50 Ill. Adm. Code 9140.30
Collection of Urine
Section 9140.30 Collection of Urine
The following procedures shall be used to obtain a urine
sample from a subject to determine alcohol concentration and the presence of
drugs or intoxicating compounds:
a) Urine
Collector
1) Urine
specimens shall be collected by any of the following: a collector meeting the
training requirements of 49 CFR 40.33 (2012), licensed physician, advanced
practice nurse, registered nurse or licensed practical nurse.
2) The
following persons shall not serve as a collector:
A) the
immediate supervisor of the employee being tested, unless no other collector is
available;
B) or a
person employed by a laboratory who could link the employee with a urine
specimen, testing result or laboratory report.
b) Collection
Site. A collection site may be in a medical facility, a mobile facility, a
dedicated collection facility, or any other location meeting the requirements
of this Section. The collection site must have a source of water for washing
hands that, if practicable, should be external to the closed room where
urination occurs.
c) Prevention
of Sample Adulteration. Collectors shall make all attempts to do the following
before each collection to deter tampering with specimens:
1) Secure
any water sources or otherwise make them unavailable to the employee providing
the specimen;
2) Ensure
that the water in the toilet is blue or secure any movable toilet tank top;
3) Ensure
that no soap, disinfectants, cleaning agents or other possible adulterants are
accessible to the employee at the collection site;
4) Inspect
the collection site to ensure that no foreign or unauthorized substances are
present;
5) Ensure that undetected
access to the site is not possible; and
6) Secure areas and items
that appear suitable for concealing contaminants.
d) Prevention
of Sample Contamination. Collectors shall follow the following procedures to
prevent contamination of the sample:
1) To
avoid distraction that could compromise security, conduct only one collection
for one employee at a time;
2) To
the greatest extent possible, keep an employee's collection container within
view of both the collector and the employee between the time the employee has
urinated and the time the specimen is sealed;
3) Ensure
that the collector is the only person in addition to the employee who handles
the specimen before it is poured into the bottles and sealed with
tamper-evident seals;
4) Maintain
personal control over each specimen throughout the collection process; and
5) Minimize
the number of persons handling the specimen.
e) Collection Materials
1) Urine
shall be collected in containers that:
A) are a
single-use container, made of plastic, large enough to easily catch and hold at
least 55 mL of urine voided from the body;
B) have
graduated volume markings clearly noting levels of 45 mL and above;
C) have a
temperature strip providing graduated temperature readings 32-38 degrees Celsius
or 90-100 degrees Fahrenheit, that is affixed or can be affixed at a proper
level on the outside of the collection container. Other methodologies are
acceptable, provided that the temperature measurement is accurate and that
there is no potential for contamination of the specimen; and
D) are
individually wrapped in a sealed plastic bag or shrink wrapping or must have a
peelable, sealed lid or other easily visible tamper-evident system.
2) Urine
shall be placed in specimen bottles that:
A) are
large enough to hold at least 35 mL or, alternatively, they may be two distinct
sizes of specimen bottles provided that the bottle designed to hold the primary
specimen holds at least 35 mL of urine and the bottle designed to hold the
split specimen holds at least 20 mL;
B) have
screw-on or snap-on caps that prevent seepage of the urine from the bottles
during shipment;
C) have
markings clearly indicating the appropriate levels (30 mL for the primary
specimen and 15 mL for the split specimen) of urine that must be poured into
the bottles;
D) meet
the following specifications:
i) are
wrapped (with caps) together in a sealed plastic bag or shrink wrapping
separate from the collection container; or
ii) are wrapped
(with cap) individually in sealed plastic bags or shrink wrapping; or
iii) have
peelable, sealed lid or other easily visible tamper-evident system; and
E) if made of plastic, are
leach resistant.
3) Specimen
bottles shall be placed in a plastic bag that:
A) has
two sealable compartments or pouches that are leak-resistant or a single bag
that is large enough to hold two specimen bottles;
B) demonstrates
that any tampering or attempts to open either compartment have occurred; and
C) contain
enough absorbent material to absorb the entire contents of both specimen
bottles.
f) Collection
Procedures. The collection of urine shall be performed in accordance with the
following guidelines:
1) When
the employee enters the collection site, the testing process shall start
without undue delay. If the employee needs medical attention, this treatment
shall not be delayed to collect a specimen.
2) The employee must
provide identification to the collector before testing.
3) The collector shall
explain the basic collection procedure to the employee.
4) If an
employee normally voids through self-catheterization, the collector shall
instruct the employee that he or she is required to provide a specimen in that
manner.
5) The
collector shall instruct the employee to wash and dry his or her hands at this
time and instruct the employee not to wash his or her hands again until after
delivering the specimen to the collector.
6) The
employee may provide his or her urine specimen in a stall or otherwise
partitioned enclosure that allows for individual privacy. The collector shall
remain in the restroom or area, but outside the stall or partitioned enclosure.
7) The
collector shall select, or allow the employee to select, an individually
wrapped or sealed collection container from collection kit materials. Either
the collector or the employee, with both the collector and the employee present,
must unwrap or break the seal of the collection container. The collector shall
not unwrap or break the seal on any specimen bottle at this time.
8) The
employee shall only take the collection container into the room used for
urination.
9) The collector shall
collect a specimen of at least 45 mL.
g) Steps
Following Collection of Urine Specimen. The collector shall perform the
following after the collection of the urine specimen:
1) The
collector shall check the temperature of the specimen no later than four
minutes after the employee has given the specimen to the collector by reading
the temperature strip attached to the collection container and report this
information on the Chain of Custody Form.
2) The
collector shall inspect the specimen for unusual color, presence of foreign
objects or material, or other signs of tampering.
h) Direct
Observation Collection Procedure. The collector shall initiate a direct
observation collection procedure if: the temperature of the urine is outside
of the temperature range of 32-38 degrees Celsius or 90-100 degrees Fahrenheit;
the collector determines that material appears to be brought to the collection
site with the intent to alter the specimen; or it is apparent from this
inspection that the employee has tampered with the specimen. The direct
observation collection procedure shall be performed in accordance with the
following guidelines:
1) The
collector shall explain to the employee the reason for a directly observed
collection.
2) The
observer shall be the same gender as the employee. The observer may be a
different person from the collector and need not be a qualified collector.
3) The
observer must request the employee to raise his or her shirt, blouse, dress or
skirt, as appropriate, above the waist and lower clothing and underpants to
show the collector, by turning around, that the employee does not have a
prosthetic device. After the collector has determined that the employee does
not have such a device, the employee may return his or her clothing to its
proper position for observed urination.
4) The
observer shall watch the employee urinate into the collection container.
5) The
observer shall watch the specimen as the employee takes it to the collector. If
the observer is not the collector, the observer shall not take the collection
container from the employee.
6) If
another person has acted as the observer, his or her name shall be recorded on
the Chain of Custody Form.
i) Preparation
of Urine Specimen. The collector shall take the follow steps after collection
in the presence of the employee:
1) Pour
at least 30 mL of urine from the collection container into one specimen bottle,
to be used for the primary specimen.
2) Pour at
least 15 mL of urine from the collection container into the second
specimen bottle
to be used for the split specimen.
3) Place
and secure the lids or caps on the bottles.
4) Seal
the bottles by placing the tamper-evident bottle seals over the bottle
caps/lids and down the sides of the bottles.
5) Write
the date on the tamper-evident bottle seals.
6) Discard
any urine left over in the collection container after both specimen bottles have
been appropriately filled and sealed.
7) Allow
the employee to initial the tamper-evident bottle seals for the purpose of
certifying that the bottles contain the specimens provided.
j) Completion
of Collection Process. To complete the collection process, the collector shall
follow the following procedure:
1) The
collector shall secure the pouches of the plastic bag containing the specimens
in the presence of the employee.
2) The
collector shall place the sealed plastic bag in a shipping container designed
to minimize the possibility of damage during shipment and seal the shipping
container as appropriate.
3) The
collector shall complete all applicable portions of the Chain of Custody Form
as specified in Section 9140.10.
4) The
collector shall ensure that each specimen collected is shipped to a laboratory
as quickly as possible, but no later than 24 hours after collection or during
the next business day after collection.