Subpart I - W1 Problems in Drug Tests

Target Language or Knowledge:

As an employee, if the MRO reports that you have a verified _________ or substituted test result, you have refused to take a drug test.
adulterated
As the collector, you must note the refusal in the “____________” line (Step 2), and sign and date the CCF.
Remarks
As an employee, when you refuse to take a non-DOT test or to sign a _______ form, you have refused to take a DOT test. There are no consequences under DOT agency regulations for refusing to take this test.
non-DOT
Discard the insufficient specimen, except where the insufficient specimen was out of __________ range or showed evidence of adulteration or tampering.
temperature
Urge the employee to drink up to 40 ounces of fluid, distributed reasonably through a period of up to _______ hours, or until the individual has provided a sufficient urine specimen, whichever occurs first.
three
What happens when an employee does not provide a sufficient amount of urine for a drug test? If the employee has not provided a sufficient specimen within three hours of the first unsuccessful attempt to provide the specimen, you must discontinue the collection, note the fact on the CCF and immediately notify the ______.
DER
As the DER, when the collector informs you that the employee has not provided a sufficient amount of urine, you must, after consulting with the MRO, direct the employee to obtain, within 5 days, an evaluation from a licensed _________, acceptable to the MRO, who has expertise in the medical issues raised by the employee's failure to provide a sufficient specimen.
physician
There is not an adequate basis for determining that a _________ condition has, or with a high degree of probability could have, precluded the employee from providing a sufficient amount of urine. As the MRO, if you accept this recommendation, you must check the “Refusal to Test” box.
medical
The condition referred to in number 8 includes an ascertainable _________________ condition (e.g., a urinary system dysfunction) or a medically documented pre-existing psychological disorder, but does not include unsupported assertions of “situational anxiety” or dehydration.
physiological
As the __________ physician making the evaluation, after completing your evaluation, you must provide a written statement of your recommendations and the basis for them to the MRO. You must NOT include in this statement detailed information on the employee's medical condition beyond what is necessary to explain your conclusion.
referral
Situation: An employee does not provide a sufficient amount of urine for a drug test. As the employer, when you receive a report from the MRO indicating that a test is __________, you take no further action with respect to the employee. The employee remains in the random testing pool.
cancelled
If an employee has a medical condition that precludes him or her from providing a sufficient specimen for a pre-employment follow-up or return-to-duty test and the condition involves a permanent or long-term disability, the MRO must determine if there is _________ _____________that the individual is an illicit drug user.
clinical evidence
Acute or ___________ medical conditions, such as cystitis, urethritis or prostatitis, though they might interfere with collection for a limited period of time, cannot receive the same exceptional consideration as the permanent or long-term conditions.
temporary
As the employer, if the MRO informs you that a positive drug test was _________, you simply treat the test as a verified positive test.
dilute
As an employer, you must not use a cancelled test for the purposes of a negative test to authorize the employee to perform safety-sensitive functions (i.e., in the case of a pre-employment, ________________, or follow-up test).
return-to-duty