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18 <br />Attachment <br />• Maintains the list of positions which are identified as County <br />safety sensitive under Orange County's safety sensitive <br />definition and positions which are identified as FTA safety <br />sensitive severed by Federal Drug and Alcohol Testing <br />regulations. <br />• Arranges for referrals to a substance abuse professional when a <br />positive test or refusal to test occurs. <br />• Receives and communicates test results to the department <br />head. <br />• Provides for one hour of training for each employee in a <br />FTA safety sensitive or County safety sensitive position in <br />the signs and symptoms of drug and alcohol abuse, <br />including the effects and consequences of drug and <br />alcohol abuse on health, safety and the work place. <br />• Provides access to this policy and the corresponding <br />federal regulations including 49 CFR Parts 655 and 40, as <br />amended, for all employees. <br />• Provides at least two hours of training for supervisors on the <br />physical, behavioral, speech and performance indicators of <br />probable drug and alcohol use. <br />d. The Medical Review Officer (MRO): <br />• When the test of the primary specimen is positive, substituted <br />or adulterated, notifies the employee or applicant that he or <br />she has 72 hours in which to request a test of the split <br />specimen. <br />• Reviews and interprets any confirmed positive laboratory test <br />result and considers all information which might have an impact <br />on the test results by doing the following: <br />- Conduct an interview with the employee or applicant as <br />necessary. <br />- Reviews the employee's or applicant's medical history as <br />necessary. <br />- Reviews all medical records made available by the employee <br />or applicant when a confirmed positive test could have resulted <br />from a legally prescribed medication. <br />