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enclosure checked beforehand to remove soap, add bluing, turn off water, or to even check if the room was in use. I was directed to head down the hall, turn the corner and the bathroom would be on the leſt. Upon handing me the collection cup, the collector told me to not wash my hands in the enclosure (because he said the water was off—there was no evidence of water being off), not to flush, and that I could wash my hands at the sink in the paperwork area aſterward. Aſter I returned to the collector and he poured the sample into the specimen containers, he proceeded to pour the remaining specimen in that sink. Tankfully, he did not instruct me to wash my hands at that time. He did not return to the enclosure to flush or to check for signs of tampering, just gave me my copy and said I could leave. Another person had exited the enclosure just before my arrival. Tere was a paper towel holder and soap in the enclosure, and soap bubbles were still evident from prior user. Tis collection site will receive a return visit this year. Tere have been sites where the toilet

tanks were not secured at all, and others secured like Fort Knox. I’ve seen water with zero bluing, tinted faintly blue, and deep cobalt. I’ve been directed to leave my purse and belongings out on a counter in an area open to other patients and collection kits

12 datia focus

and specimen botles have been opened when I was not present. One collection site had such a loud fan, which turned on automatically with the light switch, that I could have been opening crinkly packages of adulterants and never be heard. Te first ‘shy bladder’ test went very well.

Te goal was not to prolong the scenario for the full three hours, but simple to indicate I could not ‘go’ yet and see what the collector says and does. She explained in detail how she could not combine separate voids until the required amount was collected, and suggested having some water and waiting a bit until I thought I could provide a sufficient sample. I was directed to the waiting room, where each seat was in full view of the front desk. As the collector called other people for their drug tests, each time she gestured to me to inquire if I was ready yet. Aſter about a half hour I indicated yes, and a rather uneventful collection followed. The FTA maintains a full-fledged

clandestine collection site inspection program in addition to standard evaluations. During their clandestine audits, through over 600 reviews reported in the FTA Drug & Alcohol newsletter in 2015, the auditors found that 38% have failed to check pockets, 44% of enclosures were not secured against paraphernalia or adulterants

such as cleaning supplies, and 32% have failed to require hand washing. An earlier report showed that 7% of collectors had failed to identify donor. Employees, businesses, and the public deserve better. Review your collection sites to ensure

the integrity of your program. Te “10 Steps to Collection Site Security and Integrity” is a baseline, not the goal. Use clandestine or announced audits— either one will help you. Planned audit questionnaires are at htp://transit-safety. ſ Document your findings—both good and bad, and follow up with your collection sites. Let them know the problems you found and celebrate great collectors! ❚

Barbara Martin, C-SAPA, is a drug and alcohol program manager with over a decade of experience with DOT testing, non-regulated test- ing in 30 states, substance

program administration, and policy develop- ment. Today, Barbara is the drug and alcohol program manager for Advanced Disposal. She has a broad working knowledge of laws and regulations relating to the testing of controlled substances and for the misuse of alcohol. Martin conducts undercover drug and alcohol collection site audits in numerous states.

summer 2016

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