CSC Treatment Protocols & Procedures 3

Question 1

A urine specimen is reported as 'substituted' by the laboratory. This means the creatinine and specific gravity results were:

Accepted Answer

Creatinine <2 mg/dL and specific gravity <1.0010 or >1.0200

Answer

A substituted result requires creatinine less than 2 mg/dL AND specific gravity less than 1.0010 or greater than 1.0200, indicating the specimen is not consistent with normal human urine.

Question 2

Under DOT procedures, which personnel is authorized to order a direct observation collection?

Accepted Answer

The MRO or DER based on specific triggers

Answer

Direct observation collections are ordered by the MRO (for specific lab results) or the DER (for certain regulatory triggers), not unilaterally by the collector.

Question 3

When a collector must void a collection (e.g., because the donor left the collection area without permission), which form action is required?

Accepted Answer

Complete the CCF, mark 'Test Cancelled,' and notify the DER

Answer

Even when a collection is cancelled, the collector must complete the CCF, mark the appropriate 'Test Cancelled' reason, and notify the Designated Employer Representative.

Question 4

A donor provides only 30 mL of urine on the first void attempt. The collector should:

Accepted Answer

Keep the partial specimen and have the donor attempt to provide more

Answer

If a donor provides less than 45 mL, the collector retains the partial specimen in a closed container and allows the donor up to 3 hours to provide additional urine.

Question 5

For a pre-employment DOT drug test, who is responsible for ensuring the test is conducted before the employee performs safety-sensitive functions?

Accepted Answer

The employer/DER

Answer

Under DOT regulations, the employer (acting through the DER) is responsible for ensuring a negative pre-employment result is received before the employee performs any safety-sensitive duties.

(CSC) Certified Specimen Collector Practice Test

(CSC) Certified Specimen Collector Practice Test

CSC Treatment Protocols & Procedures 3