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<br />American College of Occupational and Environmental Medicine (ACOEM). He <br />provides a medical review on all test results issued by the laboratory as follows: <br /> <br />1. If the laboratory result is negative, the review is completed and a negative <br />result is mailed. <br />2. If the laboratory result is positive, adulterated, substituted, or invalid, the MRO <br />will: <br />a. Make one attempt to contact the donor by telephone to inform him of the <br />results and complete an interview to determine whether a legitimate medical <br />explanation exists for the result reported by the lab. <br />b. If he was able to leave a message, but unable to talk to the employee by <br />10:00AM of the following workday morning he will call the employer to report <br />the results. In any case, the employee always has the opportunity to discuss <br />the test results with the MRO. <br /> <br />Specimen Retest Protocol <br /> <br />titution, the employee/worker has 72 <br />hours from the time of notification to request a retest of his specimen at a different <br />SAMHSA laboratory. The cost of the test will be the responsibility of the <br />employee/worker. The employee may make the request verbally or in writing and <br />make proper arrangements for payment with the MRO service. If the result of the <br />retest is different from the original result, the test will be cancelled, and a recollection <br />will be needed. <br /> <br />Alcohol Testing Procedures <br /> <br />1. Employees involved in an accident/incident, or who are demonstrating <br />reasonable suspicion shall be required to take an alcohol test. <br /> <br />2. Tests for alcohol shall be performed using the breath or blood to determine a <br />BAC (blood alcohol content). If possible, a Breathalyzer type instrument <br />conforming to DOT standards should be used. If that is not available, then a <br />blood draw may be used. Failure to provide a sufficient breath sample to <br />complete a breath test or refusing to provide a blood sample will be <br />test. <br /> <br /> <br /> <br /> <br /> <br />