3.10. SR 12-01-2008 - Laserfiche WebLink

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1.1(j) Telephone Consultation FixSTLAB shall make its staff of trained specialists and experts available to CLIENT by telephone for consultation on any substance abuse testing issues that may arise during FmSTLAB's performance hereunder. 1.1(k) Customer Support FixSTLAB will provide an appropriate number of personnel, well trained in drug and alcohol testing technical and regulatory requirements, to provide assistance to the CLIENT when necessary. This includes, but is not limited to, a) After-hours emergency support for locating collection facilities and/or personnel to perform post accident and reasonable suspicion testing. b) Assistance in finding and setting up one-time specimen collection and breath alcohol testing facilities using the FirstRequest® Internet system. 1.2 Medical Review Officer (MRO) Services FIxSTLAB shall provide MRO services to CLIENT in accordance with the following terms and conditions: 1.2(a) MRO Qualifications The MRO shall be a licensed physician who has knowledge of substance abuse disorders and has appropriate medical training to interpret and evaluate drug test results in accordance with applicable federal regulations. The MRO shall meet the qualification training standards established by the DOT and DHHS. 1.2(b) MRO Duties The MRO's duties will be (i) the review of drug test results, (ii) the contact and interviewing of applicants and employees whose test results are reported asnon-negative (e.g. positive, adulterated, substituted, and invalid) (iii) the determination of alternative medical explanations for the results, as appropriate and (iv) the reporting of verified results to designated representatives of CLIENT. 1.2(c) Confidentiality In carrying out the foregoing duties, the MRO may become aware of such sensitive medical information as an individual's medical condition, medications, medical diagnosis, and medical history. Such information will be kept in strictest confidence by the MRO and will not be released or used for any purpose not related to the MRO's duties. Medical information deemed to affect the employee's medical qualification status or to affect workplace or public safety will be reported to the CLIENT'S designated representative in accordance with applicable federal or state regulations.. 1.2(d) Receipt and Review of Drug Test Results: The MRO shall receive drug test results from the laboratory via secure electronic download or facsimile. For all non- negative laboratory results, the MRO shall require a copy of the laboratory test result signed by the laboratory certifying scientist. In addition for all DOT-regulated drug tests, the MRO shall require a copy of the federal custody and control form containing the applicantlemployee's signature. The MRO shall perform a review of these documents prior to verifying and reporting the final test result determination. If the documents require correction or completion, the MRO shall request same from the collection site or the laboratory as appropriate and in accordance with applicable federal regulations. The MRO shall contact the laboratory scientists as appropriate to discuss atypical test results, to request additional information, or to order additional analysis of the specimen as required by applicable federal regulations. 1.2(e) Donor Interview and Interpretation ofNon-Negative Results. The MRO shall contact the specimen donor (applicant or employee) via telephone using the numbers provided by the donor at the time of the test. If the MRO is unsuccessful in wntacting the donor after multiple tries in a 24 hour period, the MRO shall contact the CLIENT designated representative for assistance. Non-negative test results will be reported to the CLIENT without an interview with the donor only in circumstances pemutted under applicable federal regulations. The MRO shall conduct a telephonic interview with the donor, offering the donor the opportunity to present documentation of an alternative medical explanation for the test result. After receipt and review of such documentation and its acceptability to the MRO, the MRO will verify the test as negative or cancelled depending on the circumstances. The MRO's interpretation and verification of non-negative results will follow the dictates of applicable federal regulations. If there is no acceptable medical explanation for the laboratory findings, the MRO will report the results to the CLIENT as a 2