officer Training Course: Toxicology Testing and the MRO, A Physician's Role in the Prevention and Treatment of Substance Abuse-285274

Video Transcription

Video Summary

Donna Smith, a Regulatory Compliance Officer at Workforce QA, presented a module on forensic urine collections for a medical review officer training course. Her focus was on the Department of Transportation (DOT) Drug and Alcohol Testing Rules, specifically detailed in 49 CFR Part 40, which outlines procedures for conducting drug and alcohol tests under DOT regulations.<br /><br />The module covered the specifics of the forensic urine collection process, including the identification of collectors, site requirements, and necessary supplies. It emphasized the importance of maintaining a strict chain of custody and adherence to procedures to ensure the integrity and security of the specimen. The process includes checking the urine sample’s temperature within four minutes and following detailed steps for specimen handling to prevent adulteration or substitution.<br /><br />Collectors play a crucial role, initiating and documenting the proper chain of custody and ensuring no unauthorized access to the collection area. They must be qualified through training courses, which include proficiency demonstrations. Every five years, they must renew their training, and they may also need error correction training if a collection error occurs.<br /><br />The presentation also highlighted the site requirements for collections, considerations for security, the use of collection kits, and the steps for handling special situations like direct observation collections and inadequate samples. It concluded by detailing fatal and correctable flaws in the collection process and emphasizing the importance of following specific protocols to safeguard the accuracy and legality of drug testing under federal authority.

Keywords

Regulatory Compliance

Forensic Urine Collections

Medical Review Officer

Department of Transportation

49 CFR Part 40

Drug and Alcohol Testing

Chain of Custody

Specimen Integrity

Collector Training

Collection Site Requirements

Error Correction Training

Federal Drug Testing Protocols