Drug Testing Kansas City

• Pre-Employment Testing: Candidates applying for safety-sensitive positions must pass a DOT drug test before beginning employment.
  
• Employees in safety-sensitive jobs will have random tests throughout the year. This helps discourage substance use.
  
• If an employer sees signs of drug use, like strange behavior or appearance, they can ask the employee to take a drug test.
  
• After a workplace accident, employees involved might need to take a drug test. This helps find out if substance use played a role in the incident.
  
• Employees who break DOT drug and alcohol rules must pass a return-to-duty drug test. This test happens after they finish rehab and before they can go back to safety-sensitive jobs.
  
• Employees who return to work after a policy violation will have unannounced follow-up tests. These tests are directed by a Substance Abuse Professional (SAP).

• Most DOT drug tests involve a urine sample, though oral fluid testing is becoming more common. A certified collector will monitor the collection process to detect any signs of tampering. The sample is split into two containers. Bottle A goes to a lab for testing. Bottle B is kept for retesting if needed. Result Review Process
  
• If Bottle A tests negative, the result is certified by a Medical Review Officer (MRO) and reported as such.
  
• If the result is positive, the Medical Review Officer (MRO) will reach out to the person. They will check if there is a valid medical reason, like prescription medication.     
• - If a valid reason is provided, the result is reported as negative.
• - If no valid explanation is given, the result is confirmed positive.
  
• The person can ask to test Bottle B at another certified lab. They will need to pay for this themselves to challenge the positive result. 

DOT 5-Panel Urine Drug Test
Tests for marijuana (THC), cocaine, amphetamines, opioids, and phencyclidine (PCP). Required for safety-sensitive employees regulated by DOT: (FAA, FMCSA, FRA, FTA, PHMSA, USCG)
DOT 5-Panel Return-to-Duty / Follow-Up Observed Drug Test
This observed test is required for individuals returning to work or undergoing follow-up testing after a policy violation.

• Negative Results: Typically available within 1–2 business days after the lab receives the specimen.
  
• Positive Results: May take 5–7 business days, depending on MRO review and confirmation steps.

In a directly observed collection, a trained observer of the same gender as the donor goes into the restroom with them. They watch to make sure the sample is real and not tampered with. This is typically required during return-to-duty or follow-up testing procedures.