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 Secure Results LLC, Drug Testing Services
Volume 2.1 April 2011

IMPORTANT MESSAGE!

 

Starting 2011 all companies who are set up for DATA reporting will be switched to Web Reporting. To review your results click on the Secure Web Reporting link at secureresults.net (instead of the Secure Test Results) Your username and password will remain the same. Please call Secure Results if you have any questions about this change.  215-343-8300

In This Issue
Quick Links
 


Secure Results Enrollment Form

 

 

Drug - Free Workplace

 

 

Find Treatment For Employees

 

 

Free Vibe

 

 

National Clearinghouse for Alcohol and Drug Information

 

 

Teen Drug and Substance Abuse

 

 

The Family Compass - Substance Abuse Treatment Centers

 

 

DATIA: Drug and Alcohol Testing Industry Association

 

 

Federal Motor Carrier Safety Administration

 

 

Procedures for DOT Drug and Alcohol Testing Programs

 

 

School Related Drug Testing

 

 

SAPAA

 

 Department Of Transportation

Your Company's DOT Drug and Alcohol Policy - Part Two  

Circumstances That Require Testing - Cont'd


Post Accident:

According to FMCSA (Federal Motor Carrier Safety Administration) regulation 49 CFR Part 382.303, the surviving driver is tested if; "there is a fatality; or the driver is cited for a moving violation AND either: the vehicle is towed from the scene; or someone is medically evacuated from the scene. " The alcohol test must be conducted within eight hours and the controlled substances test must be conducted within 32 hours of the crash. Again, all of the terms and conditions of who you will be testing and under what circumstance must be defined in your policy.

Return to Duty:

An employee is subject to return to duty testing when they have violated any of the Drug and Alcohol rules. The employee must be observed when the test is conducted. Once the employee has returned they are subject to unannounced follow up drug and alcohol testing "no less than 6 times during the first 12 months of active service with the possibility of unannounced testing for up to 60 months. These tests will be directly observed. (US DOT 'What Employees Need to Know about DOT Drug and Alcohol Testing')."

 

Follow-Up: This testing goes along with the return to duty testing. Again, an employee is subject to follow up testing at least 6 times in the first 12 months and for as long as 5 years. Like the return to duty test this test is observed. The amount of testing you must undergo is determined by a Substance Abuse Professional.

So They Tested Positive, Now What?

If a DOT employees tests positive (or refuses to take a test) they need to be removed immediately from their safety sensitive position. According to the Department of Transportation the employee cannot return to work until they have been evaluated by a Substance Abuse Professional, successfully completed treatment and taken a return to duty test. Again, once an employee who has tested positive returns to work they are subject to unannounced follow up testing. It is in the DOT regulations that the employee must be removed from the DOT safety sensitive position they hold; the DOT does not regulate decisions to hire, fire or allow a leave of absence (for treatment purposes). Any employment decision that you make based on the outcome of a test is subject to be contested. For this reason your Drug and Alcohol Policy needs to be outlined clearly. It is also important to be fair and consistent in your policy. For questions, to find out more about creating a Drug and Alcohol Policy for your company or to go over your current policy, feel free to contact Secure Results.
When is FMCSA Post Accident Testing Required? 

According to 49 CFR Part 382.303, a post-accident test is required when the following conditions apply:

 

 

Accident occurred on a public road with any of the following:

Citation issued to the CMV driver

 

Employer to perform DOT drug and alcohol test.

Human fatality

 

YES →

 

YES

NO →

YES

 

Bodily injury to anyone involved in the accident that resulted in immediate medical treatment away from the accident scene.

 

YES →

 

YES

NO →

NO

 

Any vehicle disabled that required to be towed away.

YES →

 

YES

NO →

NO

 


(Office of Drug and Alcohol Policy & Compliance - ODAPC Dispatches July 14,2006)


 

Thwarting Drug Test Cheaters

by Aaron Atkinson on January 4, 2011

 

Employers who drug test their applicants and employees depend on the results of these tests to help ensure safer, more productive, drug free workplaces. With this in mind, employers must do everything possible to prevent drug-abusing workers and job applicants from successfully altering test results and thus undermining the benefits of their drug testing program. The information below lays out the arsenal of options that can help employers to thwart the efforts of drug test cheaters.

  

How Do Cheaters Cheat?

 

There are three methods of cheating on a urine drug test-dilution, adulteration and  

substitution. With each method there are countless products, advice lines, websites and other sources of information that offer to help people successfully pass a drug test they should be failing.

In the dilution method the user must consume large amounts of liquid prior to the collection of a urine sample. The liquid is usually water... perhaps with a "cleansing"/"flushing" product mixed in and often followed by the consumption of more water. This is done to dilute the drug concentration in the urine specimen. And while a water-diluted urine specimen does not automatically mean the individual is a drug user or a "cheater", some employers require the collection of a second specimen before making a hiring decision.

With the adulterant method the donor adds something to the urine specimen, in the privacy of the bathroom. This method requires the donor to smuggle the adulterant into the stall where the specimen will be voided. Often the individual will hide it inside their underclothing or somewhere else on their body.  Common household products that have been used as adulterants include bleach, vinegar, juices, eye drops, dish soap, and even drain cleaners. There are also a variety of commercial products that claim to mask the presence of drugs in a person's urine.

The substitution method is the process of substituting one person's urine with that of someone (or something) else's. Some people have even resorted to injecting someone else's urine directly into their bladder. Synthetic urine or replacement urine is often available on the Internet though there are countless examples of donors using the urine of a family member or friend.

 

Fighting Back

 

Specimen Validity Testing

[Adulterant testing] offers a way to keep drugs, and the substances that can alter test results, out of the workplace. When you request TestSureTM, your specimen will be screened for a variety of adulterant compounds by using state-of-the-art secondary testing methods. The results are provided to the medical review officer or the customer for interpretation.

Policies

Every drug-free workplace policy should prohibit any attempt to adulterate or substitute a drug test sample and clearly articulate the consequences for cheating. Consider adding language such as the following:

"Switching, tampering with or adulterating any specimen or sample collected under the Company's policy for the purpose of testing for drugs, or attempting to do so, or assisting another in an attempt to do so, is prohibited. Any such effort will result in disciplinary action up to and including termination."

Some state laws consider drug cheating a crime. Check with all applicable state laws prior to revising your drug testing policy.

 

 

Observed Collections

 

 

 

Observed collections are another way to fight drug test cheating. The U.S. Department of Transportation (DOT) requires collections to be observed in myriad circumstances, including in the case of return to duty and follow-up tests. Some state laws do not permit observed collections for non-DOT collections. Check all applicable state laws before implementing an observed collection policy.

 

Collection Precautions
 

What else can employers/collectors do?

  • ensure that the collection space is secure,
  • add colored dye to toilet water in the donor stalls,
  • turn off running water during the collection process,
  • ask donors to leave outer clothing such as coats and jackets outside the stall, and
  • read the temperature of all samples immediately after voiding (often when a foreign substance is added to urine it will affect the sample's temperature... if it's too low or high, it likely has been tampered with).
  • 

Oral Fluid Testing

Another way to combat cheating on urine drug tests is to conduct oral fluid testing. While website after website will offer advice on how to beat a urine test it's almost impossible to find information on how to beat an oral fluid test. Lab-based oral fluid testing, in particular, has proven to be a reliable and accurate testing method and, to date, has not been scientifically proven to be susceptible to standard cheating practices and products, which are geared toward urine testing.

 

Conclusion

Some people will try almost anything to beat a drug test. Do yourself a favor and visit some of the websites that offer advice and/or sell products that promise would-be cheaters a safe drug test result, create a solid workplace drug testing policy, and finally, consider adding TestSureTM to your testing regimen as a way to help ensure a valid and accurate drug test.

 

Written by guest contributor Bill Current.

 

(Quest Diagnostics, Drug Testing Blog:Drug Testing News and Information)

 

 

 Impacts of Panel Changes - The First Three Months

by Aaron Atkinson on January 25, 2011

On October 1, 2010, the revised HHS Mandatory Guidelines for Federal Workplace Drug Testing Programs and the revised DOT 49 CFR Part 40 rules took effect. After three months of data, we have findings from our DOT regulated results to report:

As the cutoff levels for urine drug tests were lowered for cocaine metabolite and amphetamines (amphetamine and methamphetamine), making the testing more sensitive, it's not surprising that we are seeing increased positivity for these testing groups. In the first 90 days of testing, cocaine positivity is up 36% and amphetamines positivity is up 33%. We also continue to see an up tick in the percentage of specimens that screen positive for amphetamines, but fail to confirm by GC/MS. An obvious implication of these increases include an increase in turnaround times as additional confirmatory testing is being performed. Additionally, customers should anticipate additional MRO reviews (due to the increased incidence of confirmed positives.)

While the additional test for MDMA has yielded a positivity rate similar to historical non-regulated data (0.004%), the test for 6-AM has provided an interesting preliminary observation. Not only are we finding more positive test results for 6-AM (0.011%) than expected, many of the confirmed positive tests for 6-AM are not testing positive for morphine, leading one to believe that this test may be detecting more heroin use than previously suspected, based on urine tests. Consequently, it appears that a separate screening test for 6-AM may be proving effective at catching more heroin users.

 

(From DATIA,  January 27, 2011)

 

Drug of the Month: Cocaine

Commonly known as: coke, nose candy, crack, snow, white candy, C, flake, freebase, toot, blow and rock.
  
What to Look For: Glassine envelopes, razors, small spoons, bitter white crystalline powder, granular rocks.
  
Physical Symptoms: Short-lived euphoria changing to depression, irritability, nervousness, tightness of muscles.
  
Time Detectable:
Benzoylecgonine is detectable in the urine for 1 to 3 days, in the hair up to 90 days (depending on hair length) and in oral fluid for 24-36 hours.
  
Dangers: Shallow breathing, fever, anxiety, tremors, possible death from convulsions or respriatory arrest.
  
(Quest Diagnostics, Common Drugs of Abuse)
  
  

 Arizona Proposition 203

Arizona Proposition 203, just barely passed, asking the state's voters to make medical marijuana legal. The new law will enable physicians to prescribe two and a half ounces of marijuana every two weeks to "patients with serious debilitating illnesses, including HIV/AIDS, glaucoma, Alzheimer's, Crohn's disease, cancer and multiple sclerosis. Patients who live more than 25 miles away from a licensed dispensary are allowed to grow up to 12 plants in their home as long as they have a permit and doctor's consent." Employers would not be able to terminate a cardholder nor would they be able to discriminate in hiring employees.