Phlebotomy Tech Prep: CPT Coming soon

Chain of Custody and Drug-Screen Collection

Chain of custody documents every hand-off of a specimen; in a DOT urine collection the donor shows photo ID, gives at least 45 mL, the temperature is read within 4 minutes (32-38 C / 90-100 F), and the collector splits, seals and signs in the donor's presence.

Chain of custody basics

  • Chain of custody: the documented record of who handled the specimen, from the moment the donor hands it to the collector until it is destroyed (49 CFR 40.3).
  • Forensic samples, such as blood alcohol for legal use, must keep their identity and integrity from collection through analysis and reporting (California 17 CCR 1219).
  • The collector keeps personal control of each specimen and its custody form, handles it alone with the donor, keeps it in view of both until sealed, and stays at the site until it is sealed (49 CFR 40.43(d)).
  • The custody and control form (CCF) documents the specimen's handling; at collection the DOT collector completes Step 4: printed name, date and time of collection, signature and the delivery service (49 CFR 40.79(a)(2)).

Preview only. The full sheet also covers: Prepare the collection site (DOT, 49 CFR 40.43); DOT urine collection, in order; Key numbers; Problems and what the collector does.

Sources

Free Special Collections practice questions

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