11.03 - Drug and Alcohol Policy - Laserfiche WebLink

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If an employee fails to provide a sufficient amount of urine to permit a controlled substance test (45 milliliters of urine), the collector will discard the insufficient specimen, unless there is evidence of tampering with that specimen. The collector will urge the Driver to drink up to 40 ounces of fluid, distributed reasonably for a period of up to three hours, or until the Driver has provided a sufficient urine specimen, whichever occurs first. If the Driver has not provided a sufficient specimen within three hours of the first unsuccessful attempt, the collector will cease efforts to attempt to obtain a specimen. The Driver must then obtain, within five working days, an evaluation from a licensed physician, acceptable to the MRO, who has expertise in the medical issues raised by the employee's failure to provide a sufficient specimen. If the licensed physician concludes that a medical condition has, or with a high degree of probability could have, precluded the Driver from providing a sufficient amount of urine, the City will consider the test to have been canceled. If a licensed physician cannot make such a determination, the City will consider the Driver to have engaged in a refusal to test, and will take appropriate disciplinary action under this policy. C. Chain of Custody and Confidentiality of Test Results All controlled substance and alcohol testing will be performed in compliance with applicable law, including use of an appropriately-licensed urine testing laboratory which observes applicable control and custody procedures. The City will use procedures to test for the presence of alcohol and controlled substance in order to protect the Driver and the integrity of the testing process, safeguard the validity of the test results, and ensure that test results are attributed to the correct Driver. All reports of tests will be kept in the strictest confidence by the laboratory and provided only to the City and the City's MRO, unless the Driver provides written consent or disclosure is otherwise permitted or required by law. VII. REVIEW AND NOTIFICATION OF TEST RESULTS A. Review by Medical Review Officer ("MR01 Results of controlled substance tests will be sent by the testing laboratory to an independent Medical Review Officer selected by the City. The MRO is responsible for performing many functions, including reviewing and interpreting test results, reviewing the Driver's medical history to explain a positive test result, and notifying Drivers of confirmed positive test results. Drivers who have been tested for controlled substance must remain available following the test to be contacted by the MRO. Prior to making a final decision to verify a positive test result, the MRO will give the individual an opportunity to discuss the test result. The MRO, or a staff person under the MRO's supervision, will contact the individual directly, on a confidential basis, to determine whether the individual wishes to discuss the test result. If the individual wishes to discuss the test result: 9