2025 Medical Review Officer Online Course with Live Discussion (Includes Digital Syllabus)-Resource Manual

Resource Manual

Pdf Summary

The ACOEM Drug/Alcohol Testing and Medical Review Officer (MRO) Course 2025 MRO Resource Manual is a comprehensive guide covering legal, procedural, and scientific aspects of workplace drug and alcohol testing. The manual is organized into nine main tabs, each addressing critical components of MRO practice.<br /><br />Tab 1 covers foundational drug-free workplace policies, including key regulations such as Executive Order 12564, the Drug Free Workplace Act, the Americans with Disabilities Act (ADA), HIPAA privacy guidelines, and updated HHS Mandatory Guidelines for urine and oral fluid drug testing (October 2023). It also includes agency-specific rules for the Department of Defense (DOD) and the Nuclear Regulatory Commission (NRC).<br /><br />Tab 2 details the Department of Transportation (DOT) drug and alcohol testing rules (49 CFR Part 40 as of January 2020), including agency-specific regulations for FAA, FMCSA, FRA, FTA, PHMSA, and US Coast Guard, as well as recent updates like the DOT oral fluid drug testing rule finalized in late 2024 and clarifications about THC in CBD products.<br /><br />Tabs 3 through 5 focus on specimen collection procedures (urine and oral fluid), forensic laboratory toxicology standards, and alcohol testing including breathalyzer device protocols, SAMHSA advisories on biomarkers, and approved screening instruments.<br /><br />Tab 6 addresses substance use disorders, the roles of Employee Assistance Programs (EAPs) and Substance Abuse Professionals (SAPs), with updated DOT SAP guidelines from June 2023.<br /><br />Tab 7 provides MRO practice guidelines, including ethical considerations, qualifications, opioid prescribing principles, marijuana policy directives, and a summary of state laws affecting workplace drug testing.<br /><br />Tab 8 explores legal and business aspects of MRO work, offering risk management guidance and sample contractual documents.<br /><br />Tab 9 comprises numerous selected articles from the ACOEM MRO Update newsletters spanning 1999 through 2024. These cover evolving scientific findings, regulatory changes, industry trends, and case law in drug and alcohol testing, including recent developments in oral fluid testing, marijuana legalization impacts, opioid epidemic concerns, and testing technology advancements.<br /><br />Overall, the manual serves as an essential, up-to-date resource for MROs, workplace drug testing professionals, and regulatory compliance personnel, integrating regulatory frameworks, scientific research, and practical implementation guidance.

Keywords

ACOEM

Drug and Alcohol Testing

Medical Review Officer (MRO)

Workplace Drug-Free Policies

Department of Transportation (DOT) Regulations

Specimen Collection Procedures

Forensic Toxicology Standards

Substance Use Disorders

MRO Practice Guidelines

Regulatory Compliance