What does 49 CFR 40.69 (How is a monitored urine collection conducted?) require?
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Based on 49 CFR 40.69, a monitored urine collection must be conducted using the following practical steps:
* When it is required: Conduct a monitored collection only when using a multi-stall restroom where you cannot secure all sources of water and other substances that could be used for adulteration and substitution.
* Securing the room: Secure the restroom or room so that no one except the employee being tested and the monitor can enter until the collection is finished.
* Monitor gender requirements: Ensure the monitor is the same gender as the employee, unless the monitor is a licensed or certified medical professional (such as a nurse, doctor, physician's assistant, technologist, or technician). The monitor does not need to be a qualified collector and can be a different person from the collector.
* Instructions for the monitor: If someone other than you acts as the monitor, verbally instruct them to follow the proper procedures.
* Role of the monitor: The monitor must *not* watch the employee urinate into the container. However, if the monitor hears sounds or makes other observations indicating an attempt to tamper with the specimen, an additional collection under direct observation must take place. The monitor must also ensure the employee takes the collection container directly to the collector as soon as they exit the enclosure.
* Documentation: If someone else acts as the monitor, the collector must note that person's name in the "Remarks" line of the CCF (Step 2).
* Driver compliance: If the employee being tested declines to permit an authorized monitored collection, it is treated as a refusal to test.
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