3 Reasons Why Your Company Should Consider Oral Fluid Testing

Your business or organization has access to quite an array of drug testing options these days. Oral fluid drug testing (Saliva Testing) is one of them, and it’s becoming more popular in the marketplace.

You’ve perhaps “heard” some of the facts and fiction about Saliva Testing, or, its relevance and potential. But when it comes to your company, is Oral Fluid testing something you should consider?  Here’s an example to start that conversation:

It’s Monday morning. An employee comes into work and is noticed acting in an unusual manner by a supervisor.  His hands are shaking, bloodshot eyes and dry mouth. (The most common test for these situations is generally urine testing.) 

 Or, perhaps your company is wishing to know whether a job applicant is a regular drug user. (In that scenario, Hair Testing is often considered the best choice.)  

These examples may be familiar to your workplace environment. But could Oral Fluid Testing be the right choice for you? 

Here are three reasons that might help you decide:


  • With urine testing, the collector is not present, with Oral Fluid testing the collector remains in the room with the person being tested. Why is this important?
    • The presence of the collector lowers the opportunity for tampering.
  • Some office buildings prohibit tenants from using public facilities for urine testing. Due to:
    • Perception issues from other tenants, or
    • Not wanting to limit access to the facilities while testing is taking place.
  • Many employees and organizations simply are preferring Oral Testing as it is less awkward. For organizations seeking to know if an employee has recently ingested a controlled substance, such as in post-accident and reasonable suspicion testing, they have found Oral Testing most useful.
    • Collections do not require a restroom, and
    • Collections may be conducted most anywhere the donor has privacy


  • Chain of custody paperwork is still required limiting challenges to the integrity of the testing  process.
  • Lab based and Instant testing is available.  With Instant testing, non-negative specimens are still forwarded to a lab (and MRO) for analysis, with turnaround time being approximately the same as urine.
  • Third party collections are recommended to avoid any conflict of interest between internal company employees.  (This is more favorable if the results are challenged.)


  • On average, the price of an oral fluid test does run somewhat higher than that of urine testing. (This fact, however, can be affected by the test and the lab employed).
  • By far the most significant hesitancy to move toward oral fluid testing tends to be the window of detection (the period of time after consumption of the controlled substance that the substance is detectable).
  • Drugs and drug metabolites appear in oral fluid sooner after consumption than they appear in urine.  However, they dissipate from oral fluid much sooner than they do from urine.

It’s important to know that Tennessee and other states that offer Drug-Free Workplace programs require urine testing for certain types of testing including pre-employment, post-accident, suspicion, and return-to-work.  In these situations, oral fluid testing may still be used but you need to consult with a professional and may not be entitled to receive the worker’s compensation premium discount and other benefits from participating in the voluntary program.

If you have any further questions about Oral Fluid Testing or would like a free consultation, please contact us. We’re here to help and would welcome the opportunity to share more about the options that are available and best suited to you and your environments needs.

– Paul

one-minute clip HERE 

– Paul Pike, President USAmdt Nashville

Paul Pike | President/Owner



O: 615-777-9297 |C: 615-500-7134 | F: 866-610-8567

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