Transportation Information and Courses from MediaLab, Inc.
These are the MediaLab courses that cover Transportation and links to relevant pages within the course.
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| Monitored collection For monitored collections, the Department of Transportation classifies the following as health professionals: Physician Medical Technologist Medical Laboratory Technician Nurse (RN/LPN) Physician's Assistant/Nurse Practitioner Medical Technician (A medical technician is anyone who is licensed or certified to practice in the institution where the collection is being done. For example, a phlebotomist, EMT, or medical assistant.) | View Page |
| Federal drug testing custody and control form (CCF) The federal drug testing custody and control form (CCF) must be used to document every urine collection required by the Department of Transportation drug testing program. At the present time, these include the: Federal Motor Carrier Safety Administration (FMCSA) Federal Aviation Administration (FAA) Research and Special Programs Administration (Pipeline) (RSPA) Federal Transit Administration (FTA) Federal Railroad Administration (FRA) United States Coast Guard (USCG) | View Page |
| Non-federally regulated custody and control form The Non-Federally Regulated Custody and Control Form is most often used in clinics and hospital emergency rooms when drug abuse is suspected, or by companies participating in their state's drug-free workplace program. Be aware that some states mandate the use of a special CCF for their drug-free workplace program. There are significant differences between the Federally Regulated CCF and the Non-Regulated CCF. You are strongly encouraged to review the difference between the two. Unless there are extenuating (which we will discuss next), remember that the two forms are not interchangeable. The Federally Regulated CCF can be used only for urine collections required by the Department of Transportation drug testing program. | View Page |
| Exceptions It should also be understood that a Federally Regulated CCF need not be used in every situation involving a company regulated by the Department of Transportation. For example, if an interstate truck driver slips and falls while standing on the loading dock of a trucking terminal, and the trucking company for which the driver works requires a post-accident drug screen, a Non-Federally Regulated CCF would be appropriate for this collection. The driver was not involved in a safety sensitive assignment. On the other hand, if the driver had an accident while driving, then a Federally Regulated CCF must be used since the driver was in a safety sensitive position when the accident occurred. | View Page |
| Intent of this program This program is intended to provide guidance and training to those individuals who will be conducting Department of Transportation (DOT) regulated urine specimen collections. While this program is more than just an overview, obvious restraints prohibit an in-depth discussion of every procedure or problem that might be encountered.This program only serves as a training program. It does not represent final authority. Every effort has been taken to keep this course up-to-date with current regulations. However, if anything you see in this program conflicts with the federal regulations (49 CFR 40), the federal regulations prevail and must be followed.Training to qualify as a drug screen collector must include the flawless completion of five mock collections. These mock collections must include the following scenarios and must be performed in the presence of a qualified collector: Two uneventful collections. One collection in which the quantity of specimen is not sufficient. One collection in which the temperature of the specimen is out of range. One collection in which the donor refuses to sign either the donor certification on the pink copy of the CCF or refuses to initial the security strips. | View Page |
| Donor Preparation The donor must not be asked to remove any article of clothing other than those previously mentioned. Additionally, the donor must not be asked to remove clothing in order to wear an examination gown unless undergoing a physical examination authorized by the Department of Transportation. Boots do not have to be removed unless the collector is suspicious that they contain something in them that could be used to adulterate or dilute the specimen or be used as a substitute.If the donor refuses to remove a head covering because of religious reasons, the collector may exempt the donor from doing so unless the collector has an observable indicator that the donor is trying to hide something inside the head covering. | View Page |
| When problems occur Fortunately, the great majority of collections are uneventful, but from time to time problems or the unexpected occur. This section will discuss a few examples of special situations that may take place during a collection and what the response of the collector should be. Obviously, not every special situation can be envisioned or discussed. It is strongly recommended that the collector be very familiar with the Department of Transportation publication: Urine Specimen Collection Guidelines dated August 25th, 2008. | View Page |
| Responsibilities and requirements for collectors Under the new Department of Transportation rules for the collection of urine for drug testing, a lot more responsibility has been placed on the collector. It is imperative that you know, understand, and stay current with the rules and regulations. Do the very best you can to make every collection "error free."The examination that follows simply tests your grasp of the concepts of urine collection. It does not qualify you as a Drug Screen Collector! | View Page |
| One of the most important contributions those working in healthcare can make is to: | View Page |
| Advantages of using Biological Agents as WMDs They are easily available.Biological pathogens can be obtained from nature, hospital laboratories, university research facilities, etc.They can be hard to detect.Small quantities can have potentially deadly or incapacitating effects on a susceptible population.They can be used covertly.They can be spread throughout large areas by natural convection, air or water currents. They can be easily spread.Ventilation systems in buildings is one way biological agents may be spread. In addition, transportation facilities could become part of the dissemination system by carrying biological agents far from their initial source. | View Page |
| General Preparedness in Your Home Have and practice a household disaster plan. Be familiar with the Homeland Security Advisory System. Establish meeting places and phone numbers in case household members are separated. Identify an out of state contact to call during a major disaster or emergency. Prepare and keep up to date disaster supply kits for your home and vehicle. Teach all members of the household when, where, and how to turn off utilities. Have any necessary tools handy. If you have children in school, make sure you understand the emergency plans and expectations at the school. Preplan alternate transportation routes to important destinations. Keep at least a half-tank of gas in your vehicle at all times. Remember, gas stations rely on electricity to power their pumps. Know ahead of time what you should do to help family, friends, or neighbors who are elderly or have special needs. Make sure you’re dealing with credible sources before providing credit card numbers, social security numbers and other personal information to people or organizations on the internet. Use anti-virus software and regularly download security protection updates. | View Page |
| Analytic Medical Errors Medical errors also occur in the analytic processes and systems of patient care.
Analytic errors begin with problems in the transportation of medical samples for testing. These occur between the patient's location and the testing facility. They happen during the time between specimen collection and arrival in the testing facility.
The possibility for analytic medical error continues through the analytic processes and procedures of medical testing.
Analytic medical error also includes systems, processes, and procedures involved in the transmission and reporting of test results.
These medical errors occur during the time the laboratory is directly involved in receiving, analyzing, and reporting test samples.
Examples:
Wrong transport storage or temperature
Delay in transport
Sample mixup during transport
Acceptance of unacceptable samples that are insufficient, hemolyzed, or clotted
Centrifugation, mixing, and other test sample preparation errors
Wrong test procedures
Test control errors
Sample mixup during testing
Outdated reagents
Wrong reagents
Test result mixup
Transcription errors
Data reporting process errors
Result report delays | View Page |
| What is Quality Control? Quality control (QC) is a system used to maintain a determined level of accuracy and precision. Proper quality control helps ensure that reported results of patient laboratory testing are correct. Quality control applies not only to specimen testing, but also to collection, storage, and transportation.
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| Starch Granules Some starch granules from dusting powders have faint concentric striations, others do not. External contaminants (ie. those that enter the urine specimen during collection, transportation, or while being examined on the slide) must be differentiated from crystals and other clinically significant findings. | View Page |