{"id":118067,"date":"2023-08-24T16:30:52","date_gmt":"2023-08-24T21:30:52","guid":{"rendered":"https:\/\/www.nationaldrugscreening.com\/?p=118067"},"modified":"2023-08-25T12:52:27","modified_gmt":"2023-08-25T17:52:27","slug":"dot-oral-fluid-testing-what-are-standing-orders","status":"publish","type":"post","link":"https:\/\/www.nationaldrugscreening.com\/blogs\/dot-oral-fluid-testing-what-are-standing-orders\/","title":{"rendered":"DOT Oral Fluid Testing \u2013 What are Standing Orders?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"118067\" class=\"elementor elementor-118067\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b6d43c e-flex e-con-boxed e-con e-parent\" data-id=\"4b6d43c\" data-element_type=\"container\" data-settings=\"{&quot;container_type&quot;:&quot;flex&quot;,&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fbbd8e1 elementor-widget elementor-widget-text-editor\" data-id=\"fbbd8e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p>May 2, 2023, the Department of Transportation (DOT) published a final rule that, among other items, <strong>authorizes employers to use oral fluid drug testing<\/strong> as an alternative testing methodology to urine drug testing. The actual testing of oral fluid specimens is not yet available.<\/p><p>DOT oral fluid testing is approved but will not be available until at least two laboratories are certified by Department of Health and Human Services (HHS) &#8211; SAMHSA both using the same collection device. One lab for initial testing and one lab for split specimen retest requests.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-456fc97 elementor-widget elementor-widget-heading\" data-id=\"456fc97\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">A big question employers are asking is what are <b>\"Standing Orders?\"<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34ee18d elementor-widget elementor-widget-text-editor\" data-id=\"34ee18d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p>Employers only have authority to decide for a drug test event if urine is to used, oral fluid or a combination of both. The choice of specimen or whether an alternate specimen should be used is the sole decision of the employer. When there is a need to determine whether an alternate specimen should be used, it is advisable for an employer to have a standing order in place to deal with such situations. The different specimen type could be chosen by the employer through a standing order or a discussion with the collector.<\/p><p>If there is no standing order the collection site could also obtain assistance from the Service Agent or Consortium\/third party administrator (C\/TPA) as to the employer\u2019s choice or standing order. The DOT has made in clear that the employer Designated Employer Representatives (DER) must provide an accessible phone number for collectors to call the DER in the event a standing order is not available. With no standing order from either the employer or C\/TPA, the collector when faced with a decision to make must use the telephone number listed on the CCF where the DER can be reached at any time of the day or night when the testing is being conducted.<\/p><p>Below we have included an example of a \u201cStanding Order\u201d which we will recommend to our clients. Here are some of the scenarios:<\/p><p>If a directly observed urine collection is required, it would be more practical to perform an oral fluid collection. If the employer has a standing order that all directly observed collections will be conducted as oral fluid, then there is no need for the collector to call the DER.<\/p><p>A urine collection is insufficient and goes into a shy bladder process which could take up to three hours. It then become more practical to perform an oral fluid collection. If the employer has a standing order that anytime the event goes into shy bladder process, the collection should continue with an oral fluid specimen; this would perhaps eliminate the up to 3 hour wait time.<\/p><p>There is also a dry mouth scenario if the oral fluid device indicates the employee has not<br \/>provided a sufficient specimen. If dry mouth occurs after the initial collection is<br \/>attempted, this will begin a one-hour period to allow a sufficient specimen. Also, this<br \/>necessitates a second oral fluid collection within one hour, or the employer could have a standing order to require the collector to move on to an alternate methodology (i.e., urine) to complete the collection process for the testing event.<\/p><p>Here is the sample \u201cStanding Order\u201d that National Drug Screening, Inc will recommend to its DOT regulated Clients.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fe8d0e1 e-flex e-con-boxed e-con e-parent\" data-id=\"fe8d0e1\" data-element_type=\"container\" data-settings=\"{&quot;container_type&quot;:&quot;flex&quot;,&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-adab2cb elementor-widget elementor-widget-text-editor\" data-id=\"adab2cb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p><strong>DOT Drug Screen Collections Standing Order Example<\/strong><\/p><p>Our company continues to utilize urine drug testing, but the collector should use an oral fluid specimen collection in these instances: <\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46214c5 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"46214c5\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/www.nationaldrugscreening.com\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\">\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 262.21 300\"><defs><style>.cls-1{fill:#dcdcdc;}<\/style><\/defs><polygon class=\"cls-1\" points=\"74.43 111.58 74.43 205.78 156 252.87 237.58 205.78 237.58 111.58 156 64.48 74.43 111.58\"><\/polygon><g><path d=\"M134.2,16.45h0m-3.09,1.78L245.22,84.12V215.88L131.11,281.77,17,215.88V84.12L131.11,18.23m0-15.95a8.76,8.76,0,0,0-4.41,1.18L6.4,72.91A8.83,8.83,0,0,0,2,80.55v138.9a8.83,8.83,0,0,0,4.41,7.64l120.3,69.45a8.83,8.83,0,0,0,8.82,0l120.29-69.45a8.83,8.83,0,0,0,4.41-7.64V80.55a8.83,8.83,0,0,0-4.41-7.64L135.52,3.46a8.81,8.81,0,0,0-4.41-1.18Z\"><\/path><\/g><path d=\"M220.28,143.93,170.74,99.66a8.14,8.14,0,0,0-13.56,6.07v36.13H47.36a8.14,8.14,0,0,0,0,16.28H157.18v36.13A8.14,8.14,0,0,0,162,201.7a8,8,0,0,0,3.32.71,8.13,8.13,0,0,0,5.42-2.07l49.54-44.27a8.13,8.13,0,0,0,0-12.14Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Anytime a donor goes into a shy bladder process<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 262.21 300\"><defs><style>.cls-1{fill:#dcdcdc;}<\/style><\/defs><polygon class=\"cls-1\" points=\"74.43 111.58 74.43 205.78 156 252.87 237.58 205.78 237.58 111.58 156 64.48 74.43 111.58\"><\/polygon><g><path d=\"M134.2,16.45h0m-3.09,1.78L245.22,84.12V215.88L131.11,281.77,17,215.88V84.12L131.11,18.23m0-15.95a8.76,8.76,0,0,0-4.41,1.18L6.4,72.91A8.83,8.83,0,0,0,2,80.55v138.9a8.83,8.83,0,0,0,4.41,7.64l120.3,69.45a8.83,8.83,0,0,0,8.82,0l120.29-69.45a8.83,8.83,0,0,0,4.41-7.64V80.55a8.83,8.83,0,0,0-4.41-7.64L135.52,3.46a8.81,8.81,0,0,0-4.41-1.18Z\"><\/path><\/g><path d=\"M220.28,143.93,170.74,99.66a8.14,8.14,0,0,0-13.56,6.07v36.13H47.36a8.14,8.14,0,0,0,0,16.28H157.18v36.13A8.14,8.14,0,0,0,162,201.7a8,8,0,0,0,3.32.71,8.13,8.13,0,0,0,5.42-2.07l49.54-44.27a8.13,8.13,0,0,0,0-12.14Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">For any drug testing that requires direct observation<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 262.21 300\"><defs><style>.cls-1{fill:#dcdcdc;}<\/style><\/defs><polygon class=\"cls-1\" points=\"74.43 111.58 74.43 205.78 156 252.87 237.58 205.78 237.58 111.58 156 64.48 74.43 111.58\"><\/polygon><g><path d=\"M134.2,16.45h0m-3.09,1.78L245.22,84.12V215.88L131.11,281.77,17,215.88V84.12L131.11,18.23m0-15.95a8.76,8.76,0,0,0-4.41,1.18L6.4,72.91A8.83,8.83,0,0,0,2,80.55v138.9a8.83,8.83,0,0,0,4.41,7.64l120.3,69.45a8.83,8.83,0,0,0,8.82,0l120.29-69.45a8.83,8.83,0,0,0,4.41-7.64V80.55a8.83,8.83,0,0,0-4.41-7.64L135.52,3.46a8.81,8.81,0,0,0-4.41-1.18Z\"><\/path><\/g><path d=\"M220.28,143.93,170.74,99.66a8.14,8.14,0,0,0-13.56,6.07v36.13H47.36a8.14,8.14,0,0,0,0,16.28H157.18v36.13A8.14,8.14,0,0,0,162,201.7a8,8,0,0,0,3.32.71,8.13,8.13,0,0,0,5.42-2.07l49.54-44.27a8.13,8.13,0,0,0,0-12.14Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">After a urine specimen shows temperature out of range or appears to have been adulterated or substituted<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 262.21 300\"><defs><style>.cls-1{fill:#dcdcdc;}<\/style><\/defs><polygon class=\"cls-1\" points=\"74.43 111.58 74.43 205.78 156 252.87 237.58 205.78 237.58 111.58 156 64.48 74.43 111.58\"><\/polygon><g><path d=\"M134.2,16.45h0m-3.09,1.78L245.22,84.12V215.88L131.11,281.77,17,215.88V84.12L131.11,18.23m0-15.95a8.76,8.76,0,0,0-4.41,1.18L6.4,72.91A8.83,8.83,0,0,0,2,80.55v138.9a8.83,8.83,0,0,0,4.41,7.64l120.3,69.45a8.83,8.83,0,0,0,8.82,0l120.29-69.45a8.83,8.83,0,0,0,4.41-7.64V80.55a8.83,8.83,0,0,0-4.41-7.64L135.52,3.46a8.81,8.81,0,0,0-4.41-1.18Z\"><\/path><\/g><path d=\"M220.28,143.93,170.74,99.66a8.14,8.14,0,0,0-13.56,6.07v36.13H47.36a8.14,8.14,0,0,0,0,16.28H157.18v36.13A8.14,8.14,0,0,0,162,201.7a8,8,0,0,0,3.32.71,8.13,8.13,0,0,0,5.42-2.07l49.54-44.27a8.13,8.13,0,0,0,0-12.14Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">All post-accident and reasonable suspicion drug testing <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 262.21 300\"><defs><style>.cls-1{fill:#dcdcdc;}<\/style><\/defs><polygon class=\"cls-1\" points=\"74.43 111.58 74.43 205.78 156 252.87 237.58 205.78 237.58 111.58 156 64.48 74.43 111.58\"><\/polygon><g><path d=\"M134.2,16.45h0m-3.09,1.78L245.22,84.12V215.88L131.11,281.77,17,215.88V84.12L131.11,18.23m0-15.95a8.76,8.76,0,0,0-4.41,1.18L6.4,72.91A8.83,8.83,0,0,0,2,80.55v138.9a8.83,8.83,0,0,0,4.41,7.64l120.3,69.45a8.83,8.83,0,0,0,8.82,0l120.29-69.45a8.83,8.83,0,0,0,4.41-7.64V80.55a8.83,8.83,0,0,0-4.41-7.64L135.52,3.46a8.81,8.81,0,0,0-4.41-1.18Z\"><\/path><\/g><path d=\"M220.28,143.93,170.74,99.66a8.14,8.14,0,0,0-13.56,6.07v36.13H47.36a8.14,8.14,0,0,0,0,16.28H157.18v36.13A8.14,8.14,0,0,0,162,201.7a8,8,0,0,0,3.32.71,8.13,8.13,0,0,0,5.42-2.07l49.54-44.27a8.13,8.13,0,0,0,0-12.14Z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Remote areas where finding a urine collector or collection site is difficult <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b9fe8c elementor-widget elementor-widget-heading\" data-id=\"8b9fe8c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">More on DOT Oral Fluid Drug Testing <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67756b5 elementor-widget elementor-widget-text-editor\" data-id=\"67756b5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p><a href=\"https:\/\/www.nationaldrugscreening.com\/dot-oral-fluid\/\">DOT Oral Fluid \u2013 Video and Blog Post<\/a><\/p><p><a href=\"https:\/\/www.nationaldrugscreening.com\/dot-oral-fluid-drug-testing-what-you-need-to-know\/\">Webinars &#8211; DOT Oral Fluid Drug Testing \u2013 What you Need to Know!<\/a><\/p><p><a href=\"https:\/\/www.nationaldrugscreening.com\/blogs\/dot-oral-fluid-specimen-collector-training\/\">DOT Oral Fluid Specimen Collector Training<br \/><\/a><\/p><p><a href=\"https:\/\/www.nationaldrugscreening.com\/blogs\/49-cfr-part-40-changes-updates-oral-fluid\/\">49 CFR Part 40 Changes &amp; Updates \u2013 Oral Fluid<\/a><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>May 2, 2023, the Department of Transportation (DOT) published a final rule that, among other items, authorizes employers to use oral fluid drug testing as an alternative testing methodology to urine drug testing. The actual testing of oral fluid specimens is not yet available. DOT oral fluid testing is approved but will not be available [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":118082,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[68],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/posts\/118067"}],"collection":[{"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/comments?post=118067"}],"version-history":[{"count":15,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/posts\/118067\/revisions"}],"predecessor-version":[{"id":118094,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/posts\/118067\/revisions\/118094"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/media\/118082"}],"wp:attachment":[{"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/media?parent=118067"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/categories?post=118067"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nationaldrugscreening.com\/wp-json\/wp\/v2\/tags?post=118067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}