Who Needs Drug and Alcohol Screenings?

The simple answer: almost everyone. Employers from a wide variety of industries rely on pre-employment and periodic drug and alcohol screenings to protect your well-being as their employee, as well as your co-workers and, depending on the industry you work in, the general public.


For jobs in safety-sensitive industries such as manufacturing, shipping, transportation, and construction, drug and alcohol screenings are critically important and help make sure you’re not under the influence of any substances that might prevent you from performing your job safely.


If employed by an industry overseen by a Department of Transportation (DOT) agency, commercial motor carriers, drug, and alcohol screenings are required by federal law, and specific testing regulations and procedures apply.

When Do Drug and Alcohol Screenings Typically Take Place?

The frequency and timing of screening typically depend on your employer and the regulations within your state; however, employers may request drug and alcohol testing in these situations:

  • Pre-employment 
  • Return-to-duty following a workers’ compensation claim 
  • Post-accident 
  • Reasonable suspicion or cause 
  • Randomly 

What Types of Drug and Alcohol Screenings Are Offered?

Your company determines which drugs are included in your screening. State regulations and company drug-free workplace policies can dictate the type of testing required. Doral Health & Wellness Urgent Care offers two types of drug screening collections: hair collections and urine collections (rapid 5-panel and 10-panel). Hair testing can detect drug use from months before testing as it takes hair longer to grow. Urine drug tests are the most common because the results can be quickly obtained. Doral Health & Wellness Urgent Care also conduct breath and blood alcohol testing, depending on applicable NY state requirements and your employer.

What Drugs Are Tested For?

Doral Health & Wellness Urgent Care is capable of testing for many different drugs, including:

  • Cocaine 
  • Marijuana 
  • Opiates 
  • Methamphetamines 
  • Phencyclidine (PCP) 
  • Barbiturates 
  • Benzodiazepines 
  • Methadone
  • Methaqualone
  • Propoxyphene
  • Hydrocodone
  • Oxycodone
  • Hydromorphone
  • Oxymorphone

What About Prescription and Over-The-Counter (OTC) Drugs?

Suppose you’re currently taking prescription or over-the-counter drugs. In that case, we encourage you to write down the medications you’re taking on your copy of the chain of custody form after your visit. Suppose your results reveal a potential prescription or OTC medication in your system. In that case, the Medical Review Officer (MRO) may contact you to verify any medications you may be taking, if applicable.

What is a Medical Review Officer (MRO)?

These are licensed physicians responsible for receiving and reviewing laboratory results and evaluating medical explanations for certain drug test results. They must complete ongoing education courses to maintain their status as an MRO and act as a safeguard to ensure your results’ quality and accuracy. Specific industries and government organizations, such as DOT, require that a MRO review their employee’ test results.

What Should I Bring With Me to a Drug and Alcohol Screening?

Please bring the following items with you for a drug and alcohol screening:

  • A valid (non-expired) picture ID such as a passport, driver’s license, military ID, employee badge, or any other photo ID that was issued by a federal, state, or local government agency. Identification requires a valid government-issued ID.
  • All authorization forms or paperwork from your employer 

Is There Anything I Need to Do to Prepare?

If completing a urine drug screen, you’ll need to be able to provide 45 mL or 1.5 fluid ounces of a urine sample. Please do not go to the restroom before your test. If you can’t offer a full sample once the collection has started, you’ll have three hours to complete a full sample. Suppose you leave during the collection for any reason. In that case, this is considered a refusal to test and can hold the same consequences as your employer’s positive result.

What Happens During a Drug and Alcohol Screening?

  1. You’ll be asked to provide either a hair or urine sample based on your employer’s preferences. If completing a urine drug screen, you’ll be asked to wash your hands and remove any excess clothing, such as a jacket or hat. You’ll also be asked to empty your pockets, and you will have the option to place your valuables in a lockbox. If carrying a wallet, you are permitted to keep it with you following an inspection of the wallet by a Doral Health & Wellness Urgent Care staff member.
  2. Suppose your employer has requested a breath or blood alcohol test. In that case, you’ll be asked to blow into a breathalyzer or give a blood sample, which measures the amount of alcohol in your bloodstream.