your error(s) occurred. The person providing the training must monitor and evaluate your performance and attest in writing that the mock collections were error-free. Keep documentation of your error correction training and error correction mock collections.
7. What are your procedures for a shy bladder situation? It is always best to use a Shy Bladder Log. When an individual is unable to produce a urine specimen or provides a specimen that is less than 45 mL, the shy bladder procedures are initiated. Te individual must be monitored, cannot leave the facility, cannot consume more than 45 ounces of fluids, and has up to three hours to provide the required 45 mL of urine. If three hours elapse and the individual has not provided an adequate specimen, the collector should discontinue the collection process. Using the Shy Bladder Log is a best practice, since everything must be documented. Call the Designated Employer Representative (DER) when the event is completed.
8. What are your procedures for a temperature
out-of-range situation? Te acceptable temperature range is 32–38°C/90–100°F. If the specimen temperature is outside this range, you must mark the “No” box (Step 2) and enter in the “Remarks” line your findings about the temperature; you must also complete the first collection and then immediately conduct a new collection using direct observation procedures.4 In a case where a specimen is collected under direct observation because of the temperature being out of range, you must process both the original specimen and the specimen collected using direct observation and send the two sets of
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specimens to the laboratory. Tis is true even in a case in which the original specimen has insufficient volume, but the temperature is out of range. You must also, as soon as possible, inform the DER and collection site supervisor that a collection took place under direct observation and the reason for doing so.
9. When was your last calibration check on your breath alcohol-testing device—Evidential Breath Testing device (EBT)? Calibrations should happen at least every 30 days, and aſter every positive result; making sure to follow the Quality Assurance Program (QAP) for your device. A QAP is a set of criteria used to confirm that the manufacturer has taken steps to provide standards for ensuring the accuracy of each instrument used for testing. An external calibration check is a test of the instrument’s ability to produce a quantitative result consistent within a given tolerance (e.g., .005), of a known alcohol concentration standard. In some EBTs this is automated, and in others it is done manually.
10. Who do you call if there is a problem with a DOT urine collection? Te employer’s DER must be called about DOT urine collection problems. Te DER is an employee who is authorized by the employer to take immediate action(s) to remove employees from safety- sensitive duties—or cause employees to be removed from these covered duties—and to make required decisions in the testing and evaluation processes. Te DER also receives test results and other communications for the employer, consistent with the requirements of this part. Service agents cannot act as DERs. Te DER—not the C/TPA—has ultimate authority over the DOT collection event.
11. What measures does the collection site have in place to insure collection site security and site integrity? Te best practices are to: a. Follow DOT’s 10 Steps to Collection Site Security and Integrity5
b. View the 10 Steps to Site Security and Integrity video6
12. Explain how your collection site handles potential unauthorized access First, follow the 10 steps outlined in part (b) above. Second, make sure all areas are secure and that the collector and donor have privacy for the collection event— there should be no unauthorized access. Specimens ready for pickup should be in a secure area; as well as all files and records. All collection sites must meet the following security requirements by having: a. procedures or restrictions to prevent unauthorized access to the site during the collection;
b. procedures to prevent the employee or anyone else from gaining unauthorized access to the collection materials/supplies. Te collector must also ensure that the employee does not have access to items that could be used to adulterate or dilute the specimen (e.g., soap, disinfectants, cleaning agents, water);
c. procedures to ensure that all authorized persons are under the supervision of a collector or appropriate site personnel at all times when permited into the site; and
d. procedures to provide for the secure handling and storage of specimens.
13. How do you handle a shy bladder situation that occurs one hour before closing time? The collection site facility must provide up to three hours for a DOT urine
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