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confidentiality that you would want and expect
for yourself.
Medical Review Officer (§382.407).
The MRO is the only individual in the
controlled substances testing process with
access to all the items of information provided during the procedure, including receiving test
results from the laboratory and any privileged
medical information from the driver. It is the
MRO who passes on individual test results to
the driver and the employer. The regulations
specify the manner in which test results are to
be transmitted to the employer. The MRO may
initially report to the employer using secure
and confidential messenger, fax, telephone,
electronic transmission or any other secure,
confidential communications device. In all
instances of any test result (e.g., canceled,
negative, and positive), the initial report to the
employer must be followed by a written
document within 3 business days of the MRO
review. This document must be signed by the
MRO, or for negative results, rubber stamped
by the MRO's staff.
The MRO must maintain all dated
records and notifications for verified positive
controlled substances test results, identified by
individual, for 5 years.
The MRO must maintain all dated
records and notifications for negative and
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cancelled controlled substances test results,
identified by individual, for 1 year.
The MRO must not release the
individual controlled substances test results of
any driver to any person without specific,
written authorization from the tested driver.
However, the MRO must release driverspecific
results to the driver's employer or Federal, State, or local officials with regulatory
authority over the controlled substances testing
program. (§382.409(c))
Section 4. TESTING
LABORATORY PROCEDURES
Section 40.43 of the DOT regulation
requires your testing laboratory to maintain a
clear and well-documented procedure for
collecting, shipping and processing urine
specimens. The Federal Drug Testing Custody Form (CCF) (§40.45) must be used
to document every urine collection required by the DOT drug testing program and
split specimen collections shall be conducted (§40.71(a)). The Custody and Control
Form (CCF) is a five-part carbonless manifold form.
· Copy 1 of the CCF and the two specimen containers are placed in
plastic pouches and inserted in a shipping
container for shipment to a Department of Health
and Human Services laboratory (DHHS). Copy 2 of the CCF goes to the MRO.
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