Dialysis patient

Dialysis patient

Postby shakir » Fri Sep 14, 2012 12:40 pm

What do you do for a dialysis patient who doesnt produce urine? What kind of specimen should be collected for that patient's drug test ?

If you do hair testing, must the collector be certified in hair collection?

Can a blood test be done for random testing?

If patient is a monitor and not a driver, does the test have to follow DOT regulations?
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Re: Dialysis patient

Postby Robert Swotinsky MD » Sat Sep 15, 2012 7:32 am

The type of test should be determined by the employer's policy and/or applicable regulation. If this is a program that falls under DOT regulations, or that purports to fall under DOT regulations, the only acceptable specimen for drug tests is urine. IF the donor (A) is selected for a random DOT test, (B) fails to provides a specimen, and (C) is determined to have a medical explanation for inability to provide a specimen, [i]THEN[i] that random DOT drug test result is deemed "cancelled" and the donor is not retested nor is the donor removed from the random pool.

If the employer wishes to test that person using a different specimen, and if it is not prohibited by law (e.g., DOT or state law), then the employer can likely go ahead and do a hair test or oral fluid test w/o much risk. Blood tests are more expensive, invasive, and complicated.

While some laboratories and training vendors offer to certify drug test specimen collectors as competent, there is no required "certification" for such tasks, nor is there consensus on how certification is achieved and what it means. As with many things in drug testing (and life), if you want someone competent, look for someone who has experience.
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