Land, Sea & Air
Medical Review Specialists

Steps to Follow After An Employee Tests
Positive for a Urine Drug Screen

  1. Know your company policy.
    -
    Are you going to give the employee another opportunity or will the employee be fired?
    - If you chose to give your employee another opportunity, you must first remove him/her from a safety sensitive position and then the employee must be evaluated by a substance abuse professional.
  2. Written evaluation and recommendations of the substance abuse professional must be sent to Dr. Panzer and your Human Resources Administrator (or the person in charge of your Anti Drug and Alcohol misuse program).
  3. The employee must follow the recommendations of the substance abuse professional.
  4. Once the employee has completed these recommendations, a letter of completion must be sent to Dr. Panzer and your Human Resources Administrator.
  5. Once a letter of completion is received by your present/potential employer, he will determine if and when to send the employee for a return to duty test.   If the test is negative, it is up to the employer to decide if the employee will be returned to their safety sensitive position.
  6. The employee will be placed on an individualized random urine drug follow-up testing program over one year.  You can expect at least 6 to 7 tests over the year.  After the year period, if all the tests have been negative, the employee has successfully completed the program
  7. All testing must be paid for in advance.
  8. Any positive test will be grounds for immediate dismissal.   Again, consult your company policy.
  9. You should be familiar with the safety sensitive position that your employees are involved with and what agency of the Department of Transportation regulates your company's anti drug and alcohol misuse program.  There may be special requirements that your employee may have to comply with before returning to the safety sensitive position.
Information for Employees with Positive, Adulterated or Substituted Test
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