Your Compliant Solution for Drug & Occupational Health Services

The xReader™ drugs of abuse test system enables you to customize and choose from five standard panel options that test from six to 10 metabolites based on your needs and policies.

• The xCup device works in conjunction with the xReader system, enabling you to electronically screen for up to 10 commonly abused prescription and illicit drugs.
• The xReader system provides the immediacy of rapid, point-of-collection drug screening with the consistency of an instrument read test. Additionally, its ability to report digitally screened negative results in 5 minutes allows you to hire employees today.
• The xReader system is an FDA 510(k) cleared instrumented test that targets today’s most common illicit and prescription drugs.
• As laws change regarding medical and recreational marijuana use, some employers are choosing to eliminate cannabis from their drug screening panel.

DOT and non-DOT lab-based tests can be processed along with the required federal chain-of-custody form (whether paper or electronic). All results report back to the end user via a secure, confidential website. Our documented turn times are consistently tracked at between 2 and 2 ½ days.

Need to test your job applicants or current employees on-site? Breath, urine and saliva testing solutions return results in a matter of minutes. Save time and cut costs with our suite of rapid screening solutions.

Recording and reporting breath alcohol testing occurs through our collection management system. BATs are recorded electronically in the application and are reported to employers in real time via a secure and confidential web platform. It can be scheduled (pre-registered) as an independent event or combined with all other types of screening and testing services to create a single-platform collection process.

The ePhysical® solution streamlines employee physical exams and simplifies the reporting process.

These physical examinations are performed in accordance with the Department of Transportation (DOT) regulations and must include:

• Health history with review by provider.
• Vision testing to include distance visual acuity, color vision screening, monovision, and peripheral vision.
• Hearing - Measures ability to hear a forced whisper with or without a hearing aid. When an individual fails a whisper test, an audiogram may be performed by a clinic.
• Vital signs, including blood pressure, pulse, height, and weight.
• Laboratory testing - A urine dipstick is performed for specific gravity, blood, glucose, and protein levels. Evidence of uncontrolled diabetes or renal impairment should be investigated prior to certification.
• Physical examinations - Provider performs a physical examination covering each section (ie, general; skin; eyes; ears; mouth/throat; cardiovascular; lungs/chest; abdomen; genitourinary system, including hernias; back/spine; extremities/joints; neurological system, including reflexes, gait, vascular system).
• Provider certification determination - Federal or with state variance, for intrastate-only drivers.
• Automated reporting to National Registry of Certified Medical Examiners (NRCME).

• Ishihara: The Ishihara Color Blindness Test is a test for red-green color deficiencies. The test consists of a number of colored plates, called Ishihara plates, each of which contains a circle of dots appearing randomized in color and size. Within the pattern are dots that form a number visible to those with normal color vision and invisible, or difficult to see, for those with a red-green color vision defect. The test consists of up to 38 plates, but the existence of a deficiency is usually clear after a few plates.
• Snellen: The Snellen test uses a Snellen chart. A Snellen chart is an eye chart used by eye care professionals and others to measure visual acuity. The traditional Snellen chart is printed with 11 lines of block letters. The first line consists of 1 very large letter, which may be one of several letters, eg, E, H, or N. Subsequent rows have increasing numbers of letters that decrease in size. A person taking the test covers 1 eye and reads aloud the letters of each row, beginning at the top. The smallest row that can be read accurately indicates the visual acuity in that eye.
• Jaeger: The Jaeger vision test is a vision test using printed letters of different sizes that test the acuity of near vision.
• Titmus: The Titmus Vision Screener tests for acuity (near: 14 in, far: 20 ft), depth perception, color perception, muscle balance (lateral and vertical phoria), and horizontal visual fields (peripheral vision of 130° in each eye) in a single lightweight, compact, and easy-to-use instrument.

TB/PPD “1 Step Only” Tuberculosis skin test/purified protein derivative (PPD): skin test used to determine if someone has developed an immune response to the bacterium that causes tuberculosis (TB). The person must return to the clinic 48-72 hours after it is administered for reading. If a TB test is positive, or if the person has had a positive TB test in the past, a chest x-ray may be indicated to determine if the person has active or latent TB.

TB/PPD “2 Step” Tuberculosis skin test/PPD: used to detect individuals with past TB infection who now have diminished skin test reactivity. It requires placement/reading of 2 separate skin tests. A positive second test may indicate TB infection in the distant past. A chest x-ray would be indicated for further evaluation.

When Occupational Safety and Health Administration (OSHA) requires a respirator, the employee must fill out a questionnaire as part of the medical evaluation to determine physical/psychological ability to wear a respirator. The questionnaire content is mandated by the OSHA respiratory protection standard (1910.134) and must be reviewed by a physician or licensed healthcare professional (PLHCP). Based on the questionnaire responses, the PLHCP may require additional testing, including a physical examination, chest X-ray, electrocardiogram (EKG) or pulmonary function test, to clear an employee for respirator use. Upon passing, a respirator clearance certificate is generated/provided.

• Qualitative: The qualitative test is a pass/fail test used to confirm if a respirator mask fits correctly, relying on the subject’s voluntary or involuntary response to a challenge agent, ie, taste or smell. This test is used when workers will wear a respirator with a fit factor less than 100. Clinics will require the employee/applicant to provide a respirator clearance certificate before performing a fit test.
• Quantitative: The quantitative respirator fit test measures the challenge agent leakage into the respirator without dependence on a test subject’s voluntary or involuntary response to the challenge agent. The instrumentation is typically capable of measuring fit factors of 10,000 or higher. Respirators that require a fit factor above 100 must be fit tested using the quantitative (QNFT) test method.

A Titer is a blood test that checks your immune status to vaccinations or diseases you may have received in the past.

• Hepatitis A titer is a blood test used to determine immunity to the hepatitis A virus due to immunization or past infection.
• Hepatitis B titer is a blood test used to determine immunity to the hepatitis B virus due to immunization or past infection.
• Hepatitis C iter is a blood test used to screen for active or chronic hepatitis C disease.
• Measles, mumps, and rubella (MMR) titer is a blood test used to screen for immunity or potential immunity to the MMR viruses due to immunization or past infection.
• Varicella titer is a blood test used to screen for immunity or potential immunity to the Varicella virus due to immunization or past infection.
• Tetanus, diphtheria, pertussis (Tdap)/tetanus and diphtheria (TD) titers are not currently recommended by the Centers for Disease Control and Prevention (CDC). They are not widely available for routine screening for immunity to tetanus, diphtheria, or pertussis.

• Chest X-Ray: A chest radiograph, commonly called a chest x-ray (CXR), is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are among the most common films taken, offering diagnosis for many conditions. They may be taken in different views depending on the presenting symptoms or reason for testing. This is a commonly ordered x-ray to clear a person with a positive PPD/TB skin test. 1 view is PA (posteroanterior), 2 view studies include PA (posteroanterior) and lateral views.
• Pulmonary function test (PFT)/spirometry are a group of tests that measure how well the lungs take in and release air and how well they move gasses such as oxygen from the atmosphere into the body’s circulation. A PFT may be required by the Physician or Other Licensed Health Care Professional (PLHCP) to allow clearance for respirator use (see OSHA Respirator Questionnaire).