Medical Review Officer Online Course with Live Discussion (Includes Digital Syllabus)-2020 Online Tab 12

2020 Online Tab 12 - MRO Syllabus

Pdf Summary

The document discusses the use of alternative specimens, specifically oral fluid and hair, for drug testing purposes. It provides information on the collection methods, guidelines, and testing procedures for both oral fluid and hair specimens.<br /><br />For oral fluid collection, the collectors must be trained and follow specific guidelines. The collection sites and supplies for oral fluid collection should meet certain requirements, including privacy and restricted access. The collection device used must be an FDA-cleared single-use device that maintains the integrity of the specimen. The document also outlines the step-by-step procedures for oral fluid collection, including rinsing the mouth, positioning the collection device, and sealing the specimen for transport to the laboratory.<br /><br />Regarding hair collection, the document explains that it is a less invasive method and allows for multiple sampling to assess a person's drug use history. It provides instructions for collecting hair specimens, including cutting near the scalp and using a foil packet for storage. The document also discusses the pharmacology of hair and how drugs are incorporated into the hair shaft.<br /><br />The document highlights the similarities and differences between urine and hair testing, including the higher detection rates for drugs in hair specimens. It also presents data on positive prevalence rates for both urine and hair specimens.<br /><br />The document mentions 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 outline the collection, analysis, and reporting processes for oral fluid testing. It also states that the guidelines may impact non-federal workplace drug testing programs that reference the HHS guidelines.<br /><br />Overall, the document provides a comprehensive overview of alternative specimen testing methods and their implications for drug testing programs.

Keywords

alternative specimens

oral fluid

hair

drug testing

collection methods

guidelines

privacy

detection rates

positive prevalence rates

comprehensive overview