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The Medical Review Officer's Manual - MROCC's Guide to Drug Testing, Fourth Edition

$95.00
Product Code: 23100
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Read the Preface to the Fourth Edition

About the Authors



The most up-to-date resource for workplace drug testing and the Best Possible preparation for the MRO Certification Exam.

Written by Medical Review Officers with years of experience "in the trenches", this clearly organized and indexed manual has set the standard of performance for MRO's. The newly revised fourth edition provides:

•   A comprehensive, well-organized resource for MRO's and MRO Assistants
•   Preparation for MRO Certification examination
•   An authoritative reference that presents the very latest regulations and standards of practice
•   Expanded discussion about testing for prescription opiates and other prescriptions
•   Expanded discussion about alternative specimen tests


The Medical Review Officer's Manual is a guidebook for physicians, other health professionals, and employers who are responsible for providing workplace drug and alcohol testing services. It provides practical instruction in exactly how to provide services and is an indispensable resource for experienced Medical Review Officers (MRO's), physicians training to serve as MRO's, occupational medicine physicians, occupational health nurses, third-party administrators and forensic toxicologists.

You'll Find:

•   Standards of practice based on federal regulations and guidelines
•   Solutions to concerns not covered by those regulations
•   The most recent changes to the HHS Mandatory Guidelines, including the revised Federal Custody and Control Form
•   A discussion about medical marijuana
•   Evolving knowledge and standards of practice about oral fluid and hair testing

Step-by-step procedures for work-related drug / alcohol testing including:

•   Urine and alternative specimen collection
•   Lab analysis
•   MRO review of drug test results
•   Reporting and recordkeeping

Forms:

•   "MRO Punch list" used for drug test reviews
•   List of OTC and prescription drugs that may cause positive drug test results
•   Table of state laws that require reporting of positive DOT drug test results
•   Flowcharts for distributing chain of custody

Help in Answering Questions Such As:

•   Can a properly performed laboratory analysis result in a false positive?
•   The advantages and disadvantages of urine in comparison to other specimens such as oral fluid or hair tests
•   The best way to process an unusual result, such as an invalid laboratory result

The Medical Review Officer's Guide to Drug Testing is an excellent study guide for the MRO Certification and Recertification exams. It has as its core MROCC's MRO Competencies document upon which the MROCC exam is based.

Sponsored by the Medical Review Officer Certification Council, The Medical Review Officer's Guide to Drug Testing is your best source for today's highest standards of practice in workplace drug testing.



Pub. Date: May 2010
ISBN: 978-1-883595-54-8
$95.00
Product Code: 23100
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Table of Contents

List of Figures and Tables

Preface

About the Authors

Common Acronyms

1. The Medical Review Officer (MRO)

2. Laws, Guidelines, and Policies

3. Test Types

4. Employer Responsibilities

5. Service Agents

6. Specimen Collection

7. Adulterants, Substitution, and Dilution

8. Laboratory Analysis

9. Laboratory Results

10. MRO Review of Drug Test Results

11. Split Specimen Tests and Retests

12. Urine and Other Specimens

13. Alcohol and Specific Drugs

14. Alcohol Testing

15. Return-to-Duty Process

16. The Medical Review Officer Certification Council, by Brian L. Compney

Appendices

A Information Sources

B MRO Code of Ethical Conduct

C Ethical Aspects of Drug Testing

D Controlled Substances Act, Schedules I-V

E Federal Drug Testing Custody and Control Form (CCF)

F DOT Procedures, 49 CFR Part 40

G DOT Agency Rules, Summarized

Index



Pub. Date: May 2010
ISBN: 978-1-883595-54-8
$95.00
Product Code: 23100
Buy It


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Preface to Fourth Edition

The Medical Review Officer's Manual, fourth edition is a reference for physicians and other providers of workplace drug and alcohol testing services. This book presents the rules and guidelines and the authors' understanding of best practices. It focuses on the review and interpretation of workplace drug and alcohol test results and related topics important to medical review officers (MROs). The standard operating procedures for MRO practice are well defined by federal regulations and guidelines, primarily those of the U.S. Department of Health and Human Services (HHS) and U.S. Department of Transportation. Many MROs follow the federal procedures when reviewing nonregulated tests because the procedures make sense, and because they are used to them. However, the federal procedures do not cover every scenario nor do they cover drugs and metabolites beyond the federal five-drug panel and tests performed on nonurine specimens. This book covers the federal procedures and other scenarios not covered by the federal procedures.

Four years have passed between this fourth edition and the third edition. This fourth edition has updates for regulatory compliance and technological changes, including changes to the HHS Mandatory Guidelines and Federal Drug Testing Custody and Control Form effective as of May 10, 2010. It also features more information about (1) nonurine tests; (2) prescription opiates and testing for prescription drugs; and (3) specimen validity testing. This fourth edition has updated endnote references. The text includes citations for some of the less well-known parts of the federal rules, so that readers can more easily locate the source material.

We thank the Medical Review Officer Certification Council (MROCC) and Brian Compney, MROCC's executive director, for supporting this project. Excellent comments on drafts of this fourth edition were provided by Sue Clark, MBA; Steven Herbets, MD; Carl Selavka, PhD; and Gilbert Woodall, Jr., MD. We thank Curtis Vouwie at OEM Press, the publisher, for his encouragement and responsiveness.



Pub. Date: May 2010
ISBN: 978-1-883595-54-8
$95.00
Product Code: 23100
Buy It


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About the Authors

Robert Swotinsky, MD,
Robert Swotinsky is chair of Fallon Clinic's Occupational Medicine Department in Massachusetts, where he leads a multisite clinical program. Dr. Swotinsky is board certified in occupational medicine, is certified as a medical review officer (MRO) and substance abuse professional (SAP), and is an aviation medical examiner. This fourth edition of The Medical Review Officer's Manual is Dr. Swotinsky's fifth book on workplace drug and alcohol testing. He is also founding editor of the MRO Update newsletter, is a coauthor of the Medical Review Officer Certification Council's (MROCC) MRO certification examination, and teaches in national courses for MROs. Dr. Swotinsky's expertise includes workplace drug and alcohol testing, toxicology, and assessment of work (dis)ability. Dr. Swotinsky graduated with chemical engineering and biology degrees from MIT, his MD degree from Vanderbilt University School of Medicine, and a Masters in Public Health from the University of California, Los Angeles.

Donna Smith, PhD,
Donna Smith is Regulatory Affairs and Program Development Officer at FirstLab in North Wales, Pennsylvania. Dr. Smith previously served as the Acting Director, Drug Enforcement and Program Compliance, for the U.S. Department of Transportation (DOT) in Washington, D.C. She coordinated the development, implementation, and enforcement of DOT's workplace drug and alcohol testing programs. She was a principal author of the DOT drug and alcohol testing regulations and numerous government publications on drug and alcohol testing procedures. Dr. Smith has provided testimony and statements as an expert witness on behalf of the DOT and HHS procedures for workplace drug testing. Dr. Smith has taught collectors, MROs, and other service agents in training programs throughout the United States and abroad. A graduate of Capital University of Columbus, Ohio, Dr. Smith went on to receive a Masters of Social Work from Hunter College in New York, and a doctorate in counseling psychology from Ball State University in Muncie, Indiana.


Price: $95.00
Product Code: 23100
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Professional Exams

2012 Exam Dates:
MROCC Onsite Exams:
Apr 1, 2012 - Philadelphia
Apr 29, 2012 -
Los Angeles
Jun 10, 2012 - Chicago
Jul 22, 2012 - Chicago
Nov 11, 2012 - TBD
(In the Southeast)
Dec 2, 2012 -
Washington DC

For complete information on 2012 course dates
and registration details
CLICK HERE

Study Aides:

MRO Certification:
Medical Review Officer's Manual

Medical Review Officer Team Manual

MRO Re-Certification:
Medical Review Officer Team Manual

COHN:
Occupational and Environmental Health: Recognizing and Preventing Disease and Injury

Core Curriculum for Occupational and Environmental Health Nursing

Bates' Guide to Physical Examination and History Taking

Occupational Health Nursing Guidelines for Primary Clinical Conditions

Casarett & Doull's Toxicology

COHN-S:
All COHN books plus

Effective Management of Health and Safety Programs

Preventive Medicine
Epidemiology, Biostatistics, and Preventive Medicine

Maxcy-Rosenau-Last Public Health and Preventive Medicine

Study Guide to Epidemiology & Biostatistics

Effective Management of Health and Safety Programs

Preventive Medicine and Public Health

Occupational Medicine
Occupational & Environmental Medicine Self Assessment and Review

Proctor & Hughes' Chemical Hazards of the Workplace

Current Occupational and Environmental Medicine

Effective Management of Health and Safety Programs

Clinical Environmental Health and Toxic Exposures

Physical and Biological Hazards of the Workplace


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