Medical Review Officer (MRO) Assistant Training-2020 Tab 10 MRO-A Combined

2020 Tab 10 MRO-A Combined

Pdf Summary

The document summarizes the guidelines for the collection and testing of alternative specimens, specifically oral fluid and hair, for drug testing in workplace programs. The guidelines and procedures for collecting oral fluid specimens include training requirements for collectors, the use of FDA-cleared collection devices, and the need for split specimen collection. The collection process involves visual inspection, rinsing the mouth with water, and the donor positioning the collection device in their mouth. The collected specimen is sealed and sent to an HHS-certified laboratory for testing. The document also highlights the procedures for collecting oral fluid specimens from donors with dry mouth and emphasizes the need for urine specimen collection if oral fluid collection is not possible. <br /><br />For hair specimen collection, the document outlines the process of cutting the hair near the scalp, storing it in a foil packet, and sealing it in an envelope for shipment to the laboratory. The document mentions the challenges associated with collecting body hair, detecting artificial hair, and handling closely braided hair.<br /><br />The document also provides information on the laboratory testing of oral fluid and hair specimens. The testing procedures involve initial immunoassay tests followed by confirmation using mass spectrometric procedures. Cut-off levels for different drugs are specified, and the document mentions the challenges of external contamination in hair testing.<br /><br />Additionally, the document compares the detection rates of drugs in hair and urine specimens, highlighting the higher prevalence of positives in hair testing for most drugs. It also includes statistics on drug detection rates in Brazilian drivers.<br /><br />The document provides an overview of the recently published Oral Fluid Mandatory Guidelines for Federal Workplace Drug Testing Programs, which allow federal agencies to use oral fluid specimens for drug testing. The guidelines parallel existing urine testing procedures and address specimen collection, laboratory analysis, medical review, and MRO requirements. The document mentions the potential benefits of using oral fluid testing, such as decreased manipulation and subversion of the testing program, cost savings, and a perceived less invasive collection process. The document concludes by stating that the guidelines may also impact non-federal workplace testing programs that reference the HHS guidelines.

Keywords

oral fluid

hair

drug testing

collection guidelines

urine specimen collection

hair specimen collection

laboratory testing

detection rates

Federal Workplace Drug Testing Programs

HHS guidelines