BarnesCare has produced a virtual tour for visitors to our website. The video includes our medical director, Scott C. Jones, DO, MPH, FAOCOPM, introducing viewers to the specialty of occupational medicine and provides a general overview of the comprehensive services offered by BarnesCare. “The video gives viewers a first-hand look and feel of our clinic operations and the unique practice of occupational medicine,” says Jones. “There are no professional actors or staged scenarios, just actual workers receiving excellent treatment and care from the BarnesCare team.”

DOT Drug Testing: On and After October 1, 2010
 

The DOT testing at HHS-certified laboratories will continue to be a 5-panel drug test regimen, on and after October 1, 2010. The 5-panel regimen will remain:

• Marijuana (THC)
• Cocaine
• Amphetamines
• Opiates
• Phencyclidine (PCP)

Under opiates, DOT testing has always included confirmatory testing when appropriate, for codeine, morphine and 6-AM (heroin). Under amphetamines, DOT testing has always included confirmatory testing, when appropriate, for amphetamine and methamphetamine. To this amphetamines group, we are adding initial testing for MDMA and confirmatory testing for MDMA, MDA, & MDEA.

Broken out, here’s what drug testing will look like effective October 1, 2010, with the confirmatory testing indicated as new. (Note: Laboratories have always conducted confirmatory testing for 6-AM, when appropriate.)

• Marijuana (THC)
• Cocaine
• Amphetamines
  
  
  • Amphetamine
  • Methamphetamine
  • MDMA (new)
  • MDA (new)
  • MDEA (new)
• Opiates
  
  
  • Codeine
  • Morphine
  • 6-AM (heroin)
• Phencyclidine (PCP) 

What does this mean for collectors, laboratories, MROs, and employers on and after October 1, 2010 for DOT testing?

• Collectors will continue to check the 5-panel box in Step 1 of the CCF; the box specified for THC, COC, PCP, OPI, AMP
• Laboratories will continue to report to MROs the specific drugs and drug metabolites they confirm as positive; and laboratories will be adding MDMA, MDA and MDEA confirmed positives as appropriate
• Laboratories will add -- on their semi-annual reports to DOT and their semi-annual reports to employers -- MDMA, MDA, and MDEA confirmed positive totals, as appropriate, under amphetamines
• MROs will continue to report to employers the specific drugs and drug metabolite they verify as positive; and MROs will be adding MDMA, MDA, and MDEA verified positives, as appropriate
• Employers will continue to provide -- on their annual MIS reports -- the number of verified positive drug test results in each testing category (marijuana, cocaine, amphetamines, opiates, and PCP)

For additional clarification e-mail Mark Snider or call 202.336.3784.

BarnesCare Medical Directorship Program

With BarnesCare's Medical Directorship program, your company benefits from the services of a dedicated occupational health physician -- without the expense of a full-time salary. We work with you to evaluate your needs and provide you with an experienced BarnesCare physician to meet those needs.

Programs implemented and managed by a medical director help keep your employees healthy, and consequently have a direct effect on the overall health of your business.

A BarnesCare medical director:

• Assesses the potential for illness and injury at your company
• Assists you with medical compliance issues
• Administers programs that will improve your employees' health
• Consults on specific injury claims or disability cases
• Advises you on health plan design and/or workplace policy

BarnesCare medical directors help client companies both large and small. Our physicians consult with you by phone or email on an as-needed basis, or work on-site at your company on specific, predetermined days. A BarnesCare medical director offers:

Expertise -- The experienced BarnesCare medical staff practices evidence-based occupational medicine and is knowledgeable about other aspects of medical practice, including orthopedics, internal medicine, psychiatry, surgery, epidemiology, toxicology, forensics, administration and prevention.

Affordability -- Your company works with BarnesCare to determine the exact pricing structure that fits your budget.

Flexibility -- Every company is different, so our Medical Directorship Program is customized to your specific needs.

Leadership -- A BarnesCare medical director forms partnerships with relevant departments, such as human resources or risk management, to design and implement the right programs for your company.

A Focus on Occupational Medicine -- Because BarnesCare physicians provide only occupational health care for local companies, you can rely on them for focused attention to your workplace health needs.

For more information on BarnesCare's Medical Directorship Program, e-mail BarnesCare or call 314.747.5859.

Myth: Random testing is when an employer determines which individual(s) will be tested and when the test will occur.

Fact: Random means each person chosen for drug or alcohol testing has the same equal chance of being tested as any other person in the eligible pool listing each time a selection is made.

Random testing is the scientific method of selecting an individual(s) for substance abuse and alcohol testing based on matching the individual's identification number (such as social security number or payroll number) to a random number generator or table.

Myth: All employers in transportation-related commerce must perform random testing.

Fact: Employers who operate a commercial motor vehicle in commerce in any state as specified in Section 382.103 of the Federal Register (DOT) are required to perform random testing. Exceptions are noted in Section 390.3(f) and Section 382.103(d).

Myth: DOT and non-DOT covered personnel can be in the same random testing pool.

Fact: DOT covered personnel must be in a separate random testing pool from non-DOT personnel.

It is considered a violation of the federal guidelines to misrepresent the reason for the testing process, and it would impede the integrity of the random selection process if both DOT and non-DOT personnel were in the same testing pool.

Myth: Alcohol testing is required each time an individual is chosen for a DOT random drug test.

Fact: Alcohol testing is not required each time an individual is chosen for a DOT random drug test.

The minimum annual percentage rates for drug and alcohol testing are different. Fifty percent of covered personnel must submit to drug testing; while ten percent must submit to random alcohol testing. Exceptions are noted in Section 382.305©-(e) and (f)-(h).