Testing positive on a return-to-duty (RTD) test can jeopardize your job and future opportunities, but taking immediate action can help you regain compliance and return to work. Here’s what you need to do:

• Notify your employer immediately: Inform them of the result and request details about their RTD policy.
• Work with a Medical Review Officer (MRO): Provide any necessary medical documentation and respond promptly.
• Schedule an evaluation with a Substance Abuse Professional (SAP): Ensure they are DOT-certified and follow their recommendations for treatment or education.
• Complete follow-up testing: Be prepared for unannounced tests over 12 months or more, as required by DOT regulations.

Act quickly, maintain clear communication, and follow every step of the process to meet compliance requirements and secure your return to work.

First Steps After Testing Positive

When you test positive on a return-to-duty test, acting quickly is crucial. The sooner you begin the process, the smoother your path back to work will be.

Contact Your Employer Right Away

Reach out to your employer immediately. Most companies have strict policies requiring employees to notify them as soon as they test positive. Failing to do so could be seen as noncompliance, which might jeopardize your ability to return to duty.

When you speak with your employer, keep the conversation professional and straightforward. Acknowledge the test result and express your intent to follow all necessary steps to return to work. Ask for written details about your company’s return-to-duty policy, including deadlines and required certifications.

Keep detailed records of all communications. Note dates, times, and the content of your conversations. This documentation can be invaluable if any questions about compliance or timelines arise later.

Many employers offer Employee Assistance Programs (EAPs) to guide you through this process. Check with your HR department to see what resources are available. However, remember that while these programs can be helpful, they don’t replace the need to work with qualified professionals for official evaluations.

After notifying your employer, the next step involves working with your Medical Review Officer (MRO).

Work with the Medical Review Officer (MRO)

The Medical Review Officer (MRO) plays a key role in reviewing and interpreting your drug test results. This licensed physician ensures that your results are accurate and determines if there’s a legitimate medical reason for the positive test.

When the MRO contacts you, respond promptly. Gather any relevant medical documentation you may need, such as prescription bottles, pharmacy records, or a note from your prescribing doctor, especially if prescribed medications could have influenced your test results.

Be honest and thorough. The MRO is bound by medical confidentiality, but any attempt to provide misleading information can hurt your case and delay your process.

Once the MRO has completed their review, your next step is to schedule an evaluation with a Substance Abuse Professional (SAP).

Find a Qualified Substance Abuse Professional (SAP)

If you’re in a DOT-regulated position, working with a qualified SAP is mandatory. The SAP will evaluate your situation and recommend the education or treatment you need before you can safely return to work.

Make sure the SAP you choose is DOT-qualified. Not all counselors meet the federal requirements for this role. Selecting an unqualified provider could result in delays and additional complications.

DrugEval.com offers telehealth services specifically designed to meet DOT compliance standards. Their process includes two required sessions – an initial evaluation and a follow-up session. Once both are completed, compliance documentation is typically provided within 24 to 48 hours.

“I used DrugEval.com when I was in the middle of switching jobs and needed a fast eval done to take to court. The convenience really paid off, and it helped me focus on what I had going on.” – Alec, Verified Client

Telehealth evaluations are a convenient option, allowing you to complete the process from home. This can save time and reduce stress.

Start your SAP evaluation as soon as possible. The SAP’s recommendations – whether for education, treatment, or both – will become part of your official return-to-duty documentation. Acting quickly ensures you stay on track for returning to work.

How Substance Use Evaluations Work

Once the initial steps are completed, the substance use evaluation process begins. Connecting with a qualified Substance Abuse Professional (SAP) is the first step, and understanding the process can help ease any concerns you may have.

What Happens During Your Evaluation

The evaluation starts with completing some essential forms, which give the SAP a clear picture of your background. During the session, the SAP will review the circumstances of your test, your history with substance use, and any prior treatment. This helps them determine the best steps for ensuring a safe return to work.

The SAP’s role is neutral – they are neither an advocate for the employee nor the employer. Their sole focus is public safety and compliance with Department of Transportation (DOT) regulations.

After the evaluation, the SAP will provide recommendations tailored to your situation. These may include education programs, treatment options, or a combination of both. They will also outline any follow-up testing or requirements you need to complete.

Meeting Legal and Workplace Standards

Following the SAP’s recommendations is not optional – it’s a required part of the process. Their guidance ensures both safety and compliance with DOT standards.

If an education program is recommended, you’ll need to complete a course covering topics like the effects of drugs and alcohol, workplace safety, and strategies to maintain sobriety. These programs are typically brief, lasting a few days or weeks.

In cases where treatment is necessary, options may include outpatient counseling, intensive outpatient programs, or residential treatment. It’s crucial to follow the prescribed program without modifications or incomplete participation, as non-compliance could delay your return to work.

Be sure to keep records of completed programs and any certificates you receive. These serve as proof that you’ve met the SAP’s requirements.

A follow-up evaluation is also essential. Once you’ve completed the recommended education or treatment, the SAP will assess your progress and determine if you’re ready to return to work. This follow-up is the final step before they provide the necessary documentation to your employer.

For added convenience, telehealth options can simplify this process, making it easier to meet these requirements on your schedule.

How DrugEval.com Makes the Process Easier

DrugEval.com streamlines the evaluation process with a secure telehealth platform that works seamlessly with the SAP process. Their DOT-compliant evaluations include both the initial assessment and the required follow-up session, with compliance documentation typically available within 24 to 48 hours after completion.

Their pricing is straightforward: the standard DOT/SAP evaluation costs $539 and includes both sessions. For those in a hurry, expedited service is available for $589, with documentation provided within 24 hours. This transparency ensures you know exactly what to expect, with no hidden fees.

DrugEval.com uses licensed and certified counselors who meet all federal requirements for SAP evaluations, ensuring their assessments are accepted by employers and regulatory agencies. The compliance documentation includes a comprehensive summary of your evaluation and recommendations, making it easy to prove you’ve met all necessary standards.

For urgent cases, their expedited service helps speed up the process, allowing you to return to work as quickly as possible.

Using Telehealth for Substance Use Evaluations

Telehealth has revolutionized the way substance use evaluations are conducted, offering a convenient and efficient alternative to traditional in-person assessments. By meeting all regulatory standards, telehealth evaluations provide the same thoroughness as face-to-face visits, but with the added perks of flexibility and accessibility.

Benefits of Telehealth Evaluations

Telehealth evaluations make the process easier by offering flexible scheduling, including evening and weekend appointments, which can minimize disruptions to your work or daily life. They also provide a higher level of privacy, allowing for open and honest discussions about sensitive topics without the concern of being seen visiting a facility.

Another key advantage is the speed of results. Most telehealth evaluations deliver compliance documentation within 24 to 48 hours, helping you get back to work sooner. Plus, geographic barriers are no longer an issue – whether you live in a bustling city or a remote rural area, you can connect with certified counselors without the need for travel.

These benefits ensure a smooth and accessible experience, paving the way for a more convenient evaluation process.

Getting Ready for Your Telehealth Session

To make the most of your telehealth session, a little preparation goes a long way. Start by testing your device and internet connection to avoid technical hiccups during the appointment. Then, set up in a private, quiet space where you won’t be interrupted – your evaluator may even ask about your surroundings to ensure it’s appropriate for the session.

Before your appointment, gather any relevant personal and medical information. Be ready to discuss your treatment history, including details about any previous substance use disorder treatments, and have a list of your current medications on hand. You’ll also need to provide your exact physical location for legal and billing purposes. If you have any personal data or documents related to your treatment plan, keep those handy as well.

Finally, familiarize yourself with the consent procedures and confirm whether your session will be conducted via video or audio.

Telehealth vs. In-Person Evaluations

Both telehealth and in-person evaluations meet the same regulatory standards and are equally valid for return-to-duty purposes. Choosing between the two often comes down to personal preferences and practical considerations.

Factor	Telehealth Evaluations	In-Person Evaluations
Scheduling Flexibility	Evening and weekend options available	Limited to office hours
Travel Requirements	None – conduct from home	Must travel to a facility
Privacy Level	High – avoids public visibility	Lower – involves visible visits
Geographic Access	Available nationwide	Typically local providers
Cost Considerations	No travel expenses	May include travel costs
Technical Requirements	Requires device and internet	None

Telehealth evaluations, conducted by certified counselors, are fully compliant with federal requirements for Substance Abuse Professional (SAP) evaluations and are widely accepted by employers and regulatory agencies. For many, the comfort of being in a familiar environment encourages more open and honest discussions about their substance use history and treatment goals.

Ultimately, the choice between telehealth and in-person evaluations depends on your comfort with technology, scheduling needs, and personal preferences. Both options ensure a thorough and compliant evaluation, helping you take the next step in your return-to-duty process.

Follow-Up Testing and Recovery Support

Once the initial evaluation and treatment are complete, there are still important steps to ensure long-term compliance and job security. Regular testing and structured recovery support play a key role in maintaining progress.

Required Follow-Up Testing Schedule

Under DOT regulations, employees must undergo at least six unannounced follow-up tests within the first 12 months. These are in addition to random, post-accident, or reasonable suspicion tests. The exact schedule is determined by your Substance Abuse Professional (SAP) and can extend for up to five years. Every test is conducted under direct observation and scheduled unpredictably. Employers are responsible for organizing these tests and reporting the results to the Drug and Alcohol Clearinghouse. Any missed or positive test can result in immediate termination and require restarting the return-to-duty process.

Recovery Resources and Support Options

Beyond compliance with testing, ongoing recovery support is essential. Based on your initial evaluation, your SAP will recommend a suitable drug and alcohol program. These programs may include outpatient education, partial treatment, or full inpatient care. After completing the initial treatment, your SAP will typically conduct a follow-up evaluation to confirm your progress. They may also recommend further outpatient counseling to help sustain your recovery. Continued drug testing ensures accountability and allows for adjustments in treatment as needed.

Moving Forward After a Positive Return-to-Duty Test

Facing a positive return-to-duty test can feel overwhelming, but acting quickly and decisively is key to moving forward. Here’s how you can navigate the process effectively.

First, notify your employer immediately. Time is of the essence, and prompt communication shows responsibility. From there, collaborate with the Medical Review Officer (MRO) and secure a Substance Abuse Professional (SAP) as soon as possible. The sooner you begin, the sooner you can work toward returning to your role.

The evaluation process is a crucial step. During this stage, the SAP will assess your situation, outline treatment requirements, and help demonstrate your commitment to addressing the issue. Telehealth evaluations can make this process more convenient, offering flexible scheduling and easier access to professionals.

After completing your evaluation and initial treatment, staying compliant with follow-up testing is non-negotiable. This isn’t just about meeting requirements – it’s about showing your ongoing dedication to the process. Consistency and adherence to follow-up protocols are essential for a successful return.

It’s also important to know that your privacy is protected under laws like HIPAA and the ADA. These protections ensure you’re treated fairly and that sensitive information remains confidential throughout the process. Understanding these rights can help you navigate conversations with your employer confidently.

While this situation is undoubtedly challenging, many individuals find it to be a turning point. By taking swift action, leveraging resources like telehealth evaluations, and following all necessary steps, you can address substance use concerns while minimizing the impact on your career. This could even be an opportunity to make meaningful changes for the better.

FAQs

What happens if I don’t inform my employer right away after testing positive on a return-to-duty test?

Failing to inform your employer right away after testing positive on a return-to-duty test can lead to serious repercussions. You could face violations of federal regulations, legal consequences, and even lose your safety-sensitive job. Employers are obligated to act quickly by removing employees from safety-sensitive tasks following a positive test. If you fail to report it, you risk disciplinary actions, including termination.

Acting without delay is essential to meet regulatory standards and maintain open communication with your employer. Waiting to report the result can make the situation more complicated and harder to resolve.

How can I prepare for and get the most out of my telehealth evaluation for a drug and alcohol assessment?

To get ready for your telehealth evaluation, start by checking your tech setup. Test your video, microphone, and internet connection about 15 minutes before your session to ensure everything runs smoothly. Have any relevant medical records or documents on hand – these can give your provider a clearer picture of your health history. Also, pick a quiet, private spot where you can focus without interruptions, ensuring your privacy is protected.

Take a moment to go over any instructions from your provider, including details about costs and how the session will unfold. A little preparation goes a long way in helping you feel at ease and making the most out of your appointment.