2025 Medical Review Officer Online Course with Live Discussion (Includes Digital Syllabus)-Tab 6: Urine Specimen Collection

Tab 6: Urine Specimen Collection

Pdf Summary

This document outlines the federal procedures for urine specimen collection for drug testing as mandated by DOT and related agencies, referencing regulations under 49 CFR Part 40. It details the roles, training requirements, and qualifications for collection personnel, emphasizing the need for collectors to complete initial and refresher training, proficiency demonstrations, and error correction if needed.<br /><br />Specimen collection requires specific supplies: a collection kit with specimen bottles, a Federal Custody and Control Form (CCF) with unique ID numbers, temperature devices, and specimen bags. The CCF, available in paper and electronic versions, is crucial for documenting the process, with five copies used for the lab, Medical Review Officer (MRO), employer, collector, and donor.<br /><br />The collection process ensures specimen integrity and identity through strict steps including donor identification check, privacy safeguards, specimen temperature and volume verification within four minutes, specimen sealing, and multiple signatures. Donors provide at least 45 mL urine; if shy bladder occurs, up to 40 ounces of fluids and three hours are allowed with documentation.<br /><br />Three collection types exist: normal (private), monitored (partial privacy with collector nearby), and direct observation (rare, required under suspicion of tampering, out-of-range temperature, or previous test issues). Direct observation requires a same-gender observer and is strictly regulated.<br /><br />Refusals to test include failure to remain on site, provide specimen, cooperate with the process, or permit observation when required. Specimens are rejected if fatal flaws occur, such as mismatched ID numbers, broken seals, or missing signatures. Correctable flaws require written corrections to avoid test cancellations.<br /><br />The document also provides specific guidance on proper CCF completion, specimen security measures, handling special testing circumstances, and distribution of the CCF copies. Self-assessment questions reinforce understanding of critical procedures, including timing for specimen temperature reading, direct observation requirements, and definitions of refusals.

Keywords

urine specimen collection

drug testing procedures

DOT regulations

49 CFR Part 40

collection personnel training

Federal Custody and Control Form

specimen integrity

shy bladder protocol

collection types

test refusal criteria