MRO Modifications & Change Orders 2

Question 1

An employer wants to modify their DOT drug testing policy to add a pre-employment alcohol testing requirement. What must the employer do before implementing this change?

Accepted Answer

Notify employees and update the written policy

Answer

Employers must update their written drug and alcohol testing policy and notify employees before implementing changes, but do not need MRO or SAMHSA approval.

Question 2

A collector makes an error on the Federal CCF during a DOT urine collection. Under which circumstance can the MRO accept the specimen without a corrective statement?

Accepted Answer

The error is a correctable flaw and the collector provides a sworn statement

Answer

Correctable flaws on the CCF can be remedied when the collector provides a signed statement explaining the error and attesting to the correct information.

Question 3

A laboratory reports a specimen as substituted. The employee provides documentation of a medical condition causing low creatinine. What action should the MRO take?

Accepted Answer

Evaluate whether the condition could plausibly cause the substituted result

Answer

The MRO must evaluate whether the employee's medical explanation is plausible and consistent with the substituted specimen criteria before making a final determination.

Question 4

Under DOT 49 CFR Part 40, when may an MRO change a verified positive result to a negative after reporting to the employer?

Accepted Answer

If the MRO obtains new information indicating the result was incorrect

Answer

An MRO may change a verified result after reporting it to the employer if new, legitimate medical information or a lab reanalysis demonstrates the original result was incorrect.

Question 5

A split specimen (Bottle B) reanalysis fails to confirm the primary specimen's positive result. What must the MRO report?

Accepted Answer

The MRO must cancel the test and report it as cancelled

Answer

When a split specimen reanalysis fails to reconfirm the primary specimen result, the MRO must cancel the test.

(MRO) Medical Review Officer Certification Practice Test

(MRO) Medical Review Officer Certification Practice Test

MRO Modifications & Change Orders 2