Observed & Monitored Collections Flashcards

Which of the following is NOT a valid regulatory reason to require a direct observed collection under DOT Part 40?

Answer: The employer has a company policy requiring observed collections for all tests

Employers cannot unilaterally mandate direct observation for all tests; only specific regulatory circumstances defined in DOT Part 40 authorize observed collections.

After a laboratory reports a specimen as substituted (creatinine 1.020), what collection method is required for any subsequent test?

Answer: Direct observed collection

Following a substituted result, all subsequent specimens from that donor must be collected under direct observation to prevent another substitution attempt.

The collector must brief the observer before a direct observed collection. Which specific instruction must the collector provide?

Answer: To watch for any foreign object or device used to introduce a substitute specimen

The collector must tell the observer to watch for prosthetic devices or hidden containers that could be used to introduce a foreign substance as the specimen.

For a return-to-duty test requiring direct observation, who formally authorizes the collection site to conduct an observed collection?

Answer: The Designated Employer Representative (DER) who orders the test

The DER is responsible for ordering the return-to-duty test and communicating to the collection site that a direct observed collection is required.

What is the correct procedure if a donor claims they are physically unable to urinate while being directly observed?

Answer: Allow up to 3 hours with access to up to 40 ounces of water and document the inability if unsuccessful

DOT Part 40 shy bladder provisions allow up to 3 hours and up to 40 oz of fluids for the donor to attempt to provide a specimen, after which a physician must evaluate the claim.

During a monitored collection, which item should the monitor ensure the donor does NOT bring into the collection area?

Answer: Bags, purses, briefcases, or large outer garments that could conceal adulterants

Monitors must ensure donors leave behind any items that could conceal substitute specimens or adulterating agents before entering the collection area.

Under DOT Part 40, direct observed collection requirements apply specifically to which specimen type?

Answer: Urine specimens only

Direct observation protocols under DOT Part 40 apply to urine drug testing only; oral fluid and other specimen types have different collection oversight rules.