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Note: A negative dilute is not a violation, it is a negative drug test result. There should be no violation consequences for a negative dilute drug test result. It is a negative result but could potentially be suspicious because of the amount of water in the urine.
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Read More »The above guidelines for negative dilute drug test results can also be used for non-DOT programs, this is a best practice. Your Company drug free workplace policy could specific different options. In no situation should a negative dilute drug test result be considered a violation of company policy. In non-regulated drug testing programs, the decision on how to handle the Negative Dilute drug test is an employer decision. It is highly recommended that a policy is developed in advance on how to handle these results. Sample policy language for non-regulated or Non-DOT drug testing programs can be found in the section below. A dilute specimen, by definition, is a urine specimen that has a creatinine of greater than 5 mg/dl or less than 20 g/dl and a specific gravity is less than 1.0010 (or greater than 1.0200). These two tests are routinely performed on every urine sample that is evaluated at the Lab. If the specimen meets the above 2 criteria, it is reported as a “Dilute specimen”. When a urine specimen is “dilute,” it is possible that drugs in their system may not be detected. We recommend that an employer have a section in their drug testing policy stating that another specimen be collected as soon as possible with minimum advance notice, this will help prevent false negative results. However, the employer may also elect to accept the negative results with the notation “dilute” from the lab. The company policy should be consistent in all cases. As with DOT testing, there is a highly suspicious level of dilution which would be where the creatinine levels are greater than or equal to 2 mg/dl but less than 5 mg/dl; Specific Gravity less than or equal to 1.0010 the medical review officer (MRO) will report the results as negative dilute with a recommendation that the donor go for a second collection under direct observation. It is not recommended that a non-regulated employer require direct observed collections unless there is a significant concern for safety relative to the tested group. National Drug Screening recommends for negative dilute specimens for non-regulated employers to require for both applicants and employees a second collection with little advance notice and instructions to not drink an unusually large quantity of fluids before the testing. For applicants, the second test would determine eligibility for employment and should be negative, not negative dilute. For employees, a supervisor should escort the employee to the test to ensure that large quantities of fluids are not consumed.
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