Paragon DOT Drug Screen Collector Quiz

1. Match the following copies of CCF with who receives them

Copy 1

Copy 2

Copy 3

Copy 4

Copy 5

Submit

2. The Collector is required to inspect the collection site prior to the collection.

True

False

3. It is OK to combine urine from separate voids to create one specimen of sufficient volume.

True

False

4. The collector takes control of the donor’s specimen immediately following an observed collection.

True

False

5. A collector may initiate two drug screen collections on two donors in order to save time

True

False

6. Which modality governs commercial motor vehicles?

FAA

NRA

FMCSA

NCAA

7. What is an MRO?

Medical Resource Officer

Medical Review Officer

Medical Review Operator

My Red Octopus

8. During the shy-bladder process the Collector can encourage the donor to drink up to _______ oz of water over a period of ________ hour(s).

15 oz. and 1 hour.

.30 oz and 2 hours.

40 oz and 3 hours.

40 oz and 1 hour

45 oz and 3 hours

9. A Collector is a person who does all of the following except

Instructs and assists the employee/donor

Receives and inspects the specimen provided

Initiates and completes the chain of custody form

Determines if the employee/donor is impaired

10. Acceptable temperature range for a urine drug screen specimen is

80-100 F

95-101 F

98.6 F

90-100 F

11. If the Donor cannot provide at least 45mL and the temperature is in range, the collector should…

Allow donor to drink water and then try to add to specimen to acquire the minimum 45mL.

Begin shy bladder process.

Write in remarks section of CCF “Refusal to Test”

Discard the specimen and write “Test Invalid” in the CCF remarks.

Tell the donor to come back later.

12. True or False...an instant drug screen may be run on the specimen prior to sending to the lab for the DOT screen

True

False

13. A donor/employee provides an insufficient amount of urine that has an odd soapy odor to it. What does the collector do?

Discard the first specimen and request a second one using a new collection container

Package the insufficient specimen for the lab, begin a new CCF, and conduct a second collection under direct observation

Mark refusal to test on the CCF and dismiss the donor/employee

Recheck the donor/employee's pockets and begin a new standard collection

14. An employee's co-worker may act as a collector for DOT drug screen collection as long as they sign an affidavit.

True

False

15. Which one is NOT an acceptable way to identify the donor?

Photo I.D.

Identification by an employer representative of the donor’s employer.

Faxed copy of photo I.D

Two forms of signature I.D. for an owner-operator or other self-employed individual.

Passport

16. Prior to the collection, which is not a requirement?

Collector requests donor to remove any unnecessary outer clothing (e.g. Coat, jacket, hat, etc.)

Collector retains donor’s wallet.

Collector provides a safe place for donor’s personal belongings.

Collector must provide a receipt of items to the donor, if requested by donor.

Collector must ask for identification

17. True or False? DOT drug screens are always split specimen collections.

True

False

18. If a collector causes a fatal flaw, he/she must undergo corrective training…

Within 1 day.

Within 30 days

Within 90 days

Within 60 day

Within a week

19. Collector must provide a receipt of items to the donor, if requested by donor.

True

False

20. A collector may use non-regulated CCF for a Federally Mandated D.O.T. collection?

Yes

No

The 5 page federal CCF must always be used:
(b) (1) In the rare case where the collector, either by mistake or as the only means to conduct a test under difficult circumstances (e.g., post-accident or reasonable suspicion test with insufficient time to obtain the CCF), uses a non-Federal form for a DOT collection, the use of a non-Federal form does not present a reason for the laboratory to reject the specimen for testing or for an MRO to cancel the result.

(2) The use of the non-Federal form is a “correctable flaw.” As an MRO, to correct the problem you must follow the procedures of §40.205(b)(2).

Explanation

The 5 page federal CCF must always be used:
(b) (1) In the rare case where the collector, either by mistake or as the only means to conduct a test under difficult circumstances (e.g., post-accident or reasonable suspicion test with insufficient time to obtain the CCF), uses a non-Federal form for a DOT collection, the use of a non-Federal form does not present a reason for the laboratory to reject the specimen for testing or for an MRO to cancel the result.

(2) The use of the non-Federal form is a “correctable flaw.” As an MRO, to correct the problem you must follow the procedures of §40.205(b)(2).

21. Refusal of the donor to initial the specimen bottle seals

Considered a refusal to test

Necessitates a direct observation collection

Just plain rude and highly suspicious, necessitating a monitored collection

Not considered a refusal to test but must be notated on the CCF

22. The Medical Review Officer’s name is not required on the CCF, only the name of the Doctor’s office is required

True

False

23. The collector must fax or otherwise submit the MRO copy to the MRO within

The same day

24 hours or during the next business day.

3 business days.

1 week

24 days

24. Which of the following describe steps to be taken to insure the security and integrity of the collection process? (check all that apply)

Remove soaps/detergents from restroom

Insure water is turned on so donor can wash hands after providing specimen

Inspect areas that might contain hidden adulterants such as under sink and paper towel dispensers

Add bluing to toilet and tank

Washing hands AFTER the collection has nothing to do with the integrity of the process

Explanation

Washing hands AFTER the collection has nothing to do with the integrity of the process

Submit

25. Donor’s day-time and evening contact numbers are written on which page of CCF?

Laboratory Copy

MRO Copy

Collector Copy

Donor Copy

All copies

26. If the temperature is out of range on a donor's first specimen , only the specimen from the observed collection needs to be sent to the laboratory.

True

False

The "suspicious" specimen with temperature out-of-range needs to be sent to the lab and noted accordiingly

Explanation

The "suspicious" specimen with temperature out-of-range needs to be sent to the lab and noted accordiingly

27. The collection site must have a sink or other water source for handwashing

True

False

28. The donor refusing to wash their hands before providing a specimen is not considered a refusal to test, but must be documented in the comments section

True

False

Refusing to wash hands before providing specimen is considered a refusal to test.

Explanation

Refusing to wash hands before providing specimen is considered a refusal to test.

29. When should the Collector document the temperature of the donor specimen?

.Within 2 minutes.

Within 4 minutes.

Within 6 minutes.

Within 1 minute.

Within 10 minutes.

30. Is it a 'refusal to test' if a donor declines to drink water during the shy bladder process?

True

False

31. Fatal flaws can be corrected with a memorandum for record or Affidavit.

True

False

If you make a mistake in the collection process that causes a test to be cancelled (i.e., a fatal or uncorrected flaw), you must undergo error correction training. This training must occur within 30 days of the date you are notified of the error that led to the need for retraining.

Explanation

If you make a mistake in the collection process that causes a test to be cancelled (i.e., a fatal or uncorrected flaw), you must undergo error correction training. This training must occur within 30 days of the date you are notified of the error that led to the need for retraining.

32. When the specimen temperature does not register, which of the following must be done?

Complete the CCF notating "no temp" and begin monitored collection

Complete the CCF notating "no temp", prepare the specimen for sending to the lab, and begin shy bladder process

Discard the CCF and begin a new CCF for direct observation collection

33. Specimen temperature was out of range. The collector should...(Check all that apply)

Mark it on the CCF and continue packaging the specimen

Add bluing to the specimen to test for validity

Cancel the test since this is obviously a case of specimen adulteration

Begin a second collection under direct observation

When the temp is out of range, both specimens are sent to the lab- both the temp-out-of-range specimen and the second observed collection.

Explanation

When the temp is out of range, both specimens are sent to the lab- both the temp-out-of-range specimen and the second observed collection.

Submit

34. A Monitored collection takes place…

All the time.

When the collector is using a multi-stall restroom for the collection.

When the collector is suspicious the donor has tampered with the specimen.

When a collector preforms an observation.

When its a shy bladder process.

35. It is an acceptable practice to have a medical professional of a different gender than donor to perform an observed collection.

True

False

For "monitored" collections, it is acceptable for a medical professional to be of different gender. For "direct observation" collections, the observer MUST be of the same gender without exception.

Explanation

For "monitored" collections, it is acceptable for a medical professional to be of different gender. For "direct observation" collections, the observer MUST be of the same gender without exception.

36. Prior to the collection of the urine specimen, the following must take place

Donor must wash hands

Donor must empty pockets

Donor must be strip searched

Donor must complete page 2 of CCF

Donor must drink 40 ounces of water

Submit

37. The monitor performing the monitored collection MUST be the same gender as donor. Unless the monitor is a medical professional (e.g. nurse, doctor etc.)

True

False

38. When using a third party for an observed collection, the monitoring individual must take possession of the urine specimen immediately after the collection.

True

False

The donor must give the specimen to the collector. The third party must not handle the specimen.

Explanation

The donor must give the specimen to the collector. The third party must not handle the specimen.

39. For a pre-employment test, if an employee donor leaves before the collection process begins, is considered a refusal to test.

True

False

40. Which is NOT a fatal flaw?

A.The Specimen ID number on the bottle/seals does not match the Specimen ID on the form.

The specimen bottle label/seal is missing, broken or shows sings of tampering.

Collector printed name but neglected to sign CCF

Collector omits name and signature on CCF.

If collector only forgets printed name OR signature it is correctable...if both then it is fatal flaw.

Explanation

If collector only forgets printed name OR signature it is correctable...if both then it is fatal flaw.

41. All of the following are considered a Refusal To Test EXCEPT:

Failure to appear for drug screen within a reasonable time after being directed by employer (except for pre-employment)

Failure to remain at the testing site until the testing process is complete

Failure to initial the urine specimen seal

Failure to cooperate with the observed collection process (when such a collection is required)

If the donor refuses to initial the seal, it must be noted in the remarks section, but it is not a refusal to test.

Explanation

If the donor refuses to initial the seal, it must be noted in the remarks section, but it is not a refusal to test.

42. The collector must write in the remarks section if any other agent than blue dye was used to color the water in the toilet.

True

False

43. In which of the following collection scenarios is gender taken into consideration (check all that apply)

Direct observation collection

Monitored collection

Standard collection

Shy bladder collection

Submit

44. Which of the following may constitute a refusal to test?

Refusal to empty pockets

Refusal to wash hands before providing specimen

Refusal to initial specimen seal

Behaving confrontationally

Refusal to comply with observed collection procedures

Possession of a prosthetic device to interfere with test

Refusal to sign the chain of custody

Refusing to sign COC or to initial specimen vials does not constitute a refusal to test...but this must be notated on the chain of custody remarks

Explanation

Refusing to sign COC or to initial specimen vials does not constitute a refusal to test...but this must be notated on the chain of custody remarks

Submit

45. The collector is required to provide their Collector Certificate to the donor upon request.

True

False

46. An observed collection is required when (Check all that apply)

The MRO directs the collector to do so

The collector thinks the donor looks suspicious

The employee/donor's conduct clearly indicated an attempt to tamper with the specimen (such as having an obvious adulterant on them)

The temperature of the specimen was out of range

Submit

47. True or False? DOT drug screen collectors are required to keep documentation with them any time they are performing DOT drug screen collections.

True

False

Collectors must maintain documentation that they currently meet the training requirements, but they are not required to have this documentation on their person. They must be able to produce this documentation to DOT officials in a reasonable amount of time.

Explanation

Collectors must maintain documentation that they currently meet the training requirements, but they are not required to have this documentation on their person. They must be able to produce this documentation to DOT officials in a reasonable amount of time.

48. If a collector notices a container of suspicious liquid from the contents of the donor's pockets, he/she must do the following (check all that apply)

Retain the container of liquid until collection completed

Send the contents to the lab for testing

Begin a direct observation collection

Inform the DER that a direct observation collection was done and the reason for doing so

Check the "observed" box on the CCF

Submit

49. Which of the following are true concerning collector training and certification?CHECK ALL THAT APPLY!

The mock collections must include 3 uneventful collections, one insufficient quantity, and one temp out of range

Collector refresher training must be completed every 5 years

To become a collector you must demonstrate knowledge of 49 CFR part 40

Submit

50. Which of the following statements are true? (Check all that apply)

Return to duty drug screens are always observed collections

Employees returning to duty after SAP evaluation are drug screened monthly in the first year

Followup drug screens after return to duty are not directly observed

After SAP evaluation, an employee must pass a drug and alcohol test before returning to safety sensitive positions

Return to duty testing may extend for a period of 5 years

While being drug tested under return to duty protocol, an employee is not subject to regular random drug screens

Submit