What does it mean to get a DOT Drug Screen? 

A Department of Transportation (DOT) Drug Screen refers to the drug testing procedure that must be passed by individuals working in any capacity that is regulated by one of the agencies under the DOT. This includes roles related to safety-sensitive transportation, such as pilots, bus drivers, truck drivers, train engineers, ship captains, and pipeline emergency response personnel.

The DOT Drug Screen is designed to ensure the safety of the traveling public by making sure that these individuals are not using illicit drugs or abusing legal drugs while on duty.

The test typically checks for the following substances:

  • Marijuana metabolites
  • Cocaine metabolites
  • Amphetamines (including methamphetamine)
  • Opioids (including codeine, heroin, morphine, oxycodone, oxymorphone, hydrocodone, and hydromorphone)
  • Phencyclidine (PCP)

The procedure for the DOT drug test is very specific and regulated:

  • Collection of a urine sample: The urine sample must be collected using a very specific protocol designed to ensure the integrity of the sample.

  • Chain of Custody Form: This is a document that tracks the sample from the time it is collected through to the testing process to ensure there is no tampering with the sample.

  • Testing: The sample is tested at a laboratory certified by the Department of Health and Human Services (HHS). Initially, a screening test is done, and if that returns a positive result, a confirmation test is done using a different testing method.

  • Review: The results are reviewed by a Medical Review Officer (MRO) to validate the test results and to provide an opportunity for the tested individual to provide any medical explanation for a positive test result.

  • Reporting: The results are then reported to the employer in a confidential manner.

Failure to pass a DOT drug screen can lead to immediate removal from safety-sensitive functions, mandatory substance abuse counseling, and follow-up testing.


Come into Liberty Urgent Care

If you have got a job that requires a DOT Drug Screen, the best way to collect this is by coming into Liberty Urgent Care. Our team will be able to collect your urine in a safe manner and send it to a Medical Review Officer (MRO) accordingly.