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Browning Chapman, LLC <br />DRUG FREE WORKPLACE POLICY <br />Chapter 5 Page 15 of 477 © Safety Resources, Inc. 2016 <br /> <br />d. A donor will have up to two hours to provide a specimen. If he leaves before two hours and does not <br />give a sample, he will be considered having refused to test. The donor will be afforded privacy for the <br />urine collection unless the collector observes evidence of an employee’s attempt to tamper with a <br />specimen, or the temperature range of the original specimen was out of normal range, or the specimen <br />appeared to have been tampered with, or the specimen was determined invalid by the laboratory. <br /> <br />e. Upon completion of testing the donor will be given a copy of form CCF (Custody and Control Form) <br /> <br />2. Laboratory Testing Procedures: All substance analysis will be done in SAMHSA laboratories certified by DHHS <br />(Department of Health and Human Services). Laboratory procedures will include: <br /> <br />a. Initial screen on each specimen. In the event that the initial test is positive a confirmation test will <br />automatically be performed using the GCMS method. A test is considered positive if the detected level <br />of the drug is at or above the cutoff level listed herein. CCS recommends that no adverse action or <br />discipline be taken against any worker or applicant for employment on the basis of any positive test that <br />has not been “confirmed”. <br /> <br />b. Validity testing on each specimen will automatically be performed. Each specimen is measured for <br />creatinine level, specific gravity, and pH to determine if any of the following occurred: <br /> Adulterants or foreign substance were added to the urine; <br /> The specimen was substituted; or, <br /> The urine was diluted. <br />c. The laboratory will report all results to the MRO (Medical Review Officer). The MRO will make a final <br />determination as to the verified result and the results will be reported to the designated contractor’s <br />employee representative. <br /> <br />3. MRO Procedures: All drug testing shall come under the control and supervision of a physician with <br />confidentiality protected in accordance with state law and the “American Medical Association’s Code of Ethical <br />Conduct for Physicians Providing Occupational Medical Services” or the Medical Review Officer Manual, as <br />developed by the National Institute on Drug Abuse (NIDA). All testing results shall be verified by a MRO. The <br />MRO is a licensed physician responsible for receiving laboratory results generated by a substance abuse testing <br />program, who has knowledge of substance abuse disorders, and who has received appropriate medical training <br />to interpret and evaluate an individual’s medical history, and any other relevant biomedical information, as <br />certified by either the American Medical Association (AMA) or the American College of Occupational and <br />Environmental Medicine (ACOEM). He provides a medical review on all test results issued by the laboratory as <br />follows: <br />a. If the laboratory result is negative, the review is completed and a negative result is mailed. <br /> <br />b. If the laboratory result is positive, adulterated, substituted, or invalid, the MRO will : Make one attempt <br />to contact the donor by telephone to inform him of the results and complete an interview to determine <br />whether a legitimate medical explanation exists for the result reported by the lab. If he was able to <br />leave a message, but unable to talk to the employee by 10:00 AM of the following workday he will call <br />the employer to report the results. In any case, the employee always has the opportunity to discuss the <br />test results with the MRO. <br /> <br />c. If the laboratory reports an invalid result to the MRO, the MRO will contact the employee and inquire as <br />to medications the employee may have taken that may interfere with some immunoassay tests. If the <br />employee provides an acceptable explanation, the test will be canceled and no further testing will be <br />required unless a negative result is required to obtain a valid CCS card. If the employee is unable to <br />provide an acceptable explanation and denies having adulterated the specimen, the test will be <br />canceled, and a second collection must take place immediately under direct observation.