APPENDIX B: DRUG AND ALCOHOL SCREENING
OMP will provide collection and testing of urine samples for the purpose of screening the Client's employees for the presence of illegal drugs in their system. All tests will follow the Department of Transportation (DOT) protocol. The Client agrees to provide OMP with the name and contact information of the Designated Employer Representative (DER) at the company, and a secondary DER, if the main DER cannot be reached. Federal Rules require that Service Agents like OMP have the name and contact information of a DER at the company who may be reached at all hours that screening may be conducted.
For clients that require non-DOT collection, OMP will provide a 5 to 12-panel urine screen based on the client's drug policy. Negative results will be screened within 24 business hours, and non-negative results will be analyzed and reported by OMP's MRO within 2 to 5 business days.
Laboratory analysis: all samples, unless otherwise arranged, will be tested by a Substance Abuse and Mental Health Services Administration (SAMHSA) approved and regulated laboratory. Samples will be picked up daily by laboratory courier or another approved carrier, which may include FedEx or UPS. Negative results are typically available within 24 hours, and positive results will be returned following Medical Review Officer (MRO) review per DOT protocol, which takes an additional 2 to 5 days. The laboratory will store all positive samples for one year. All Department of Transportation (DOT) urine samples must be tested by SAMHSA-approved laboratories only.
Confirmation of a positive result: the Client agrees that all potential positive drug test results will be reviewed by the MRO, with follow-up contact made with the donor. The purpose of this follow-up interview is to determine the presence of legal medications. Confirmation will be made with the prescribing physician prior to clearing a positive result.
Reporting: negative results will be communicated to the Client by fax or email. Positive results require review by the MRO, which can take an additional 2 to 5 days, and will be communicated by telephone to the Client's approved representative as soon as confirmed, with written confirmation by fax or email.
OMP policy on medical marijuana: use of "medical marijuana" is not grounds for a negative test result per DOT Federal Rules. The Client agrees to abide by all positive result reports from the MRO for marijuana, regardless of claims of medical marijuana use. Unless the Client's company policy states otherwise, OMP will follow all DOT guidelines even on non-DOT specimens. OMP does not accept medical marijuana as a valid reason for a positive test. The Client may choose to override OMP's medical marijuana policy by stating in its company policy that a positive result for this test is acceptable.
OMP policy on prescription medications: it is OMP's policy that, should a donor test positive for a metabolite and have in their possession a valid prescription from a medical doctor that OMP's MRO can confirm with a pharmacy, this information will be reported as negative. However, if the prescription is not legally valid according to the applicable rules or regulations, or is not in the donor's name, this information will be reported as positive.
Collection protocol: all collections, unless accepted under the conditions listed for observed collections below, will afford the donor full privacy and dignity. All services will be provided at the Client's office, the Client's facilities, a Client-designated location, or at an OMP clinic, as requested by the Client. The collection protocol for standard urine collection follows all DOT guidelines. This protocol will be provided to the Client, who may post it in the collection facility for the donor's information.
Observed collections are required by the DOT under certain circumstances, and OMP abides by these rules. Causes for observed collections: a tampered sample, an out-of-range temperature, the donor bringing items to the collection site that are meant to adulterate or substitute the sample, the MRO ordering a collection under direct observation, and whenever the collection is for a return-to-duty or follow-up test. See 49 CFR Part 40.67.
For non-DOT collections, the Client may request that OMP conduct direct observations under the following conditions and only in accordance with applicable laws. Non-DOT direct observation collections are permitted only when: there is a written protocol with the Client that includes written disclosure to the employee, acknowledged by the donor's signature; the Client's representative is contacted for concurrence prior to the collection; the donor is not permitted to leave the collection site until the collection is complete, and leaving early is considered a refusal to test; and an observer of the same gender is always used. Causes for observed collections under this section: an adulterated sample, an out-of-range temperature, a Client request in writing due to suspected adulteration of previous samples, or a Client suspicion that an attempt will be made to adulterate the current sample.
Alcohol testing: OMP's facility follows the DOT/Federal protocol for all regulated alcohol tests. This includes a screening test performed by a trained alcohol testing technician following the 49 CFR Part 40 rules. If the screening test is positive (0.02 percent or higher), Federal Regulations require a 15-minute waiting period and then a confirmation test. When possible, OMP also follows a positive confirmation test with an accuracy/calibration check using an NHTSA-approved standard, such as a compressed alcohol gas tank following the device manufacturer's Quality Assurance Plan.
For non-regulated alcohol tests, OMP will follow the DOT/Federal protocol unless the Client notifies OMP that its company policy specifies a deviation from the federally accepted process. The Client should provide OMP a copy of its full company drug and alcohol testing policy so OMP may follow any specific procedures the Client may have.
Cancellation of dispatch fee: once a technician has confirmed they are en route and provided an ETA, cancelling service between dispatch and arrival follows OMP's current fee schedule.