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DRUG & ALCOHOL TESTING


MEASURES TO DETERMINE A LEGITIMATE MEDICAL EXPLANATION FOR A POSITIVE RESULT


Measures to determine a legitimate explanation for a posi- tive psychoactive substances result should follow CAAP 51, 11.7:


When a confi rmed positive result has been returned by the laboratory, the Medical Review Offi cer shall perform the duties set forth in these Guidelines. For example, the Medical Review Offi cer may choose to conduct employee medical interviews, review employee medical history, or review any other, relevant biomedical factors. The Medical Review Offi cer shall review all medical records made available by the tested employee when a confi rmed positive test could have resulted from legally prescribed medication. Evidence to justify a positive result may include, but is not limited to: (a) A valid prescription; or (b) A verifi cation from the individual’s physician verifying a valid prescription.


If the Medical Review Offi cer determines there is no


justifi cation for the positive result, such result will then be considered a verifi ed positive test result. The Medical Review Offi cer shall immediately contact the Supervisor and appropriate management offi cial upon obtaining a verifi ed positive test result; to recommend or take administrative action.


MROs should not be allowed to serve as Designated Employer Representatives.


CERTIFICATION OF LABORATORIES A program should be acceptable as long as its governing authority has certifi cation requirements and inspections similar to DHHS. The GCAA and Authority have certi- fi ed laboratories to conduct testing very similar to DHHS certifi cation requirements.


MINIMUM STANDARDS FOR RETURN-TO-DUTY Minimum standards for return-to-duty should require an aviation personnel who has tested positive or refused to take a psychoactive substance test be evaluated by a Substance Abuse Professional prior to returning to a covered or com- pany position and must successfully pass a return-to- duty test. The aviation personnel must complete the educa- tion and/or treatment as determined by the SAP. The SAP should determine follow-up testing scheduling, times and number of testing. Minimum requirements should require aviation personnel to meet face-to-face with the SAP for clinical assessment and evaluation. Then, the SAP should refer the aviation personnel to the appropriate program for education and/or treatment. Next, the SAP should conduct another face-to-face meeting with the aviation personnel for follow-up evaluation to


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