The Drug Screen form is a crucial document used in the process of drug testing, particularly in employment settings. It ensures that the collection, handling, and analysis of biological specimens adhere to federal guidelines. By maintaining a clear chain of custody, this form helps safeguard the integrity of the testing process and the rights of all parties involved.
The Drug Screen form is a crucial document used in the process of drug testing, ensuring compliance with federal regulations and maintaining the integrity of the testing process. This form is structured to capture essential information about the employer, the medical review officer (MRO), and the donor, including identification numbers and contact details. It outlines the testing authority, which could be the Department of Transportation (DOT) or other federal agencies, as well as the specific reasons for testing, such as pre-employment, random selection, or post-accident scenarios. The form also specifies the types of drug tests to be performed, including substances like THC, cocaine, and methamphetamine. Additionally, it details the collection site information and the procedures that the collector must follow to ensure the specimen is handled properly, including temperature checks and the sealing of specimen bottles. A chain of custody section is included to document the transfer of the specimen from the collector to the testing facility, ensuring that the sample remains secure and tamper-free throughout the process. Finally, the form concludes with sections for reporting results, including negative or positive findings, and any remarks necessary to clarify the testing outcomes. This comprehensive structure is designed to uphold the highest standards of accuracy and accountability in drug screening practices.
What is the purpose of the Drug Screen form?
The Drug Screen form is used to document the collection and testing of a urine specimen for drug use. It ensures that the testing process adheres to federal regulations and maintains a clear chain of custody for the specimen. This form is essential for employers who are required to conduct drug testing for various reasons, such as pre-employment checks or random testing of employees.
Who completes the Drug Screen form?
The form is typically completed by a collector or an employer representative at the time of specimen collection. This individual is responsible for ensuring that all necessary information is accurately filled out and that the collection process follows established protocols.
What information is required on the form?
Key information includes the employer's name and address, the Medical Review Officer (MRO) details, the donor's Social Security Number or Employee ID, the reason for the test, and the specific drugs to be tested. Additionally, details about the collection site and collector must be provided to maintain transparency and accountability.
What are the different reasons for testing that can be indicated on the form?
There are several reasons for testing that can be specified on the form. These include pre-employment testing, random testing, reasonable suspicion, post-accident testing, return-to-duty testing, and follow-up testing. Each reason serves a specific purpose in ensuring workplace safety and compliance with regulations.
What happens during the collection process?
During the collection process, the collector checks the temperature of the urine specimen within four minutes to ensure it falls within the acceptable range of 90° to 100° F. The collector also notes whether the collection was a split or single specimen and may observe the donor during the process, depending on the circumstances. This step is crucial for maintaining the integrity of the sample.
What does the chain of custody mean?
The chain of custody refers to the process of maintaining and documenting the handling of the urine specimen from the time it is collected until it is tested at a laboratory. This process ensures that the specimen remains secure and is not tampered with, thereby preserving the validity of the test results.
What types of results can be reported on the form?
Results can be reported as negative, positive, dilute, adulterated, substituted, or invalid. A positive result indicates the presence of specific drugs, while a negative result means no drugs were detected. If the specimen is deemed dilute or shows signs of tampering, further action may be required, including retesting.
What should I do if my test result is positive?
If a test result is positive, it is important to consult with the Medical Review Officer (MRO) listed on the form. The MRO will review the results and may contact you to discuss the findings. You may have the opportunity to provide additional information or request a retest of a split specimen, if applicable.
How is confidentiality maintained throughout the testing process?
Confidentiality is a priority in the drug testing process. All information collected on the Drug Screen form is handled in accordance with federal regulations, ensuring that personal details are kept secure. Only authorized personnel, such as the collector and the MRO, have access to the results, and they are required to maintain confidentiality at all times.
What should I do if I have questions about the Drug Screen form?
If you have any questions or concerns about the Drug Screen form or the testing process, it is advisable to reach out to your employer or the designated collector. They can provide clarification and guidance to ensure you understand the procedures and your rights throughout the testing process.
When filling out and using the Drug Screen form, it is important to follow certain guidelines to ensure accuracy and compliance. Here are some key takeaways to keep in mind:
Understanding the Drug Screen form is crucial for both employers and employees. However, several misconceptions can lead to confusion. Here are five common misunderstandings:
Many people believe that all drug tests are identical. In reality, different tests can screen for various substances. The Drug Screen form allows for specific drugs to be tested, such as THC, cocaine, and amphetamines. Employers may choose different panels based on their needs.
This is a common fear among employees. However, a positive result does not automatically result in termination. Employers often follow a process that includes a review and confirmation of the results, allowing for due process before any employment decisions are made.
Some individuals think the Drug Screen form is solely for pre-employment situations. In fact, it can be used for various reasons, including random testing, post-accident evaluations, and return-to-duty assessments. This flexibility is important for maintaining workplace safety.
While individuals may feel hesitant, refusing to provide a specimen can have serious consequences. Most employers have policies that outline the implications of refusal, which may include disciplinary action. Understanding the expectations can help alleviate concerns.
Some may believe that following chain of custody procedures is not essential. However, these procedures are critical to ensure the integrity of the testing process. They help prevent tampering and ensure that results are valid and reliable.
Addressing these misconceptions can foster a better understanding of the Drug Screen form and its importance in maintaining a safe and compliant workplace.
FEDERAL DRUG TESTING CUSTODY AND CONTROL FORM
800-877-7484
SPECIMEN ID NO.
STEP 1: COMPLETED BY COLLECTOR OR EMPLOYER REPRESENTATIVE
LAB ACCESSION NO.
Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics Incorporated. © Quest Diagnostics Incorporated. All rights reserved. QD20315-FED. Revised 10/10. SC2K - 111192.
A. Employer Name, Address, I.D. No.
B. MRO Name, Address, Phone and Fax No.
C. Donor SSN or Employee I.D. No. _______________________________________________________________
D. SpecifyTesting Authority: HHS
NRC
DOT – Specify DOT Agency: FMCSA
FAA
FRA FTA PHMSA USCG
E. Reason forTest: Pre-employment
Random
Reasonable Suspicion Cause Post Accident
Return to Duty
Follow-up Other (specify) ____________________________
F. DrugTests to be Performed:
THC, COC, PCP, OPI, AMP
THC & COC Only
Other (specify) ________________________________________________
G. Collection Site Name:
Collection Site Code:
Address:
Collector Phone No.:
City, State and Zip:
Collector Fax No.:
STEP 2: COMPLETED BY COLLECTOR (make remarks when appropriate) Collector reads specimen temperature within 4 minutes.
Temperature between 90° and 100° F? Yes No, Enter Remark
Collection: Split Single None Provided, Enter Remark
Observed, (Enter Remark)
REMARKS
STEP 3: Collector affixes bottle seal(s) to bottle(s). Collector dates seal(s). Donor initials seal(s). Donor completes STEP 5 on Copy 2 (MRO Copy)
STEP 4: CHAIN OF CUSTODY - INITIATED BY COLLECTOR AND COMPLETED BY TEST FACILITY
I certify that the specimen given to me by the donor identified in the certification section on Copy 2 of this form was
SPECIMEN BOTTLE(S) RELEASED TO:
collected, labeled, sealed, and released to the Delivery Service noted in accordance with applicable Federal requirements.
Quest Diagnostics Courier
X
FedEx
Signature of Collector
Other
AM
PM
(Print) Collector's Name (First, MI, Last)
Date (Mo./Day/Yr.)
Time of Collection
Name of Delivery Service
RECEIVED AT LAB OR IITF:
Primary Specimen
Bottle Seal Intact
Yes No
Signature of Accessioner
If No, Enter remarks
in Step 5A.
(Print) Accessioner’s Name (First, MI, Last)
STEP 5A: PRIMARY SPECIMEN REPORT - COMPLETED BY TEST FACILITY
NEGATIVE
POSITIVE for:
Marijuana Metabolite ( 9-THCA)
6- Acetylmorphine
Methamphetamine
MDMA
DILUTE
Cocaine Metabolite (BZE)
Morphine
Amphetamine
MDA
PCP
Codeine
MDEA
REJECTED FOR TESTING
ADULTERATED
SUBSTITUTED
INVALID RESULT
REMARKS:
Test Facility (if different from above):
I certify that the specimen identified on this form was examined upon receipt, handled using chain of custody procedures, analyzed, and reported in accordance with applicable Federal requirements.
Signature of Certifying Scientist
(Print) Certifying Scientist's Name (First, MI, Last)
STEP 5b: COMPLETED BY SPLIT TESTING LABORATORY
RECONFIRMED FAILED TO RECONFIRM - REASON ____________________________________________
___________________________________________
I certify that the split specimen identified on this form was examined upon receipt, handled using chain of custody
procedures, analyzed and reported in accordance with applicable Federal requirements.
Laboratory Name
Laboratory Address
OMB No. 0930-0158
PRESS HARD - YOU ARE MAKING MULTIPLE COPIES
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Incomplete Information: Failing to provide all required details, such as the employer name, donor SSN, or testing authority, can lead to delays or rejection of the form.
Incorrect Specimen ID: Entering an incorrect or missing specimen ID number may cause confusion and hinder the tracking of the sample.
Wrong Reason for Test: Selecting an inaccurate reason for the drug test can affect the validity of the results and the interpretation of the findings.
Temperature Reading Errors: Not reading the specimen temperature within the specified time frame or recording it inaccurately can raise questions about the sample's integrity.
Missing Collector Information: Omitting the collector's name or failing to sign the form can result in complications during the testing process.
Failure to Affix Seals: Not properly sealing the specimen bottles can lead to contamination or tampering, making the results questionable.
Improper Chain of Custody: Neglecting to follow the chain of custody procedures can jeopardize the reliability of the test results.
Not Keeping Copies: Failing to retain a copy of the completed form for personal records can create issues if there are disputes or questions later on.
When filling out the Drug Screen form, attention to detail is crucial. Here are five important guidelines to follow, along with some common pitfalls to avoid:
The Drug Screen form is similar to the Employee Drug Testing Consent Form. Both documents serve as a means to obtain consent from employees for drug testing. The Employee Drug Testing Consent Form outlines the employee's agreement to undergo testing, while the Drug Screen form details the specific procedures and requirements for the testing process. Both forms emphasize the importance of compliance with federal regulations and ensure that employees are informed about the testing process.
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Another document that shares similarities is the Chain of Custody Form. This form is crucial in maintaining the integrity of the drug testing process. Like the Drug Screen form, it documents the handling of the specimen from the point of collection to the laboratory. It includes signatures from individuals involved in the transfer of the specimen, ensuring that proper procedures were followed and that the results can be trusted.
The Medical Review Officer (MRO) Report is also akin to the Drug Screen form. The MRO Report provides a summary of the test results and any medical explanations for positive findings. Both documents involve the MRO's role in interpreting the results and ensuring that the testing process adheres to legal standards. The Drug Screen form collects initial data, while the MRO Report delivers conclusive findings.
Similar to the Drug Screen form is the Pre-Employment Drug Testing Policy. This policy outlines the procedures and expectations regarding drug testing for potential employees. Both documents aim to create a safe and drug-free workplace. The Pre-Employment Drug Testing Policy provides context and guidelines, while the Drug Screen form captures the specific details of the testing event.
The Random Drug Testing Notification Form is another related document. This form informs employees about their selection for random drug testing. Like the Drug Screen form, it ensures transparency in the testing process. Both documents are designed to uphold workplace safety and compliance with regulations, emphasizing the employer's commitment to maintaining a drug-free environment.
The Substance Abuse Policy is also similar to the Drug Screen form. This policy outlines the organization’s stance on substance abuse and the consequences of violations. Both documents work together to promote awareness and compliance among employees. The Drug Screen form provides the mechanism for testing, while the Substance Abuse Policy establishes the framework for addressing substance-related issues.
The DOT Drug Testing Form is another document that parallels the Drug Screen form. This form is specifically used for transportation-related drug testing under Department of Transportation regulations. Like the Drug Screen form, it ensures compliance with federal requirements and outlines the testing process. Both documents are essential for maintaining safety in industries where substance use can pose significant risks.
The Laboratory Test Result Report is also comparable to the Drug Screen form. This report provides the results of the drug tests conducted on the specimens collected. While the Drug Screen form initiates the testing process, the Laboratory Test Result Report concludes it by delivering the findings. Both documents are critical in the overall drug testing procedure and help ensure proper follow-up actions are taken.
Lastly, the Employee Handbook often includes sections related to drug testing policies. This handbook serves as a comprehensive guide for employees, detailing their rights and responsibilities regarding drug testing. Similar to the Drug Screen form, it establishes expectations and procedures to maintain a safe workplace. The Employee Handbook provides broader context, while the Drug Screen form focuses on the specifics of individual testing events.