Capital Region Medical Center's clinics provide confidential
drug screening and alcohol testing according to applicable laws and the policy
of your company.
Maintaining a safe workplace is a priority in today's fast-paced
world. Capital Region Medical Center offers pre-employment, post-accident, random
and reasonable cause urine drug testing. We use a lab that is approved by the
National Institute of Drug Abuse (NIDA), certified by the Substance Abuse and
Mental Services Administration (SAMHSA) and approved by the National Highway
Transportation Safety Administration (NHTSA) for substance abuse testing.
CRMC follows all requirements of the Drug-Free Workplace Act
of 1990, the Federal Department of Transportation and other applicable laws.
CRMC recommends that employers use the Medical Review Officer
DOT Drug Screening for Drivers
Drivers who are regulated by the Department of Transportation
(DOT) must abide by drug testing guidelines. All drivers must be put in a
random pool. All drug screen results (positive or negative) must be reviewed
by a Medical Review Officer (MRO). By law, a DOT urine drug test can only
test for five drugs:
- Opiates (including morphine and codeine)
- Amphetamines (including methamphetamine)
This test is conducted using an evidential breath tester
to detect alcohol concentration in the breath. Employees are subject to a
confirmation test when the result of a screening test is 0/020 or greater.
Post-Accident Drug Screening
A drug test following an accident should be done as close
to the time of injury as possible. Instruct medical personnel of the type
of test you are requesting.
Random Drug Screening
Random drug and alcohol testing programs are required by
Department of Transportation (DOT) regulation. The drivers must be selected
using a scientifically valid selection method. You must drug test at least
50 percent of your average number of driver positions annually and alcohol
test 25 percent. All drivers must have an equal chance of getting drawn in
CRMC can place your drivers in a large consortium with DrugFree
Inc., a company that will be responsible for your random selection and reporting.
Random selection also can be used with non-DOT regulated employees.
This type of test is done when a supervisor has reason to
believe an employee DOT or non-DOT is under the influence of a controlled
substance. It is suggested that you escort the employee immediately to the
collection site and provide an escort home. (A taxi is an acceptable means
This service is for companies that have an agreement with
a third-party administrator or a laboratory. It provides for the collection
of drug screen samples only and does not include any testing procedures. Please
make your collection kits and chain of custody's available to the clinic prior
Medical Review Officer (MRO) Service
An MRO is an independent physician whom interprets the laboratory
results and reports positive results to your company only after verifying
that there are no valid medical explanations for the positive result. All
DOT screens must go through an MRO. It also is suggested that all non-DOTs
go through an MRO so that all positives can be proved.