MRO Donor Interview & Verification

Question 1

Under 49 CFR Part 40, if an MRO cannot reach a donor within 24 hours of a non-negative laboratory result, what is the MRO's next required action?

Accepted Answer

Contact the DER to ensure the employee calls the MRO within 72 hours

Answer

Per §40.131, when the MRO cannot reach the employee within 24 hours, the MRO must contact the DER so the DER can ensure the employee contacts the MRO within 72 hours.

Question 2

What is the primary purpose of the MRO's interview with a donor following a non-negative drug test result?

Accepted Answer

To determine whether a legitimate medical explanation accounts for the result

Answer

The MRO interviews the donor to evaluate whether a legitimate medical explanation, such as a valid prescription, accounts for the non-negative laboratory result before reporting to the employer.

Question 3

Under DOT regulations, how must the MRO conduct the verification interview with the donor?

Accepted Answer

By telephone or in person, on a confidential basis

Answer

Per 49 CFR §40.131, the MRO must contact the employee directly and confidentially by telephone or in person to discuss the test result.

Question 4

When verifying a claimed prescription during a donor interview, the MRO should:

Accepted Answer

Contact the prescribing physician or dispensing pharmacy directly to confirm the prescription

Answer

The MRO must independently verify the prescription by directly contacting the prescribing physician or dispensing pharmacy, rather than relying solely on the donor's statement.

Question 5

If a donor fails to contact the MRO within the 72-hour window established by the DER, the MRO should:

Accepted Answer

Report the verified result to the DER based on the laboratory findings

Answer

If the employee does not contact the MRO within the 72-hour window, the MRO may report the result to the DER based on laboratory findings, since the employee was given a reasonable opportunity to provide an explanation.

(MRO) Medical Review Officer Certification Practice Test

(MRO) Medical Review Officer Certification Practice Test

MRO Donor Interview & Verification