This combined test may be required for several reasons: Pre-employment screening: Employers often require this test for safety-sensitive positions as part of the hiring process to ensure that candidates are free of drugs and alcohol before starting work. Random workplace testing: Employers may conduct random drug and alcohol testing to ensure compliance with workplace policies and to promote a drug- and alcohol-free environment. Post-accident testing: If an employee is involved in a workplace accident, this test can help determine whether drugs or alcohol are a factor. Reasonable suspicion testing: If there is reasonable suspicion that an employee is under the influence of drugs or alcohol based on behavior, appearance, or smell, this test can confirm or rule out impairment. Return-to-duty and follow-up testing: Employees returning to safety-sensitive roles after a drug or alcohol violation may be required to take this test to verify compliance before resuming work.

Preparation for the test involves a few steps: Avoid alcohol consumption: Refrain from consuming alcohol for at least 8 hours before the test to avoid a positive result. Medication disclosure: Inform the testing provider about any prescription or over-the-counter medications you are taking, as some medications may affect the test results for drugs and alcohol. If the test results are positive, a medical review officer (MRO) will review this information. Hydration: Drink a normal amount of water before the test, but avoid excessive hydration, as overly diluted samples may require retesting.

Negative result: Indicates that none of the substances or alcohol were detected in the sample, and the individual is cleared. Positive result: Indicates the presence of one or more substances or alcohol in the urine. If a positive result occurs: A Medical Review Officer (MRO) will review the results and contact you to discuss any legitimate medical explanations (e.g., prescription medications). If there is no valid explanation, the result is confirmed as positive, and you may face disciplinary action or removal from safety-sensitive duties, depending on your employer’s policies and regulations. Inconclusive or invalid result: If the sample is inconclusive or invalid, the test may need to be repeated.

Drug Test Positive: A Medical Review Officer (MRO) will review the results and contact you to verify any legitimate medical explanations for the positive result. If no valid reason is found, the result is confirmed, and you may face disciplinary actions, removal from duty, or referral to a Substance Abuse Professional (SAP) for further evaluation and treatment. Alcohol Test Positive: If the alcohol level is above the employer’s or regulatory agency’s threshold, you may be removed from safety-sensitive duties. Further action, such as a SAP evaluation and follow-up testing, may be required depending on your employer's policies.