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 titled "ALTERNATIVE SPECIMENS: ORAL FLUID AND HAIR" provides information on the collection and testing of oral fluid and hair specimens for drug testing purposes. The document covers various topics, including specimen collection procedures, required supplies, laboratory testing, and the pharmacology of oral fluid and hair. <br /><br />In terms of oral fluid collection, trained collectors must follow specific guidelines and procedures for proper collection. Collection sites and supplies must meet certain requirements, and an FDA-cleared collection device is used to maintain the integrity of the specimen during storage and transport. The document also outlines the step-by-step procedures for collecting oral fluid specimens, including rinsing the mouth, observing the donor, and sealing the specimens for testing.<br /><br />Regarding hair collection, specific supplies are needed, such as disposable gloves and scissors. The length and quantity of hair samples required are also specified. The document provides detailed instructions on how to collect hair specimens, including the use of foil packets and specimen envelopes.<br /><br />In terms of laboratory testing, the document provides information on the screening and confirmation cut-offs for various drugs in oral fluid and hair specimens. It emphasizes the use of mass spectrometric procedures for confirmation testing and the importance of chain of custody and quality control protocols.<br /><br />The document also includes information on the pharmacology of oral fluid and hair, including how drugs are incorporated into these specimens and the factors that can affect drug detection.<br /><br />Lastly, the document mentions the Oral Fluid Mandatory Guidelines for Federal Workplace Drug Testing Programs, which allow federal agencies to use oral fluid specimens for testing. It highlights the similarities between oral fluid and urine testing procedures and the potential benefits of using oral fluid specimens, such as decreased manipulation and subversion of the testing process and a perceived less invasive collection process. The document concludes by stating that the implementation of oral fluid testing may impact non-federal workplace drug testing programs and federal agency testing programs, potentially leading to cost savings and improved detection windows for drug use.

Keywords

ALTERNATIVE SPECIMENS

oral fluid

hair

specimen collection

drug testing

collection procedures

laboratory testing

pharmacology

mass spectrometry

chain of custody