Drug Screening & Occupational Health Product List

DOT Drug Screens

FMCSA (Federal Motor Carrier Safety Administration)

PHMSA (Pipeline and Hazardous Materials Safety Administration)

FRA (Federal Railroad Administration)

FTA (Federal Transit Administration)

USCG (United States Coast Guard)

FAA (Federal Aviation Administration)

eScreen

Quest

Formfox

Labcorp 

nonDOT Drug Screens

Ranging from 4-15 panel Drug Screens

Custom Panels upon request

Few limitations

eScreen

Quest

Formfox

Labcorp

4-11 Panel Options available

Results within 30 minutes

If there is a non-Negative result, the specimen is sent to the lab for additional testing

eScreen (eCup+)

Quest (ERO)

Labcorp (RADAR)

Hair Testing
 

Omega and Psychemedics Lab used for testing

DOT Physicals

A DOT physical checks your overall health, including things like:

• Vision and hearing
• Blood pressure
• Heart and lung function
• Urine test (checks for underlying medical conditions, not drugs)
• Medical history (like diabetes, sleep apnea, or past surgeries)
   

If the employee/applicant passes the exam, they get a Medical Examiner’s Certificate (DOT card), which is usually valid for up to 2 years (or less if you have certain health conditions).

This exam must be done by a DOT-certified medical examiner

eScreen

Formfox

NON-DOT Physicals

A NON-DOT physical is a regular check-up that may include:

• Vital signs (blood pressure, heart rate, etc.)
• Vision and hearing tests
• Strength, flexibility, or lifting ability
• Medical history review
• Possibly a urine test (depending on the job or company policy)

It’s often used for jobs that involve physical work but don’t require a commercial driver’s license.

eScreen

Formfox

eScreen

Formfox

• TB Skin - Step 1
  • Determines if the individual has developed an immune response the bacterium that causes TB
  • If positive or if the person has had a positive TB test in the past, a chest X-ray may be indicated to determine whether the person has active or latent TB
• TB Skin - Step 2
  • Used to detect individuals with past TB infection who now have diminished skin test reactivity. It requires placement/reading of two separate skin tests

eScreen

Projection radiograph of the chest used to diagnose conditions affecting the chest, its contents and nearby structures

• Two different views:
  • View 1 Front/Back
  • View 2 Front/Back and lateral views

The QuantiFERON test looks for how your immune system reacts to the bacteria that cause TB. It does not require a skin injection like the Skin TB test.

Instead:

• A small amount of blood is taken from your arm.
• The lab tests your blood to see if it reacts to TB proteins.
• The results show if you may have been exposed to TB (even if you don't feel sick).
• It is often used for healthcare workers, immigration exams, or anyone who needs TB screening for work or school.

eScreen

Labcorp Wellness

The T-SPOT test checks how your immune system reacts to the bacteria that cause TB.

How it works:

• A small sample of your blood is taken.
• In the lab, they look for specific white blood cells that respond to TB.
• If your immune system has seen TB bacteria before, these cells will react, and the test will be positive.
• *This product is considered Out of Network and higher fee’s are associated*

A titer test looks for antibodies in your blood — these are proteins your body makes to fight off infections. If you have enough antibodies, it means you’re likely protected (immune) against that disease.

Tested diseases:

• Measles, Mumps, Rubella (MMR)
• Hepatitis B
• Chickenpox (Varicella)

• Ishihara
  • Color blindness test for Red and Green deficiencies
  • Examiner will hold up a colored plate that contains a number made of dots
    • Those who are affected by color blindness, will have a difficulties seeing the number
• Snellen
  • Eye chart used by eye care professionals
  • Contains 11 lines of block letters, progressively going from large to small
• Jaeger
  • Using printed letters of different sizes that test the acuity of near vision
• Titmus
  • Tests for acuity (near: 14 inch, far: 20 ft), 
  • Depth/color perception
  • Muscle balance (lateral and vertical phoria) 
  • Horizontal visual fields (peripheral vision of 130° in each eye) 
  • Performed using a single lightweight, compact, and easy-to-use instrument

A way to measure a person’s hearing loss:

• Range from 100 Hz to 6,000 Hz
• Produced using a piece of test equipment called an audiometer, which allows different frequencies to be presented to the subject 
• Calibrated headphones are used at various levels

• Varicella Vaccine
  • Protects against the viral disease commonly known as chickenpox, Herpes zoster, and Postherpetic neuralgia
• TDAP Vaccine
  • Protects against three potentially life-threatening bacterial diseases: Tetanus, Diphtheria, and Pertussis (whooping cough)
• Hepatitis B Vaccine
  • Protects against the Hepatitis B virus. 
  • This immunization is administered in a series of 3 vaccines
    • Second dose given 4 weeks after the first, and the third dose 5 months after the second
• Meningococcal Vaccination
  • Can help prevent meningococcal disease, which is any type of illness caused by Neisseria Meningitidis bacteria
• MMR Vaccine
  • Protects against the measles, mumps and rubella

When OSHA requires a respirator, the employee must fill out a questionnaire

• Determines if the employee is physically/psychologically able to wear a respirator
• Must be reviewed by a physician or licensed healthcare professional
• Based on response, the healthcare professional could require additional testing
  • Physical, X-Ray, etc

eScreen

Qualitative:

• Pass/fail to confirm if a respirator masks fits correctly
• Taste/smell are used to test
• Individuals should bring in their own mask as the ones the clinic may have are different that what will be used in the workplace

Quantitative:

• Measures the ‘leakage’ into the respirator using an agent
• Capable of measuring fit factors from 100 - 10,000+

eScreen