[ Q&A Home | Contents | Search | Post | Reply | Next | Previous | Up ]
From: Robert Swotinsky MD
Password: orange
Date: 04 Jun 2006
Time: 18:05:39 -0700
Remote Name: 71.192.169.2
To dp's point, "the donor gets a 'pass' on randoms." The donor does get a pass on randoms with respect to undergoing a medical evaluation to determine if there is clinical evidence of illicit drug abuse. By contrast, that exam is required for pre-employment, follow-up, and return to duty tests because in those settings, (re)entry to the workplace requires a negative result or a surrogate for a negative result, i.e., the medical evaluation. However, individuals with long-term inability to urinate are not excluded from the random pool. And, while it may waste time and anger donors, they nevertheless have to go through the 3 hour wait, 40 ounce fluid consumption each time they're selected. Fortunately, this should only occur every 2 years if testing at a 50% annualized rate. Also, on occasion, someone with a long-term inability to urinate will, at a later date, become able to provide a urine specimen. A simple example: Someone on dialysis could get a kidney transplant.