Section 11-113-6 - Urine specimen(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.[Eff 1/23/92; am and Comp OCT 19 2007] (Auth: HRS §§ 329B-4, 329B-5, 329B-6, 329B-8) (Imp: HRS §§ 329B-4, 329B-5, 329B-6)