Call us at 800-256-7141 or 270-866-3144
DRUG & ALCOHOL TESTING
DRUG AND ALCOHOL TESTING PROGRAMS

With over two decades of experience implementing drug and alcohol testing, Premier has the necessary knowledge to ensure your workplace, school, local government or criminal justice institution has a successful deterrent and detection program in place. Our comprehensive service offerings also ensure that you meet federally regulated requirements, if applicable (FMCSA, PHMSA, FAA, FRA, USCG).

What samples can be tested? What drugs can be detected? Why have a drug free workplace?
Comprehensive Service Offerings
CLIA & SAMHSA-Certified laboratories
Rapid testing
Nationwide collection site network
Medical Review Officer (MR0) services
Reporting
Random Selection Generation
Data Archives
SAMPLE TYPES FOR TESTING
Sample Types
Instant or laboratory drug, alcohol or DNA testing is available for various sample types including oral fluid, urine, hair, sweat and breath. There are differences in specimen detection based on the sample that is in use. To learn more, select a sample type below. Need to talk to an expert about which sample type works best for your testing needs? Call now: 800-256-7141.
ORAL TESTING 0 hr - 24 hr approximate detection window

Premier’s oral testing provides simplified, non-invasive collections, faster results, reasonable cost, minimized risk of adulterants, and eliminates the necessity of same sex collections. Oral fluid testing can be conducted as an instant test or can be tested at a laboratory.

URINE TESTING 24 hr - 72 hr approximate detection window

Urine testing is one of the most common screening methods for use of drugs and alcohol. Urinalysis is an accurate and reliable way to detect casual drug use. Premier's laboratories perform comprehensive urinalysis testing with the option to confirm preliminary results with a microscopic examination. Results are usually reported within 24 hours of specimen receipt. Urinalysis is available in a variety of test panels and cutoff levels in addition to the federally mandated five-drug panel (SAMHSA and DOT).

BREATH TESTING detects alcohol use

Breath testing utilizes advanced technology in order to detect the presence of recent alcohol ingestion. If alcohol testing is needed around the clock, check out our Secure Continuous Remote Alcohol Monitoring (SCRAM) solution.

SWEAT TESTING 7 to 10 days of monitoring

FDA cleared since 1990, the sweat patch is a non-occlusive, hypo allergenic collection device. Positive results indicate drugs were used during the time the patch was worn or 24-48 hours before patch application. Advantages of Premier’s sweat patch testing includes quick application and removal, no dilution, and detection of parent drug and metabolites. This device is currently offered only to companies in contract and is not available for individual paid walk-ins.

HAIR TESTING 90 day detection window

Hair analysis evaluates the amount of drug metabolites embedded inside the hair shaft by using a small sample of hair cut at the scalp. The industry standard is to test 1.5 inches, which provides a 90-day history of the donor’s drug use. Courts nationwide have upheld hair testing in civil and criminal cases. SEGMENTED TESTING - CAN TEST AS FAR BACK AS 12 MONTHS Typically hair tests look at the last 90 days. However, it is possible to test for substance abuse over the past year. For every 1.5 inches of hair, a 90 day time span will be covered. To test back the full 12 months, 6 inches of hair would be required. To test the last 9 months, 4.5 inches of hair would be required. The last 6 months would require only 3 inches of hair.

Each 90 day segment of time is considered a separate test. Testing back a full year would be considered 4 separate tests. LIMITS OF DETECTION (L.O.D.) TESTING Using L.O.D. testing, the laboratory will use the lowest levels at which the presence of drug metabolites in a sample can be detected. For example, typically Amphetamines are picked up in the hair strand at 500 pg/mg, but with L.O.D. testing, Amphetamines are detected at 100 pg/mg. SAMPLE COLLECTION Premier Integrity Solutions has offices located in Lexington, Bowling Green, Campbellsville, Hazard, Madisonville and Russell Springs, Kentucky. All locations can provide sample collecting services. Pricing structures vary according to the test performed. For any questions you may have regarding Hair testing services, contact Premier at 800-256-7141.

DNA TESTING

DNA testing is useful in various circumstances. DNA testing is often used for:

  • Positively identifying the father of a child so child support can be collected
  • Giving a child the emotional support of knowing his / her father
  • Helping people verify the parents of a child they want to adopt
  • Ensuring estates go to true heirs
  • Helping immigration authorities reunite families
  • Satisfying curiosities about family relationships
  • Providing a graphic representation of your DNA pattern and a DNA ID card for security
  • Determining whether twins are fraternal or identical
  • Helping grandparents identify their grandchildren

HOW ARE SAMPLES COLLECTED? The inside of the cheek of each person tested is gently wiped with a soft cotton swab. Because almost every cell in a person's body contains his or her unique DNA, swabbing a cheek is a safe, easy way to collect the sample. Each sample is then sealed in its own envelope, labeled for identification purposes and sent to our lab for processing.

SAMPLE COLLECTION FOR A LEGALLY ADMISSIBLE TEST Premier Integrity Solutions has offices located in Lexington, Bowling Green, Campbellsville, Hazard, Madisonville and Russell Springs, Kentucky. All locations can provide legally admissible sample collecting services. Pricing structures vary according to the test performed. For any questions you may have regarding DNA testing services contact Premier at 1-800-256-7141.

DRUG CLASSES
Drug Detection for Sample Type
Urine Oral Fluid Hair Sweat Breath
Alcohol/ETG
Amphetamines
Methamphetamine
Cocaine
Marijuana
Opiates
Phencyclidine (PCP)
Propoxyphene (PPX)
Opiates
MDMA (Ecstasy)
Tramadol
Ketamine
Benzodiazepines
Barbiturates
Buprenorphine/Methadone
Synthetic/Designer Drugs (K2, Bath Salts)
Steroid
Nicotine
WORKPLACE TESTING
Drug Free Workplace Programs are beneficial for a variety of organizations.
Industries
Corporate & Small Business
Construction
Coal Mining
Occupational Health
Local Government
Schools

PREMIER'S PRODUCTS PROMOTE SAFER WORK ENVIRONMENTS

The number one reason employers use Premier's testing products and compliance services to test and monitor their employees and job applicants is to promote the safety of workers. Employers have indicated that drug and alcohol testing programs have a positive impact in virtually every aspect of their companies.

A safer work environment can translate into a Worker's Compensation insurance premium discount, which is just one area of savings that a company can realize. This savings alone will more than offset the cost of an effective program.

According to Working Partners, the National Conference Proceedings Report sponsored by the U.S. Department of Labor, the Small Business Administration, and the Office of National Drug Control Policy, companies who have a Drug Free Workplace Program will find that an investment in education, prevention and assistance programs pays the following dividends for both the employer and employee.

  • 38% to 50% of all Workers' Compensation claims are related to substance abuse in the workplace
  • Substance abusers file three to five times as many Worker's Compensation Claims
  • Substance abusers incur 300% higher medical costs than non-abusers
  • Substance abusers are 2.5 times more likely to be absent eight or more days a year and are 1/3 less productive than non-abusers

If you are in the transportation industry, or have a Federal contract for more than $25k in any year, then the law requires that you have a DRUG-FREE WORKPLACE. Even if not required by law to have a drug-free workplace, consider the following reasons:

  • Increase Profits
  • Discounts from workers compensation insurance carriers 5%-15%
  • To improve safety
  • Reduce operational costs
  • Preserve investor or shareholder interests
  • Protect loyal employees
  • Improve products and services
  • Better services to customers and clients
  • Change employee behavior for better lives
  • Comply with customer or contract requirements
  • Reinforce company position on "NO DRUG USE"
  • Establish grounds for discipline or termination
  • Deter "recreational" drug use that could lead to addiction

WHY DRUG TEST WITH PREMIER? Premier Integrity Solutions, Inc. has over a decade of program management experience, the most advanced web-based monitoring systems available, an extensive line of testing devices and service, and solid expertise in school, workplace and DOT testing, Premier is outpacing all others in the field. WHAT'S INCLUDED IN THE PREMIER WORKPLACE PROGRAM?

  • Complete company needs analysis to identify your program testing needs
  • Drug and Alcohol testing
  • Program Administration Services
    • First line of support for testing program
    • Assist company with drug testing program
    • Setup in drug and alcohol pool (monthly or quarterly)
    • Semi annual and annual statistical report on program
    • 24 hour post-accident support service with toll free number
    • Collection site coordination
    • MRO coordination service
    • Record retention in accordance to rules and regulations for testing program
    • Team of account representatives to provide support for program
    • Assist company in monitoring their compliance with KY Drug Free Workplace or applicable USDOT testing program
    • Assist with audit and documentation required by investigator
  • Monthly, Quarterly, or Semi Annual random selection service
  • Pre-printed employee notification forms for random testing
  • Data base management of up-to-date current/active employees for testing
  • Company summary reports (semi-annual and annually)
  • Customized Chain of Custody forms
  • Pre-printed instruction sheet for the collection site
  • Friendly reminder notifications for each randomly selected employee
  • Failure to complete forms for each randomly selected employee
  • Collection site assistance (locating the nearest qualified collection site)
  • Medical Review Officer Services
  • Electronic result reporting via fax or web site
  • 24/7 Program Management Consulting for Post Accident (800# provided)

WHAT ARE THE REQUIREMENTS? Requirements include testing of all new employees. Existing employees are tested randomly, for reasonable suspicion, or post accident according to your company policy.

FEDERALLY REGULATED TESTING
Federally Regulated Testing
If your company falls under Department of Transportation (DOT) regulations, it is MANDATORY to institute and maintain a DOT-compliant drug and alcohol testing program.
Federal Motor Carrier Safety Administration (FMCSA)

Premier's Drug and Alcohol Testing program is designed to meet your minimum requirements under federal DOT regulations per 49 CFR Part 382 and Part 40. Premier provides a turnkey system. WHO MUST BE TESTED?

  • Driver operating a vehicle having a Gross Vehicle Weight Rating (GVWR) as assigned by the manufacturer of 26,001 pounds or more
  • Driver operating a Combination of motor vehicles having a Gross Combination Weight Rating of 26,001 pounds or more, inclusive of a towed vehicle having a weight rating of 10,000 pounds or more
  • Driver operating a vehicle designed to transport 16 or more passengers, including the driver
  • Driver operating a vehicle, regardless of size or rating, that carries hazardous materials in a quantity that requires placarding
OTHER COVERED EMPLOYEES
  • Mechanics who test drive vehicles on public roads are subject to the CDL requirements and would also be subject to the testing requirements
  • Employees driving unhitched tractors ("bobtailing")
  • School bus drivers, whether they work for a private contractor or for a government entity
  • Local (meaning cities, townships, or counties), state, or federal employees driving one of the described
  • CDL Permit Holders

It makes no difference if they drive a commercial motor vehicle only once a year, any CDL holder who drives one of the above described vehicles MUST participate in a drug alcohol testing program that complies with the Federal regulations. REASONS FOR CONDUCTING REQUIRED TESTING

  • Pre-Employment
  • Random
  • Reasonable Suspicion
  • Post Accident
  • Return-to-Duty
  • Follow Up
PREMIER'S DRUG AND ALCOHOL COMPLIANCE PROGRAM INCLUDES
  • Placement of drivers in a random pool for drug and alcohol testing (individual company pools or Premier's nationwide pool)
  • Preparation of Federal required MIS/DOT quarterly and annual reports (this report shows your company's drug and alcohol testing information)
  • Reasonable suspicion supervisor training (required per 49 CFR Part 382.603)
  • SAMHSA-certified laboratory services, usually 24 hour turn-around-time on all negative results (featuring a collection site network of over 10,000 sites nationwide)
  • On-site collection services (if available)
  • In-House Medical Review Officer Services
  • Substance Abuse professional services
  • Consulting Services
  • Electronic result reporting (fax & website)

Federal Aviation Administration (FAA)

All employers in the aviation industry are required to be in compliance with the DOT/FAA procedures for drug and alcohol testing (49 Code of Federal Regulations (CFR) Part 40 and 14 CFR Part 121 appendices I and J). The law requires drug and alcohol testing of safety-sensitive transportation employees in aviation. IMPLEMENTING AND MAINTAINING COMPLIANCE Premier Integrity Solutions can assist aviation employers in developing and implementing compliant drug and alcohol testing programs for their employees based on DOT/FAA rules. DRUGS TESTED

  • Marijuana
  • Cocaine
  • Opiates
  • Amphetamines
  • PCP

Premier's professionals can explain the elements of a compliant program. DRUG AND ALCOHOL PROGRAM REQUIREMENTS INCLUDE:

  • Employee and supervisor education and training
  • Testing categories
  • Drug testing procedures
  • Alcohol testing procedures
  • Substance Abuse Professionals (SAPs)
  • Record keeping and reporting

Federal Railroad Administration (FRA)

All employees covered under the hours of service law (e.g., train and engine employees, dispatchers, signal, and maintenance of way employees) are required to be in compliance with the DOTand FRA federal regulations and procedures for drug and alcohol testing (49 CFR Parts 40 and 219). Testing is part of the responsibilities of all safety-sensitive rail employees. Testing for drugs requires a urine specimen. Testing for alcohol uses a breathalyzer or a saliva swab (blood is taken for FRA post-accident testing only). DRUGS TESTED

  • Marijuana
  • Cocaine
  • Opiates
  • Amphetamines
  • PCP
  • Alcohol

IMPLEMENTING AND MAINTAINING COMPLIANCE Premier Integrity Solutions can assist rail employers in developing and implementing compliant drug and alcohol testing programs for their employees based on FRA and DOT rules. DRUG AND ALCOHOL PROGRAM REQUIREMENTS INCLUDE:

  • Employee and supervisor education and training
  • Testing categories
  • Drug testing procedures
  • Alcohol testing procedures
  • Substance Abuse Professionals (SAPs)
  • Record keeping and reporting

U.S. Coast Guard (USCG)

All marine employers (the owner of a vessel, the managing operator, the charterer, the agent, the master, or other person in charge) and employees operating commercial vessels are required to be in compliance with the DOT and USCG procedures for drug and alcohol testing (46 CFR Parts 4 and 16). IMPLEMENTING AND MAINTAINING COMPLIANCE Premier Integrity Solutions can assist marine employers in developing and implementing compliant drug and alcohol testing programs for their employees based USCG and DOT rules. DRUGS TESTED

  • Marijuana
  • Cocaine
  • Opiates
  • Amphetamines
  • PCP

Premier's professionals can explain the elements of a compliant program. DRUG AND ALCOHOL PROGRAM REQUIREMENTS INCLUDE:

  • Employee and supervisor education and training
  • Testing categories
  • Drug testing procedures
  • Alcohol testing procedures
  • Substance Abuse Professionals (SAPs)
  • Record keeping and reporting

Federal Transit Authority (FTA)

All FTA-covered employers are required to be in compliance with the DOT procedures for drug and alcohol testing (49 CFR Part 40) and the FTA regulations on the prevention of alcohol misuse and prohibited drug use (49 CFR Part 655). These requirements are unaffected by the size of the transit agency, the number of vehicles in the fleet, or the number of employees. All covered employers who perform FTA safety-sensitive duties must be in compliance prior to conducting these duties. IMPLEMENTING AND MAINTAINING COMPLIANCE Premier Integrity Solutions can assist transit employers in developing and implementing compliant drug and alcohol testing programs for their employees based on FTA and DOT rules. Premier's professionals can explain the elements of a compliant program. DRUG AND ALCOHOL PROGRAM REQUIREMENTS INCLUDE:

  • Employee and supervisor education and training
  • Testing categories
  • Drug testing procedures
  • Alcohol testing procedures
  • Substance Abuse Professionals (SAPs)
  • Record keeping and reporting

Pipeline and Hazardous Materials Safety Administration (PHMSA)

Federal law requires operators working in the pipeline industry to conduct drug and alcohol testing of covered employees who perform operation, maintenance, or emergency-response functions regulated by 49 CFR part 192, 193, or 195 (49 CFR Parts 40 and 199). IMPLEMENTING AND MAINTAINING COMPLIANCE Premier Integrity Solutions can assist pipeline industry employers in developing and implementing compliant drug and alcohol testing programs for their employees based on DOT/PHMSA rules. DRUGS TESTED

  • Marijuana
  • Cocaine
  • Opiates
  • Amphetamines
  • PCP

Premier's professionals can explain the elements of a compliant program. DRUG AND ALCOHOL PROGRAM REQUIREMENTS INCLUDE:

  • Employee and supervisor education and training
  • Testing categories
  • Drug testing procedures
  • Alcohol testing procedures
  • Substance Abuse Professionals (SAPs)
  • Record keeping and reporting

SCHOOL TESTING
School Testing
Whether you are interested in testing students, faculty and staff, or just your bus drivers, Premier has the expertise to optimize your drug and alcohol testing program. School bus drivers fall under Department of Transportation (DOT) regulations, and therefore it is MANDATORY to institute and maintain a DOT-compliant drug and alcohol testing program for these employees.
Students

WHO CAN YOU TEST?

  • Athletes
  • Academic team
  • Future Homemakers
  • Choir
  • Dance Team
  • Cheerleading
  • Future Business Leaders of America
  • Future Farmers of America
  • Band
WHEN CAN TESTING OCCUR?
  • Pre-participation
  • Reasonable Suspicion
  • Random
WHAT QUESTIONS NEED TO BE ANSWERED?
  • What are the elements of a drug testing program?
  • Which students can be tested for drug use?
  • What is the process for selecting students for testing?
  • Who will conduct the test?
  • What are the consequences of a positive drug test?
  • Are steps clearly articulated for helping students who test positive for drugs?
  • Will a second confirming test be done?
  • Who pays for the test?
  • Will subsequent positive tests result in suspension or expulsion from extracurricular activities?
  • Are test results cumulative throughout a student's tenure at the school, or is the slate wiped clean each year?
  • What happens if a student refuses to take the test? Will a refusal be constructed as a positive drug test?
  • How long does the student have to produce the specimen?
  • Who will see the test results, and how will confidentiality be maintained?
  • How will parents be informed about positive results?
  • How does a student contest the results of a positive test result?
  • What mechanism is in place for students whose prescription medication triggers a positive reading?

WHY CHOOSE PREMIER AS YOUR STUDENT DRUG TESTING PROVIDER? Premier can help your school system answer any or all of the questions above. Our company has nearly two decades of experience with drug and alcohol testing, collections and monitoring in the education environment.

  • Premier will provide the most comprehensive service and best investment available anywhere.
  • Premier will provide on-site collection services.
  • Most reliable and legal student drug testing program available in the nation.
  • No charge for random selections. Premier utilizes SecureTox, a propriety Drug Testing Management software program, to perform all selections.
  • All results are processed through a National Certified Medical Review Officer at no additional charge.
  • All collectors are certified and experienced in student drug testing.
  • Premier can provide any methodology (Urine, Saliva, Hair) for conducting test.
  • All tests are conducted with a customized custody control form.
  • All confirmation testing is performed by a SAMHSA-certified laboratory.
  • Discounted pricing when Premier provides testing for bus drivers (DOT).

DOES YOUR SCHOOL CURRENTLY TAKE BIDS FOR STUDENTS AND/OR BUS DRIVER TESTING? If you are currently administering a student drug testing program, please contact Premier Integrity Solutions to get information on pricing and service that will better serve your school. Premier would welcome the opportunity to be placed on your school's bid list for student and DOT (bus driver) drug and alcohol testing services.

Faculty and Staff

Since drug addiction is no respecter of social class or education, more and more school districts across the nation are considering random employee/faculty drug testing. With embarrassment, tenure and retirement on the line, a superior drug testing company is a must. Premier is extremely familiar with the concerns of faculty regarding random drug testing. Our Orientation to Random Drug Testing presentation explains in depth and shows how we will protect your employees from false positives while protecting your school board from costly litigation. You will learn how the Drug Free Workplace Act of 1988 protects the prescription privacy of your employees. You can watch the body language of your employees relax as they see and hear the facts separated from drug testing fiction.

We will ensure quality and integrity in the test results and dignity in the collection process. Entrust your employees to the best, Premier Integrity Solutions! To provide for the health and safety of students, employees and visitors, more and more schools support and maintain a drug-free workplace. This policy emphasizes that employees may not be at work under the influence of alcohol or while unlawfully using controlled substances. Random employee testing is a KEY component to measuring whether you actually have a drug-free workplace. However, it is a mistake to think that random student drug testing and employee testing is the same. With testing in excess of 25,000 school tests every year and experience with securing school grants, Premier is your professional, experienced vendor of choice for school employee testing. WHAT SETS PREMIER APART

  • A one-stop shop approach.
  • We are a pace setter in the industry of school testing services.
  • Premier’s Orientation to Drug Testing program separates myth from fact in drug testing. Let our school specialist come onsite and address your district’s questions. You will see your employees relax when they see among other things: our collection protocols, how we will protect them from false positives and their confidential legitimate prescription use is guarded by the Drug-free Workplace Act of 1988.
  • Rely on our expertise and tested program to lower your testing liability drastically. We have years of assisting Designated School Representatives (DSRs).
  • SAMHSA laboratory selection of customized drug test panels
  • All test results are reviewed by an AAMRO certified Medical Review Officer (MRO)
  • See how doing your own collections will vastly improve your testing program and lower your cost by up to 30%
  • Other cutting edge Premier trainings include Employee Drug Awareness and reasonable suspicion training
  • Competitive pricing on all instant drug test devices

Bus Drivers

Bus drivers for your school system are governed by Department of Transportation (DOT) regulations. It is MANDATORY to institute and maintain a DOT-compliant drug and alcohol testing program.

Premier's Drug and Alcohol Testing program is designed to meet your minimum requirements under federal DOT regulations per 49 CFR Part 382 and Part 40. Premier provides a turnkey system.

Parents

HOW DOES PREMIER PROTECT YOUR CHILD FROM FALSE POSITIVES? SAMHSA Certified lab and a Medical Review Officer Proven Collection Protocols:

  • Our collection protocols have been tested over and over as we have conducted approximately 250,000 school tests in the last 20 years.

WHAT CAN PARENTS DO? In "Creating Safe and Drug-Free Schools" the U.S. Department of Education emphasizes that parents play a key role in ensuring that their children are safe and drug-free. Talk to your children about the consequences of drug and alcohol use. Find out what prevention and intervention programs are in place in your children's schools.

Premier Integrity Solutions has nearly a decade of experience working with school systems across the country to support drug and alcohol testing, collection and monitoring programs.

Developed in response to the need for proactive prevention at home, Premier has developed a Drug Deterrent Home Kit called SAFE & SURE which is available through Premier and a free alcohol test is included. It allows parents to test their kids at home for a wide variety of commonly abused drugs quickly and confidentially. Just having the kit on the counter at home can act as an effective deterrent.

LOCAL GOVERNMENT

DRUG & ALCOHOL TESTING PROGRAMS REQUIRED BY LAW Premier Integrity Solutions currently provides drug and alcohol testing, consulting services, training and compliance programs for hundreds of municipalities and other governmental agencies across the country. Many smaller agencies are not aware that it is required by LAW to implement and maintain a drug and alcohol testing program.

If your agency or department falls under Department of Transportation (DOT) regulations, it is mandatory to institute and maintain a DOT-compliant drug and alcohol testing program. Are your CDL drivers in a random drug and alcohol testing pool? Do you have driver qualification files on your drivers? Have your supervisors had the Reasonable Suspicion Training for Supervisors?

Examples of Local Government Agencies
Cities
State Departments
Transit Authorities
Counties (Fiscal Courts)
Police Departments
Correctional Facilities
Water Districts
Natural Gas Authorities
THIRD PARTY ADMINISTRATOR

A C/TPA FOR C/TPA'S Premier Integrity Solutions was recognized by Entrepreneur Magazine as one of the top 500 fastest growing companies in America. Whether it is program philosophy, products, customer service, collection protocols, or industry knowledge, Premier is your solution to growing your bottom line with proven business success. PREMIER TPA SOLUTIONS PROVIDES

  • A one-stop shop approach
  • We offer industry specific consultation to market your company to prospective clients: DOT, Workplace, Schools, or Criminal Justice
  • We are leading the industry in criminal justice services: IVR call-in system, the nation’s lowest level of detection utilizing FDA approved instant devices providing for Zero Tolerance, a 24-hour hotline for technical support, and JUDICATOR web-based technology which is the nation’s foremost on-line offender management software program
  • SECURETOX is an online software management package that offers complete business solutions for all your data management needs
  • Program management for your clients so you can concentrate on seeking new business
  • The largest SAMHSA laboratory selection of customized drug test panels available—buy lab panels from us and let our purchasing power save you money!
  • Use our Medical Review Officer (MRO) services
  • Access to our simple and accurate drug testing software right on our website at no charge
  • DOT regulation consultation
  • Receive Premier compliant training including: DOT collector, BAT, workplace drug awareness and reasonable suspicion training
  • Competitive pricing on all instant drug test devices

Call 800-256-7141 for more information and our professional consultants will be glad to assist you today!

MEDICAL REVIEW OFFICER

MEDICAL REVIEW OFFICER SERVICES Premier Integrity Solutions provides MRO services to employers, schools, TPA's, clinics, hospitals and governmental agencies. MRO RESPONSIBILITIES MRO's provide quality assurance review of the drug testing process for the specimens and determine if there is a legitimate medical explanation for laboratory confirmed positive, adulterated, substituted, and invalid drug test results.

COLLECTIONS

RECOMMENDED TESTING PROTOCOLS Premier offers a variety of DOT and non-DOT collection and testing programs that can fulfill your program and policy objectives. The testing methods and tools available are designed to provide the best available program and results while complying with all Federal, State, and local laws. The following methods are available:

  • Lab-Based Drug Screening (urine, oral fluid, hair)
  • Instant Urine Screening
  • Instant Oral Fluid Screening
  • Alcohol Screening

RECOMMENDED QUALITY CONTROL MEASURES An effective drug and alcohol testing program must have established quality control measures to ensure the integrity of the results. Premier's test administrator will perform the essential steps in the sample collection protocol. The collection site may be a permanent or mobile facility located either at the work site or at a remote site. The donor's identity will be verified as per the Substance Abuse and Mental Health Services Administration (SAMHSA) requirements prior to sample collection. SAMHSA CERTIFIED LAB Premier's laboratory, certified by the Substance Abuse and Mental Health Services Administration (SAMHSA), will perform the drug testing. Positive drug test results will be reviewed and interpreted by Premier's Medical Review Officer (MRO). PROTOCOLS AND DEFINITIONS DOT Collection Protocol (pdf)
Workplace Collection Protocol (pdf)

Chain of Custody These are the procedures beginning at the time of collection to account for all handling and storage of each specimen.

Confirmatory Test A second laboratory procedure used to analyze a positive test result from a screening test. Gas chromatography/mass spectrometry (GC/MS) is the only authorized confirmation test.

Cutoff Level The concentration of a drug or drug metabolite in the urine at which a specimen is considered positive.

Medical Review Officer (MRO) A licensed physician who is qualified to interpret and evaluate test results and other relevant medical information. When to Test? Refusal by an individual to submit to an alcohol or drug test or whose test results show the presence of masking agents should result in the same consequences as a positive test result. It is recommended that testing occur on the following occasions:

Pre-Employment Testing Substance abuse testing can decrease workplace accidents, production costs, medical costs, workers compensation premiums, turnover, and theft. By implementing and maintaining a substance abuse program, large and small businesses can boost employee morale and loyalty.

Post-Offer Testing Testing done after offer of employment. If an employee does not commence work within one month of the drug and alcohol screen, the company should have the right to retest the employee prior to commencing work.

Random Testing Testing of employees selected by using a statistically valid, unannounced random method.

Reasonable Suspicion Testing The employer believes the actions, appearance or conduct of the employee indicate the use of alcohol or an illicit substance. The conclusion that reasonable suspicion exists must be based on specific contemporaneous articulated facts concerning the employee's appearance, behavior, speech, or body odors. Observations may include actions or behavior that is indicative of usage or withdrawal from an illicit substance or alcohol.

Post-Accident Testing Drug and alcohol tests may be required after crashes according to the following chart (§382.303):

Type of Accident Involved Was Citation Issued to the CMV Driver? Must Test Be Performed by Employer?
Human Fatality
Human Fatality
Bodily Injury with Immediate Medical Treatment Away from the Scene
Bodily Injury with Immediate Medical Treatment Away from the Scene
Disabling Damage to Any Motor Vehicle Requiring Tow Away
Disabling Damage to Any Motor Vehicle Requiring Tow Away

Regarding drug tests, if a test required by this section is not administered within 32 hours following the accident, the employer shall cease attempts to administer a controlled substances test, and prepare and maintain on file a record stating the reasons the test was not promptly administered. Records shall be submitted to the FMCSA upon request

Regarding alcohol tests, if a test required by this section is not administered within two hours following the accident, the employer shall prepare and maintain on file a record stating the reasons the test was not promptly administered. If a test required by this section is not administered within eight hours following the accident, the employer shall cease attempts to administer an alcohol test and shall prepare and maintain the same record. Records shall be submitted to the FMCSA upon request.

Follow-up Testing An unannounced random test of an employee for a specified period of time after completion of a substance abuse rehabilitation program. ON-SITE COLLECTIONS ARE ON-SITE COLLECTIONS RIGHT FOR YOU? ASK YOURSELF THESE QUESTIONS
  1. Are you paying your employees while they are traveling to and from the collection site, and for the time they are waiting for their test to be administered?
  2. How much productivity are you losing while your employee is traveling and waiting at the collection site?
  3. How much liability do you incur while your employee is traveling to and from the collection site?
    • When you send your employees to another location to be tested, you are not only paying for the drug test, you are paying for your employee’s time and productivity loss.
    • Let Premier come to you and reduce your drug testing cost and liability by performing on-site testing.

TRAININGS
Breath Alcohol & Screening Test Technician
Drug Testing

The Breath Alcohol Technician (BAT) and/or Screening Test Technician (STT) is a person who instructs and assists employees in the alcohol testing process and operates an evidential breath testing or alcohol screening device, respectively. These technicians must know the alcohol testing rule and the alcohol testing program guidance materials published by the DOT Office of Drug and Alcohol Policy and Compliance (ODAPC).

Premier provides qualification training in accordance with the DOT Model BAT course and ensures that course participants are "trained to proficiency" in the operation of the evidential breath testing device (EBT) they will use as well as the alcohol testing procedures specified in the regulation. The course provides training in the principles of EBT methodology, operation, and calibration checks. For more information, email info@premierintegrity.com.

Certified Collector Training
Drug Testing

Our Certified Collector Trainers provide instruction and resource materials that enable an employee from your company to become a certified trainer of specimen collection. After they receive this training, they will be able to train new personnel in the event of staff turnover or company growth, helping your company to become proficient in providing collection services according to industry regulations and standards. This program helps ensure the privacy, integrity, and security of the donor and the specimen.

Premier also offers online courses designed to instruct use of integrated rapid testing cups and oral fluid devices. For more information, email info@premierintegrity.com.

Reasonable Suspicion Supervisor
Drug Testing

This two hour training sessions will prepare supervisors for making the determination of whether reasonable suspicion exists to test an employee for drug and/or alcohol use. Hour one covers the physical, behavioral, speech and performance indicators of the use of controlled substances. The second hour covers these indicators in reference to alcohol use. Supervisory training is mandatory for companies that are regulated by the DOT. Sign up today at the Premier On-line Training Institute.

Section 382.603: Anyone who is designated to supervise drivers must have received the two required 60-minute sessions of training.

Section 382.307: requires a driver to submit to an alcohol or drug test when the employer has reasonable suspicion to believe the driver has violated the prohibitions in Section 382.201 through 382.215. The employer’s reasonable suspicion must be based on specific, contemporaneous, articulable observations concerning the appearance, behavior, speech or body odors of the driver.


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