1. 2001 DOT UPDATE CAREGROUP OCCUPATIONAL HEALTH NETWORK K.Doughty MHA,BSN, RN; Director of Clinical Operations

2. WHY? Respond to input from key stakeholders. Secure donor’s rights. Simplify process and paperwork. Protect society while awaiting confirmation.

3. Public Public Interest Exclusion. Due Process Protection. Penalty 1 - 5 years.

4. Employer Stand-down Waiver Dilute Negative Blind Specimen Testing: –75% neg, 15% pos, 10% adulterated MD referral approval Must carry out plan from previous employer. Background check - 2 year query.

5. MRO Physician licensed in any state. Training and Certification Exam 12 CME every 3 years. Audit: 5% negatives, 100% invalids, substitutions and adulterations. Donor’s Rights Reasonable Effort Non-Contact Positives Opiates Reporting Timelines

6. Laboratory Mandatory Validity Testing PH Creatinine Specific Gravity if Creatinine < 20 Negative Dilute

7. TPA Service Agent Canceled tests do not count toward statistics for testing requirements. C/TPA cannot serve as intermediaries for transmission of lab results to the MRO or SAP reports to the Employer. May act as the intermediary between the MRO and the Employer.

8. Urine Drug Collection New Role: Certified Professional Trainer Primary, Refresher q 5, Remedial w/in 30 Significant Form Changes Empty Pockets Direct Observation: temperature out of range or suspect adulteration or substitution. On-site Documentation

9. Breath Alcohol Testing Initial 2 day training. Retraining every 5 years. Retraining with equipment changes. Remediation within 30 days. Form requires donor’s signature only if 0.02 or higher.

10. SAP Must send donor for education or treatment following a violation. Must mandate some level of assistance. Must prescribe minimum follow-up testing. Must provide a copy to Employer. Plan follows Employee to other Employers.

11. Forms DOT 5 Panel BAT DOT Physical DOT Driver Certification