ࡱ> KMJM Pbjbj== (:WW{)lNNNb8$ 0<b#2xxkkkk#m#m#m#m#m#m#$% >'#Nk+@kkk#u#k4R(Nk#kk#3:",,"Nk#l 3b# k##0##R'O0'k#bbUS Department of Transportation Urine Specimen Collection Training Exam Circle the correct answer and give to your Supervisor to correct. If a collector causes a fatal flaw, he/she must undergo corrective training Within 1 day. Within 30 days. Within 90 days. The Collector is required to inspect the collection site prior to the collection. T F Which one is NOT an acceptable way to identify the donor? Photo I.D. Identification by an employer representative of the donors employer. Faxed copy of photo I.D. Two forms of signature I.D. for an owner-operator or other self-employed individual. The donor refusing to wash their hands is correctable error. T F For a pre-employment test, if an employee donor leaves before the collection process begins, is considered a refusal to test. T F The Medical Review Officers name is not required on the CCF, only the name of the Doctors office is required. T F 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 donors wallet. Collector provides a safe place for donors personal belongings. Collector must provide a receipt of items to the donor, if requested by donor. If the employee refuses to empty his or her pockets, this is considered a refusal to test. T F When should the Collector document the temperature of the donor specimen? Within 2 minutes. Within 4 minutes. Within 6 minutes. 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. Donors day-time and evening contact numbers are written on which page of CCF? Laboratory Copy MRO Copy Collector Copy Donor Copy 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 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. Is it a refusal to test if a donor declines to drink water during the shy bladder process? yes no There is a time when it is OK to combine urine from separate voids to create one specimen of sufficient volume. T F 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. 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.) T F It is an acceptable practice to have a medical professional of a different gender than donor to perform an observed collection. T F The collector takes control of the donors specimen immediately following an observed collection. T F If there are two specimens, the initial and the one obtained through observation. Only the specimen from the observed collection needs to be sent to the laboratory. T F Fatal flaws can be corrected with a memorandum for record or Affidavit. T F Is it ever OK to use a non-regulated CCF for a Federally Mandated D.O.T. collection? yes no Which is NOT a fatal flaw? 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. Insufficient quantity of urine provided to laboratory. Collector omits their signature on CCF. The collector must write in the remarks section if any other agent than blue dye was used to color the water in the toilet. T F The collector is required to provide their Collector Certificate to the donor upon request. T F US Department of Transportation Urine Specimen Collection Training EXAM KEY This exam key is downloaded and printed by the Collection Supervisor. Use this key to correct the exam; a passing score is 20 correct answers. If the prospective collector fails, have them review the Guidelines, especially missed questions, and retake the test. See also the required Collector Documentation to be kept in the Collector files. A DOT inspector has authority to review documentation of training. Correct Answers: p is a page reference to the DOT Urine Collection Guidelines August 25, 2008 1. b. p.32 2. a. p.10 3. c. p10 4. b. p.13 5. b. p.11 6. b. p.7 7. b. p.12 8. a. p.13 9. b. p.14 10. b. p.19 11. b. p.8 12. b. p.18 13. c. p.19 14. a. p.20 15. b. p20 16. b. p.16 17. a. p.23 18. b. p.20 19. a. p.23 20. b. p.21 21. b. p.28 22. a. p.29 23. d. p.29 24. b. p.11 25. b. p.11 Contact your Phamatech Laboratories sales person for additional information 2008 Phamatech, Inc  PAGE 3  INCLUDEPICTURE "http://careers.dot.gov/images/0i_logo.gif" \* MERGEFORMATINET   INCLUDEPICTURE "http://careers.dot.gov/images/0i_logo.gif" \* MERGEFORMATINET  Ostuz{|IJKLOP޿ jU jU0JCJmHnHu0JCJj0JCJUCJCJ^JB*CJOJQJ\ph5B*CJOJQJph B*ph^J5B*CJ OJQJphjCJUmHnHu !OPQRSdfhi bc & F & F$a$`{O#%'(3UA C E F (  & F & F   _ o x  % , - O S V W  & F & F E*,./hlop & F & Fp1h nprt` & F & F)6CP^ky,-./{MNOP& 00P/ =!"#`$%Dde  S ATNhttp://careers.dot.gov/images/0i_logo.gifUS Department of Transportation (logo)b9&DΫŪ]Dn9&DΫŪ]PNG  IHDRKFvt0PLTE8ijjkdʽYwBwCBB2Q|~`bKGDH cmPPJCmp0712OmIDATHuohd#t1).9k3iS{ S$P%D8w Aɛ)1܋PX1;eӌ(D(e{SRoZ:J\#(!Z`)x9cqދtS!E 2ƘBϋOm=,)1úr:po]q1N1.j#Lz}8'b4Ж쩡^/׃Vb(ygk=PCX Ğ}+<7hvqF>Tvd|{`d2%g.TWF6^H9 *$>m: b!nhiޙ]*dp@9QD7S,iR ` mXԭtrx>ng-M]ctINWљ+Ű j#s, б>ԙtC+y}Iܺ8r4<ŏ)bs 5~ZPѡt ;czHVtS FMWrv52ZѨ@Ӆ~!kCT)nm "a|b\;Hn&n)G 1yaețeI(%ȣ]0`H&A0˳Pa7Lehj64z Aam {SxGKN hwlwMikxIENDB`Dde  S ATNhttp://careers.dot.gov/images/0i_logo.gifUS Department of Transportation (logo)b9&DΫŪ]7n9&DΫŪ]PNG  IHDRKFvt0PLTE8ijjkdʽYwBwCBB2Q|~`bKGDH cmPPJCmp0712OmIDATHuohd#t1).9k3iS{ S$P%D8w Aɛ)1܋PX1;eӌ(D(e{SRoZ:J\#(!Z`)x9cqދtS!E 2ƘBϋOm=,)1úr:po]q1N1.j#Lz}8'b4Ж쩡^/׃Vb(ygk=PCX Ğ}+<7hvqF>Tvd|{`d2%g.TWF6^H9 *$>m: b!nhiޙ]*dp@9QD7S,iR ` mXԭtrx>ng-M]ctINWљ+Ű j#s, б>ԙtC+y}Iܺ8r4<ŏ)bs 5~ZPѡt ;czHVtS FMWrv52ZѨ@Ӆ~!kCT)nm "a|b\;Hn&n)G 1yaețeI(%ȣ]0`H&A0˳Pa7Lehj64z Aam {SxGKN hwlwMikxIENDB` i@@@ Normal CJOJQJ_HaJmH sH tH :: Heading 17$8$@&H$OJQJ<A@< Default Paragraph Font0>@0 Title 7$8$H$OJQJ8B8 Body Text 7$8$H$OJQJ,@, Header  !, @", Footer  !&)@1& Page NumberUPUP:!OPQRSdfhi bc#%'(3UACEF(_ox%,-O S V W E * , . /         h l o p 1h nprt)6CP^ky,-./{MQ00000000 0 0 0 00 0 0 00 0 0i 0i 0i 0i0 0 0c 0c0 0 0 00 0 0( 0(0 0 0 0 0 00 0 0 00 0 0F 0F 0F0 0  0 0 0 00 0  0 0 0 00 0  0 0 0 00 0  0- 0- 0-0 0  0 00 0 0W  0W 0 0 0  0  0 0 0 0  0 0 0 0/  0/ 0 0 0  0 0 0 0  0 0 0 0  0 0 0 0  0 0 0 0p  0p  0p  0p 0 0 0 00 0 0 000@0@00@000@00@0000000000000000000000000000@00@0 00@000(((+P pPO#%+!tPRUCC8@,(  H  #  B    B S  ?tPTTTT{Qae O R S U h k l n   !"%&-.12:;>?GHKLUVYZcdghpqtu~  #$'({Q3333333333333333333333333333333333333333333333333333333,-45;<  s!,--z{{NQ Dennis RitzcC:\Documents and Settings\Dennis\Application Data\Microsoft\Word\AutoRecovery save of Document1.asd Dennis RitzBC:\DennisNotebook\Phamatech\DOT URINE SPECIMEN COLLECTION EXAM.docuser1aC:\Phamatech\PhamatechDocs\DOTSpecimenCollectors\Phamatech DOT URINE SPECIMEN COLLECTION EXAM.docuser1C:\Documents and Settings\user1\Application Data\Microsoft\Word\AutoRecovery save of Phamatech DOT URINE SPECIMEN COLLECTION EXAM.asduser1C:\Documents and Settings\user1\Application Data\Microsoft\Word\AutoRecovery save of Phamatech DOT URINE SPECIMEN COLLECTION EXAM.asduser1C:\Documents and Settings\user1\Application Data\Microsoft\Word\AutoRecovery save of Phamatech DOT URINE SPECIMEN COLLECTION EXAM.asduser1C:\Documents and Settings\user1\Application Data\Microsoft\Word\AutoRecovery save of Phamatech DOT URINE SPECIMEN COLLECTION EXAM.asd8VxO(}^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.808^8`0OJPJQJ^J.^`o(. 0 ^ `0OJPJQJ^J. @ @ ^@ `hH. ^`hH. 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