Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 113 - SUBSTANCE ABUSE TESTING BY LABORATORIES
Section 11-113-6 - Urine specimen
Universal Citation: HI Admin Rules 11-113-6
Current through February, 2024
(a) In addition to section 11-113-5, the collection of urine specimens shall include the following:
(1) Procedures for collecting urine specimens
shall allow for individual privacy unless there is reason to believe that a
particular individual may alter or substitute the specimen to be
provided.
(2) The collection site
person shall ask the individual to remove any unnecessary outer garments such
as a coat or jacket that might conceal items or substances that could be used
to tamper with or adulterate the individual's urine specimen. The collection
site person shall ensure that all personal belongings such as a purse or
briefcase remain with the outer garments. The individual may retain his or her
wallet.
(3) The individual shall be
instructed to wash and dry his or her hands prior to urination.
(4) After washing hands, the individual shall
remain in the presence of the collection site person and shall not use any
water fountain, faucet, soap dispenser, cleaning agent or any other material
which could be used to adulterate the specimen.
(5) Toilet bluing agents shall be placed in
toilet tanks wherever possible, so the water in the toilet bowl remains blue.
There shall be no other source of water in the enclosure where urination
occurs.
(6) The collection site
person shall instruct the individual not to flush the toilet.
(7) The individual may provide his or her
specimen in the privacy of a stall or otherwise partitioned area that allows
for individual privacy.
(8) The
collection site person shall note in writing in the chain of custody form any
unusual behavior or appearance of the individual.
(9) In the event that a third
party-designated collection site is not accessible and there is an immediate
requirement for specimen collection, a public rest room may be used according
to the following procedures:
(A) A collection
site person of the same gender as the individual shall accompany the individual
into the public rest room which shall be made secure during the collection
procedure.
(B) If possible, a
toilet bluing agent shall be placed in the bowl and any accessible toilet
tank.
(C) The collection site
person shall remain in the rest room, but outside the stall, until the specimen
is collected.
(D) If no bluing
agent is available, the collection site person shall instruct the individual
not to flush the toilet until the specimen is delivered to the collection site
person.
(E) After the collection
site person has possession of the specimen, the individual will be instructed
to flush the toilet and to participate with the collection site person in
completing the chain of custody procedures.
(10) Upon receiving the specimen from the
individual, the collection site person shall determine that it contains at
least thirty milliliters of urine. If there is less than thirty milliliters of
urine in the bottle, the bottle and contents shall be discarded and another
urine specimen shall be collected in a separate container. The individual may
be allowed to drink a reasonable amount of water for this purpose (but not to
exceed a maximum of 24 ounces in 8 ounce increments every 30 minutes). If the
individual fails for any reason to provide at least thirty milliliters of
urine, the collection site person shall contact the third party.
(11) After the specimen has been provided and
submitted to the collection site person, the individual shall be allowed to
wash his or her hands.
(12)
Immediately after the specimen is collected, the collection site person shall
measure the temperature of the specimen. The temperature measuring device used
shall not contaminate the specimen with alcohol, drugs, or the metabolites of
drugs. The time from urination to temperature measurement shall not exceed four
minutes.
(13) The collection site
person shall inspect the specimen for color and any other signs of
contaminants. Any unusual findings shall be noted in the chain of custody
form.
(14) The collection site
person shall inspect the toilet, urinal, or stall where the individual provided
the urine specimen for any indication of specimen adulteration.
(15) The collect site person shall check the
temperature of the specimen with a temperature strip capable of indicating
temperature readings between 90-100 degrees F (or 32-38 degrees C). If the
temperature of a specimen is outside the range, there is reason to believe that
the individual may have altered or substituted the specimen, and another
specimen may be collected under direct observation as an option of the third
party, as described in paragraph (16). Both specimens shall be forwarded to the
laboratory for testing. An individual shall be given the option to have his or
her oral temperature taken to provide evidence to counter the reason to believe
the individual may have altered or substituted the specimen caused by the
specimen's temperature falling outside the prescribed range.
(16) If there is reason to believe that the
individual may have altered or substituted the specimen, based on paragraphs
(13) to (15), another specimen may be collected with or without direct
observation by a same gender collection site person, as an option of the third
party. Both specimens shall be forwarded to the laboratory for
testing.
(17) All specimens
suspected of being adulterated shall be forwarded to the laboratory for
testing.
(18) The collection site
person and the individual shall be present at the same time during procedures
outlined in paragraphs (19) to (22).
(19) The specimen shall be kept in view of
both the individual being tested and the collection site person at all times
prior to and while it is being sealed with the placement of a tamper-evident
tape over the bottle cap and down the sides of the bottle.
(20) The collection site person shall place
securely on the bottle an identification label which contains the date, the
individual's specimen number, and any other identifying information provided or
required by the third party.
(21)
The individual shall initial the identification label on the specimen bottle
for the purpose of certifying that it is the specimen collected from him or
her.
(22) The collection site
person shall enter in the chain of custody form all information identifying the
specimen. The collection site person shall sign the chain of custody
form.
(23) The individual shall be
asked to read and sign a statement in the chain of custody form certifying that
the specimen identified as having been collected from him or her is in fact
that specimen he or she provided.
(24) The third party shall review and concur
in advance with any decision that a specimen be collected under the direct
observation of a same gender collection site person based on a reason to
believe that the individual may alter or substitute the specimen to be
provided.
(25) The collection site
person and the same gender observer, if applicable, shall complete the chain of
custody form.
(26) If the specimen
is not immediately prepared for shipment, it shall be placed in a tamperproof
specimen bag or shall be secured by another method, and placed in an
appropriately safeguarded location during temporary storage.
(27) While any part of the above chain of
custody procedures is being performed, it is essential that the urine specimen
and custody documents be under the control of the involved collection site
person. If the involved collection site person leaves his or her work station
momentarily, the specimen and custody form shall be secured. After the
collection site person returns to the work station, the custody process will
continue. If the collection site person is leaving for an extended period of
time, the specimen and documents shall either be packaged for mailing before he
or she leaves the site, or be signed over to the custody of another collection
site person prior to leaving the area.
(b) Collection site personnel shall arrange to have the collected specimens transported to the drug testing laboratory. The specimens shall be placed in containers designed to minimize the possibility of damage during shipment. The containers shall be securely sealed to eliminate the possibility of undetected tampering. On the tape sealing the container, the collection site person shall sign and enter the date specimens were sealed in the container for shipment. The collection site person shall ensure that the chain of custody documentation is attached to each container sealed for shipment to the drug testing laboratory.
(c) A copy of the chain of custody form shall be forwarded to the medical review officer.
(d) The collection site personnel shall keep confidential all information contained in the chain of custody forms.
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