Axiom Medical designs and implements complete Drug and Alcohol Testing programs for our clients that are either company-mandated or Department of Transportation (DOT)-mandated.

Our programs allow a company to monitor and test their employees while maintaining governmental compliance. Our team also provides the client with written policies and procedures for these programs. In addition, Axiom Medical can train supervisors in the 2-hour federally mandated drug and alcohol detection program to help clients stay compliant.

Axiom Medical’s Drug and Alcohol Testing:


Workplace drug-testing programs are essential to detect the presence of alcohol, illicit drugs, or certain prescription drugs in the blood through different types of tests. Employers use such testing programs as a deterrent method to create a drug-free workplace. Both federal and non-federal workplaces may utilize such specific drug and alcohol employee testing programs.

Axiom Medical’s Drug and Alcohol testing program can be customized and included in your company pre-hire process, DOT testing, post-incident, random and reasonable suspicion drug and alcohol tests.

  • Create a company or DOT policies and procedures.
  • Train supervisors in the 2-hour federally mandated drug and alcohol detection program.
  • Institute a program to generate the names of employees to be periodically tested randomly, test those employees, return the results to the company and develop the annual MIS report required by the DOT.
  • Provide contractor auditing and monitoring of Parts 199 & 40 for compliance.

Some of our top program benefits are:

  • Cost-effective service.
  • Creating a drug- and alcohol-free work environment.
  • Ease the administrative burden of managing the program.
  • A customized program, including pre- and post-hire testing options.


Workplace Drug-Testing Program:


Before beginning or implementing a workplace drug testing program, ensure to address each question in your workplace drug-testing program’s policy. Here are some guidelines to conduct workplace drug testing.

  • Every workplace drug-testing program should always comply with applicable local, state, and federal laws.
  • Even for conducting workplace drug tests, employers must use certified labs that follow federal and state guidelines.
  • A trained lab technician must collect the sample and specimens if employers prefer to conduct onsite workplace testing program.
  • To ensure accuracy, the workplace drug-testing program administrators must monitor the specimen’s chain of custody from receipt until disposal.
  • Any workplace testing program must follow a strict confidential record-keeping procedure and protocol.
  • All employees should be aware of the drug-testing procedures and program goals before undergoing any test, rehabilitation, treatment, and reintegration into the workplace.

When Should a Workplace Drug and Alcohol Testing be Conducted?


Workplace drug testing are often used in the following set times or circumstances:

Pre-employment Tests:

Drug and alcohol tests are often a part of pre-employment screening and testing. With this approach, employers screen all job candidates before being hired.

Annual Physical Tests:

Drug and alcohol testing are included in annual DOT physicals. Some employers may also require testing their employees for alcohol and other drugs as part of an annual physical examination.

Reasonable Suspicion Tests:

Employers may decide to test employees for drugs if they show discernible signs of being unfit for the job duties or displaying unsafe behavior at the workplace. Employers have the right to legally conduct drug and alcohol tests to protect the employee and the workforces’ wellbeing.

Post-Incident Tests:

Employers may opt for drug testing after a workplace injury or on-the-job incident.

What are the Workplace Substance Abuse Regulations?

Employers may set workplace substance abuse regulations in compliance with federal and state to prevent drug abuse in the workplace. Employers can prohibit workplace drugs and alcohol usage, implement testing protocols to avoid drug use and terminate employees engaged in illegal drug use. However, employers must know that victims of substance abuse issues are protected by federal and state laws regulating discrimination and disabilities.

What Are the Types of Drug and Alcohol Testing?


Blood Alcohol Testing:

A blood test is a confirmatory test often used when job applicants or employees are screened for illegal drugs. Such a test measures the amount of alcohol or drugs in the bloodstream at the time when the blood is drawn. This test screens applicants for amphetamines, cocaine, marijuana, other drugs, and alcohol.

Breath Alcohol Testing:

Breath alcohol testing is usually performed through a breathalyzer device, which measures how much alcohol is currently in the blood. Such a test shows current impairment or intoxication levels and can only detect alcohol in a person’s system for one hour.

Mouth Swab Testing:

A drug and alcohol test can also be carried out through a mouth swab drug test. Such a test is commonly known as a saliva test or oral fluids test. The testing administrator collects saliva from inside the job applicant’s or employee’s mouth and uses the testing procedure to detect the amount of alcohol or drug in the person’s system. The saliva can see the use of drugs during the previous few hours up to one to two days. Mouth swab testing is the easiest way to check the drug and alcohol percentage in the system.

Urine Test:

A urine drug test is another commonly used test to screen job applicants or employees for illegal drugs or alcohol use. Urinalysis involving drug and alcohol detection shows drug residues that remain in the body even after the drug consumption effects have worn off. This urine test screens drugs, including amphetamines, cocaine, marijuana, other similar drugs, and alcohol.

Looking for a way to manage workplace employee testing and implement a drug and alcohol testing program? Axiom Medical can help!

They Said It!

I believe with confidence that we are reaching all of our expected goals by bringing Axiom on as an outsourced case management solution.

Axiom has helped us closely monitor the injured employee’s progress through the medical treatment process. Early treatment has kept our employees at work when in the past they would have likely taken time off or been placed off by a physician.

I recommend Axiom because their Nurse Case Management Team is their biggest asset. They are accessible, give great reports and are responsive to our needs.



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