Until oral fluid can officially be implemented- currently pending HHS certification of two labs (the first lab for initial testing and the other for split specimen retest requests) using the same collection device-
Employers and collection sites nationwide are getting ready. One key part of that preparation? Standing Orders.
So, what exactly is a Standing Order? And why does it matter?
The term 'Standing Order' is referenced in Part 40 of DOT regulations.
A Standing Order is a written instruction provided by an employer that outlines when and how to proceed with an alternate specimen collection, such as switching from urine to oral fluid, under specific circumstances.
Having a Standing Order in place helps avoid testing delays and confusion- especially when unforeseen circumstances arise during a collection.
When there is no clear Standing Order, collectors may be unsure of how to proceed if a change in specimen type is needed. In such cases, collectors may have to reach out to the DER or C/TPA for confirmation which can extend collection times and cause delays.
To ensure efficient collections, DOT strongly encourages employers to establish Standing Orders in advance and make them accessible to collection sites.
Scenarios That Standing Orders Simplify:
1. Directly Observed Collections:
If a direct observation is required, an employer may state on their standing order for collectors to proceed with an oral fluid collection instead.
2. Shy Bladder Situation
If an employee is unable to provide a valid urine specimen in the allotted time frame and has to begin the shy bladder process, the Standing Order can direct the collector to proceed with an oral fluid collection instead.
Alternatively, if an employee cannot provide enough oral fluid, aka a dry mouth scenario, the standing order can direct the collector to switch to a urine collection.
Other examples include:
- When a urine sample has an abnormal temperature reading or shows signs of adulteration.
- Post-accident and reasonable suspicion drug testing
Additionally, NDASA has created a model standing order to help DOT-regulated employers create their own, linked below:
Standing Orders give collection sites and collectors clarity and guidance in the testing process, reduce unnecessary delays, and ensure compliance with DOT regulations.
At Accredited Drug Testing, we create and implement clear and concise Standing Orders for DOT-regulated employers and share them with their collection sites every day.
Need help writing your Standing Order, or updating an existing policy?
Our DOT Specialist team is here to help! Prepare for the future of DOT testing and contact us today.