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The page below is a sample from the LabCE course Packaging and Shipping Infectious Materials. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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DOT Classification Decision Tree, continued

If you answered No to "Does it meet the definition of a Category A substance," you then have to determine if the specimen is unlikely to cause disease or if there is only a minimal likelihood that pathogens are present.

The DOT considers samples that are being transported for noninfectious testing that were collected from apparently healthy individuals as being unlikely to cause disease or contain pathogens. This includes:
  • Blood or urine tests ordered as part of a routine medical examination on patients who are not known to have an infectious disease to monitor levels of:
    • cholesterol
    • blood glucose
    • hormones
  • Blood or urine tests to monitor liver and kidney function (again, from those not known to have an infectious disease)
  • Tests conducted for insurance or employment purposes, intended to determine the presence of alcohol or drugs
  • DNA tests
  • Pregnancy tests
  • Samples for testing other than for the presence of pathogens, including
    • Biopsies for cancer detection
    • Antibody titers for noninfectious diseases (eg, PSA, ANA)
You are also asked in this box on the decision tree if the sample is being "transported by private or contract carrier in a motor vehicle used exclusively for these materials." An exclusive use vehicle is a motor vehicle (private or contract carrier) that is used exclusively for transport of patient specimens. However, other items are allowed to be transported with these materials, if they are protected against contamination. Items that can be transported along with patient specimens in an exclusive use vehicle include:
  • Medical equipment
  • Other laboratory specimens
  • Medical records
If you answer Yes to either part of this question, the substance is not subject to the requirements as Division 6.2 material.