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SPEGIMEN COLLECTION PROCEDURE <br />INSTRUCTION/INFORMATION TO THE DONOR <br />These procedures are designed to promote confidentiality and privacy for the employee while assuring the integrity of the specimen and the collection process. lt is <br />imperative that, for their own protection, applicants and employees fully cooperate with the procedures. <br />BRING ALONG A PHOTO lD. The collection site is not permitted to accept your specimen without it. ln rare instances where the employee is unable to produce lD <br />due to injury or the like, the personal identification by a high level supervisor may be accepted. Without positive identification, the specimen collection cannot take <br />place. <br />O Do not prepare for the test by drinking large amounts of fluid. A diluted specimen may not be accepted by the laboratory and can be considered grounds <br />forAwitnessingG future specimen collections. <br />O Relax. The system has been established in the favor of the employee. You should expect to be allowed privacy and be treated with respect by the <br />collection agent. <br />O Upon arrival at the collection site, present a photo lD and inform the receptionist that you are making yourself available at the request of Visu-Sewer for <br />testing. Present any documents provided by Visu-Sewer and tell him/her that you are having a drug test specimen and/or breath alcohol test. You may <br />also request the collection agent to provide positive identification and qualifications to you. <br />O ln an appropriate dressing area, you will be instructed to remove all outer garments and leave those, as well as all parcels, briefcases, or purses outside <br />the collection area. You may be asked to iurn your pockets inside out. Your wallet will be reiained in a locked box and the key given to you during <br />collection. <br />B You will be asked to choose a container package from a box holding a number of containers. Check to see that the package is sealed. lf the package is <br />tom or has already been opened, the container may be non-sterile or contaminated and you should ask to choose another container which is still sealed. <br />ln the event you have been given a container by Visu-Sewer to present to the collection agent, the seal on the package must be intact to be used for the <br />testing procedure. <br />D You will be required to compleie and execute testing and chain of custody forms to certiry your consent to submit to tesling and that the identirying <br />information provided on the forms is true and conect. <br />D You will be escorted into a prepared collection area. No prior access to the collection area is allowed. <br />D You will be asked to wash and dry your hands well. The collection agent may check your fingernails for remaining soap or other chemicals or debris. <br />Access to running water, soap, cleaning fluids and the like will be eliminated. <br />tr The collection agent will place blue dye in the toilet tanubowl in the collection area. <br />D The collection agent will then escort you into the collection area which will protect your privacy with a door or a privacy partition. <br />tr DOT requirements state that approximately 45 mls of urine be collected in one urination. lf the amount is slightly lower, it may be accepted. lf an <br />insufficient quantity is collected, you may be asked to provide a second specimen. <br />3 The collection agent will then accept lhe specimen from you, ask you to wash your hands and accompany him/her to a prccessing area. <br />D The collection agent will record lhe temperature of the specimen from the indicator on the collection bottle. This must be done within four minutes of <br />urination. lf the temperature is not between 90 "F and 100"F, the collection agent will ask you to submit to having your oral temperature taken. lf your oral <br />temperature and that ofthe specimen do not match, you may be asked to submit a second specimen, this time in the presence of the collection agent or <br />his/her supervisor. <br />E lf the temperature of the specimen is outside normal range and not confirmed by oral iemperature, if your specimen is being collected as a post-treatment <br />monitoring specimen, or if any previous specimen produced suspicion of adulteration, you may be asked to submit a witnessed collection. Witnessed <br />collection means that a collection agent of the same gender will accompany you into the submission area and must visually monitor lhe submission <br />assuring that the specimen is unadulterated. <br />D The collection agent will open your specimen container and pour off approximately 15 mls of the specimen into the split specimen container. <br />D The collection agent will then seal the specimens with tamper proof tape and ask that you initial the specimens in at least one, often several, places. <br />D The Chain of Custody form will be completed. You will be asked to sign your name, record your social security number and home phone number. Your <br />signature attests to the fact that the specimen is yours, that it is fresh and unadulterated and that all information on the bottle and the documents is <br />correct. lt gives permission for the analysis of the specimen and the conveyance of results to the MRO and employer. <br />O The specimen and the Chain of Custody form will then be placed in a secondary container, often a shipping container and you may be asked to initial the <br />seal on that container as well. <br />O Collection is complete and you may go. <br />APPENDIX J