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tests and whether these tests will be for drugs, alcohol, or both, unless otherwise directed by the appropriate DOT agency regulation. For example, if the employee had a positive drug test, but your evalua- tion or the treatment program profession- als determined that the employee had an alcohol problem as well, you should require that the employee have follow-up tests for both drugs and alcohol. 49 CFR Part 40.307(c) (3) You [as the


SAP] are not to establish the actual dates for the follow-up tests you prescribe. Te decision on specific dates to test is the employer’s.


QUESTION: What exactly is an IITF used for?


ANSWER: An IITF (Instrumental Initial Test Facility) is used to conduct initial


drug testing. However, if the initial test indicates a non-negative drug screen, then the sample must be sent to a certified lab to do the confirmation testing. IITFs are approved for HHS drug testing, but not for DOT drug testing.


QUESTION: If a donor arrives at a collec- tion facility for a DOT drug test and she makes an unsuccessful atempt to provide a sample (and therefore enters into a shy bladder situation) what should I, as the collector, do if aſter two hours the donor provides a specimen that is out of tempera- ture range?


ANSWER: You should package the initial specimen for shipping and then instruct the donor that she now has to provide a specimen under direct observation within the next one hour.


QUESTION: Do collectors sign the CCF in situations in which a urine specimen is not provided during a collection (i.e., a refusal to provide a specimen; a shy bladder situation)?


ANSWER: • In any such case, the collector would check the box in Step 2 of the CCF indicating that no specimen was provided and enter an explanatory remark.


• Te collector would then provide his or her name and signature in Step 4 of the CCF.


• Te employee’s name and phone number should be included on the MRO copy.


• Te collector would then transmit the CCF copies to the appropriate parties (e.g., employer, MRO). ❚


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