Starting DOT Specimen Collection: Step 1
Summary
TLDRJoe Riley, President of National Drug Screening, demonstrates the correct procedure for a DOT urine specimen collection. He emphasizes securing the restroom by removing potential adulterants and ensuring no unauthorized access. Riley guides a donor through the process, highlighting the importance of not flushing the toilet or washing hands post-collection to maintain specimen integrity. The video also features a presentation by the US Department of Transportation outlining ten steps for collection site security and integrity.
Takeaways
- 🔒 Ensure restroom security by using a blueing agent in the toilet, removing chemicals, securing dispensers, and preventing flushing or hand washing until after collection.
- 👀 Always maintain visual contact with the donor during the collection process to prevent any tampering or substitution of the urine specimen.
- 📝 Fill out the Custody and Control Form (CCF) meticulously, including employer information, donor ID, test reason, and collector details.
- 🆔 Verify the donor's identity with a valid photo ID to ensure the specimen is collected from the right person.
- 👕 Ask the donor to remove outer garments and check pockets to make sure they are empty to prevent hiding of adulterants.
- 🚫 Secure all water sources to prevent the donor from diluting the urine specimen.
- 🚮 Remove or secure any items that could be used to adulterate the specimen, such as soap, cleaning agents, or trash bins.
- 🔍 Inspect the collection site before and after each collection to ensure no foreign substances are present that could compromise the specimen.
- 🧐 Pay close attention to the donor's behavior for any signs of attempting to adulterate the specimen.
- 🔗 Match the unique specimen ID number on the CCF with the number on the specimen security seals to maintain chain of custody.
Q & A
What is the role of Joe Riley in the video?
-Joe Riley is the president of National Drug Screening and acts as the specimen collector in the video.
What is the main focus of the video?
-The video focuses on demonstrating the correct procedure for starting a DOT urine specimen collection.
Why is it important to secure the restroom before starting the collection?
-Securing the restroom is crucial to prevent the donor from tampering with the urine sample by flushing the toilet, washing hands, or hiding substances in the restroom.
What does DOT stand for in the context of the video?
-In the video, DOT stands for Department of Transportation, which sets standards for drug testing in the transportation industry.
What are the steps Joe Riley outlines for a proper urine specimen collection?
-Joe Riley outlines steps including securing the restroom, filling out the custody and control form, collecting the specimen, sealing it, and preparing it for shipment to the lab.
What is the significance of the unique specimen ID number mentioned in the script?
-The unique specimen ID number is important for tracking the sample and ensuring that the urine vials match the donor's information for accurate record-keeping.
Why is it necessary for the donor not to flush the toilet or wash their hands after providing the urine sample?
-The donor should not flush the toilet or wash their hands to prevent diluting the sample or contaminating it with substances that could interfere with the drug test results.
What is the purpose of the bluing agent in the toilet?
-The bluing agent is used to detect if the donor attempts to adulterate the urine sample with water from the toilet.
What is the significance of the 'Custody and Control Form' in the drug testing process?
-The 'Custody and Control Form' is used to document the chain of custody for the urine specimen, ensuring the integrity and security of the sample from collection to laboratory testing.
What are the five drugs that are being tested for in the script?
-The drugs being tested for are THC, cocaine, PCP, opiates, and amphetamines.
What does FMCSA stand for and why is it mentioned in the script?
-FMCSA stands for Federal Motor Carrier Safety Administration, which is mentioned because it is the agency responsible for regulating drug testing in the trucking industry.
Outlines
🔬 Introduction to DOT Urine Specimen Collection
Joe Riley, president of National Drug Screening, introduces a video tutorial on the correct procedure for Department of Transportation (DOT) urine specimen collections. He emphasizes the importance of starting the collection process correctly to avoid errors. Riley explains the need to secure the restroom by removing any potential adulterants or items that could be used to hide substances. He also details the instructions given to the donor, such as not flushing the toilet or washing hands until after the collection. The video will walk through step one of the collection process, which includes filling out paperwork on a custody and control form, collecting the specimen, ensuring privacy, sealing the specimen, and preparing it for shipment to a laboratory.
👕 Preparing for Urine Specimen Collection
The script describes the process of preparing for a urine specimen collection, starting with inspecting the donor's pockets and removing any outer garments that might conceal adulterants. The donor is asked to choose a cup and is instructed not to wash their hands until after providing the specimen. The restroom is inspected for security, and the donor is asked to fill the cup to a certain marking. The video then transitions to a presentation by the United States Department of Transportation, which outlines the ten steps for securing a collection site and ensuring the integrity of the specimen collection process.
🚽 Securing the Collection Site
This section of the script outlines the steps for securing a collection site to prevent adulteration or tampering of the urine specimen. It covers the use of bluing agents in toilets and urinals, securing water sources, removing soap and cleaning agents, and inspecting the site for unauthorized substances. The video emphasizes the importance of a single point of entry and exit for the restroom and the need for a thorough inspection before and after each collection to maintain the integrity of the process.
🔍 Ensuring Collection Site Integrity
The script details the steps collectors must take to ensure the integrity of the collection process, including verifying employee identification, instructing employees to empty their pockets and remove outer garments, and maintaining control of the specimen and custody and control form (CCF) at all times. It also covers the procedure for escorting the employee to the restroom, ensuring the restroom is secure, and instructing the employee to provide a specimen without flushing the toilet or washing their hands until after the specimen is provided.
🛂 Completing the Collection Process
This part of the script describes the final steps in the collection process, including inspecting the specimen for temperature and volume, ensuring no signs of adulteration or substitution, and maintaining visual contact with the specimen until it is sealed. The collector is advised to pay close attention to the employee's behavior throughout the process to prevent any attempts to alter the specimen. The video concludes with a recap of the ten steps for maintaining DOT collection site security and integrity, emphasizing the importance of following DOT procedures to ensure a secure and compliant collection process.
Mindmap
Keywords
💡DOT
💡Urine Specimen Collection
💡Custody and Control Form (CCF)
💡Specimen ID Number
💡Adulteration
💡Bluing Agent
💡Tamper-evident Tape
💡Medical Review Officer (MRO)
💡Collection Site
💡Monitored Collection
💡Chain of Custody
Highlights
Introduction to DOT urine specimen collection process by Joe Riley
Importance of securing the restroom before starting the collection
Explanation of not flushing the toilet and not washing hands until after collection
Preparation and inspection of the custody and control form
Emphasis on matching the unique specimen ID number on all collection materials
Filling out the administrative section of the custody and control form
Inspection of the donor's pockets and belongings
Process of selecting a cup and preparing for the restroom visit
Instructions to the donor about not flushing the toilet and washing hands
Demonstration of starting a DOT urine specimen collection in the restroom
Introduction to the DOT's ten steps for collection site security and integrity
Detailed explanation of securing water sources to prevent tampering
Use of bluing agent in toilets to prevent specimen dilution
Removal of potential adulterants and hiding spots in the restroom
Inspection of the collection site before and after each collection
Verification of employee identity and inspection of personal items
Observation of employee washing hands and instructions for specimen provision
Collection of the specimen and immediate inspection for integrity
Completion of the collection process and securing the specimen
Recap of the ten steps for maintaining DOT collection site security and integrity
Final remarks on the importance of compliance with DOT requirements
Transcripts
I'm Joe Riley president of national drug
screening I've been helping people to
learn how to do do tea urine specimen
collections for over 20 years and what
I'd like to do in today's video is show
you a little bit about how a do tea
urine specimen collection starts out
because a lot of times I see that it
starts out wrong right from the
beginning so I'm gonna have a donor join
me and we're gonna start the d-o-t
specimen collection right from the
beginning now prior to starting the
collection you must have secured your
restroom and that means you have blowing
agent in the toilet and in the toilet
tank you don't have any soap products or
chemicals or bleaches in that restroom
any cubby holes where anybody could hide
something you've secured up those type
of things
soap dispensers towel dispensers and
you've secured the water sauce of the
hand sink
of course you let the donor know that
they're not going to flush the toilet
and they're not going to wash their
hands until after the collection is done
certainly they can wash their hands and
they should wash their hands before the
collection but once they provide the
urine it needs to be sealed up before
they wash the hands or flush the toilet
so I've got a donor coming in in just a
minute we're going to start a do t urine
specimen collection in today's video
we're just going to be doing step one of
the collection and I think you'll learn
a little bit
[Music]
come on in how are you today sir I'm
doing very well how about yourself good
are you here for your d-o-t drug test
that's correct okay well great I'm Joe
Riley I'm gonna be your specimen
collector today okay and I just want to
go over a little bit about the d-o-t
drug test that we're gonna be doing
today and we're gonna fill out some
paperwork on this custody and control
form we are going to collect your
specimen and the privacy of the restroom
we're gonna seal up your specimen we're
gonna get it ready to ship to the
laboratory and we're going to finish up
the paperwork okay okay now there are
instructions on the back of the form and
you are welcome to read these
instructions over well I get a copy of
these you will get a copy of this to
take with you good I know what we're
doing so we're good okay absolutely give
you ID with you driver's license I knew
okay great all righty excellent and
that's Tom Fullmer that's great okay Tom
Tom I want to point out to you on this
form there is a unique specimen ID
number okay and that number it starts
with the 106 right there that same
number is on the specimen security seals
that will go on your urine vials we'll
have two vials and a bottle and a B
bottle just want you to make sure that
those numbers match up okay so I'm gonna
start out with the administrative
section of this custody and control form
and in the first section we're going to
fill in make sure we have your right
employer information I have Bob's
trucking is that correct that's correct
okay so we're going to put Bob's
trucking as the site location and
there's a Medical Review officer
information on the form and you'll get a
copy with their phone number and let's
start out then with your social security
or employee ID number
okay that's backed by five
one two seven seven and 74 okay and this
is a do t-test and it is for a specific
do T agency for the trucking industry
that's normally FMCSA does that sound
familiar motor carrier that's what they
told me
okay you got it and what's reason for
the test today this was a pre-employment
test pre-employment test okay and we are
going to check off the drugs that we're
testing for those drugs are THC cocaine
PCP opiates and amphetamines and I am
going to fill in my collection site name
and address which is where we are right
here doing the collection that's
required to be on the form and I am also
going to fill in my collector phone
number which is also required and also
my collector fax number which is also
required
okay so pretty much kind of got the
administrative section of the form
filled out you don't have any outer
garments if you did I would be asking
you to take those outer garments off if
you have anything in your pockets could
you show me that those pockets are empty
okay you ever pretty thick wallet there
could you let me just inspect the
contents of that sure okay and you can
keep your wallet in your cache let's
let's keep it everything else outside
we're going to put that in a lockbox and
if you could go ahead and pick a cup
okay okay we're gonna walk over to the
restroom I have a separate hand sink
you'll be able to wash your hands then
I'm going to inspect the restroom and
make sure it's still secure which I've
already secured it this morning I'm
gonna open up the cup and I'm gonna give
you the cup I'm gonna ask you to fill it
up to at least this marking right here
which is right above that temperature
strip and you can give plenty more if
you want but at least that much I'm
gonna ask you not to wash your hand once
you wash your hands not to wash them
again until we're all done and not to
flush the toilet you'll see the toriel
it has a blue dye color in there so
we'll walk over to the restroom and then
we'll get your urine specimen and we'll
be able to move forward to get it sealed
up and shipped out to the lab all right
okay all right well let's walk over
there now okay now I've just showed you
really how to start out a d-o-t urine
specimen collection in what we call step
one of the process and there's five
steps to the process and in future
videos I'm gonna go through steps two
three five and four and remember the
d-o-t does count a little bit funny we
follow the steps in order all the time
steps 1 2 3 5 & 5
now really important is that your
facility to do the urine specimen
collection is secure so we're gonna roll
a video that is presented by the United
States Department of Transportation
about the ten steps to secure your
collection site to have integrity for
the specimen collection process
[Music]
welcome to the US Department of
Transportation video presentation about
collection site security and integrity
as the director of DoD's office of drug
and alcohol policy and compliance
I want collectors and collection site
managers to fully understand their
important roles in making sure that
transportation employees do not have an
opportunity to beat their drug test as a
result of our concerns about the
collection site process we are taking
some important steps to show you how to
tighten up your collection procedures
and collection sites this video will
make sure you understand the essential
elements that will make your collection
suitable for d-o-t testing none of us
wants truck drivers subway operators
ship captains pipeline controllers bus
drivers locomotive engineers and other
safety sensitive workers to have drugs
on board the nation is counting on us to
get this right and failure simply isn't
an option now let's take a look at the
DoD's ten steps to collection site
security and integrity
these are the 10 important steps for
collection site security and integrity
that collectors must follow before and
after every collection 1 pay careful
attention to employees throughout the
collection process to ensure that there
is no unauthorized access to the
collection areas and that undetected
access for example through a door not in
view is not possible 3 make sure that
employees show proper picture ID 4 make
sure employees empty pockets remove
outer garments for example coveralls
jacket coat or hat leave briefcases
purses and bags behind and wash their
hands 5 maintain personal control of the
specimen and CCF at all times during the
collection 6 secure any water sources or
otherwise make them unavailable to
employees for example turn off water
inlet tape handles to prevent opening
faucets secure tank lids 7 ensure that
the water in the toilet and tank if
applicable has bluing or coloring agent
in it tape or otherwise secure shut any
movable toilet tank top or put bluing in
the tank 8 ensure that no soap
disinfectants cleaning agents or other
possible adulterants are present 9
inspect the site to ensure that no
foreign or unauthorized substances are
present 10 secure areas and items for
example ledges trash receptacles paper
towel holders under sink areas and
ceiling tiles that appear suitable for
concealing contaminants again the
collector or collection site personnel
must give special attention to these
steps before and after each d-o-t urine
specimen collection let's talk more
about securing the collection site but
first let's start with identifying the
basic requirements for an acceptable
d-o-t collection site there are four
basic site requirements on where a urine
collection for ADOT drug tests can take
place first the site must meet the
security requirements described
in the ten steps we just discussed
second you must have all necessary
personnel materials equipment facilities
and supervision to provide for the
collection temporary storage and
shipping of urine specimens to a
laboratory and a suitable clean surface
for writing third you will need a
facility for urination there are two
types of facilities that can be used
single toilet room and multi stall
restroom the preferred type is a single
toilet room since it is usually easier
to secure we will discuss securing
requirements for each a little later
lastly the facility can be a restroom in
a medical facility
a mobile facility a dedicated facility
or any other location which must meet
the requirements of bullets one through
three the single toilet restroom is the
preferred collection area this facility
is the simplest to secure you want to
ensure privacy to the utmost extent
unless a direct observation collection
is required a source of water for
washing hands should be provided but it
is preferred to be located external to
the room where urination occurs also
access to the room must be limited to
one entry exit doorway
here is a typical single toilet restroom
please note it has not yet been secured
what can you see that the employee could
use to adulterate their specimen are
there any areas the employee could use
to hide an adulterant or other materials
to beat the test
now let's look at the requirements for a
multi stall restroom a multi stall
collection facility is authorized and
the d-o-t would expect a monitored
collection in the majority of multi
stall collections a monitored collection
is when a medical professional or the
same gender collector stands in the
restroom just outside of the closed
stall door whatever style of collection
is utilized you must ensure it is
secured in one of two ways if you are
conducting a monitored collection you
only need to blue the toilet and tank of
the one stall you want the employee to
use in those rare cases when a monitored
collection does not occur you must
ensure all water sources are secured
including urinals and all toilet and
toilet tanks have bluing agent in them
also only one employee in the room at a
time and access should be limited to one
entry exit doorway
here is a typical multi stall restroom
this restroom has not yet been secured
what can you see that the employee could
use to adulterate their specimen are
there any areas the employee could use
to hide an adulterant or other materials
to beat the test
when you secure the collection facility
for urination there are several things
you must do to prevent adulteration or
tampering of the specimen first and
foremost you must secure all water
sources by turning off water supplies or
taping the handles of faucets and
toilets with tamper-evident tape a tape
which cannot be removed and replaced
without visible evidence that tampering
has occurred the preferred method for
securing the water source is at the
water shut-off valves especially if the
water can be secured outside the
collection area one alternative is to
secure the shutoff valves under the sink
with tamper-evident tape the collector
must ensure that tamper evident tape is
securely connected to the shutoff valves
to prevent their use and must be quickly
and easily inspected another alternative
the collector to secure the faucet
handles with tamper-evident tape you
must ensure that the tamper-evident tape
is securely connected to the handles to
prevent their use and must be quickly
and easily inspected as seen here
another method to secure the water
source is to remove the handles to
ensure the water cannot be turned on if
a collection area facility has an auto
flush device special care must be taken
to prevent accidental flushing the
preferred method is to secure the power
and the alternate method is to place a
solid colored piece of tape over the
detection lens second bluing is required
in all toilets and urinals if the toilet
has a tank it is required that you blue
the tank as well and secure the toilet
tank lid to prevent access
you must use a bluing agent here you can
see bluing agent being added to the
toilet bowl
you
if you are using a tank toilet you must
also blew the water in the tank as shown
here
you want to ensure to use a good
quantity a bluing agent to get deep blue
color the use of a blowing agent allows
the collector to easily identify an
employee's attempt to alter their
specimen
third secure all soaps and dispensers
located in the collection room in this
scene you can see the removal of the
soap dispenser bag this is the simplest
and preferred method the alternative
method is to secure the distribution
handle from dispensing the liquid
fourth remove any cleaning supplies
located in the collection area secure
and/or remove any items that can be used
by the employee to hide adulterants for
example trash bins paper towel and
toilet paper dispensers and
air-conditioning vents it is important
to secure the paper towel and toilet
paper dispensers because adulterants can
be hidden inside these are to be
inspected before and after each
collection failure of the collector to
inspect the dispenser could result in
the employee adulterating their specimen
finally as you can see the collector is
also checking the area above the light
fixture by doing so he is able to find
and remove a potential adulterant you
will also need
any cleaning agents located in the
collection area if these items remain in
the site they provide the employee with
an opportunity to adulterate their
specimen if trash bins are not removed
adult remains can be hidden then used
for adulterating specimens you need to
be aware of any areas in the ceiling
that an employee could have access to
that could be used to hide adulterants
or clean specimens such as
air-conditioning vents drop ceilings or
access panels as you can see the
collector is checking the vents and they
are not removable if the panel or vent
can be removed it will need to be
secured to prevent unauthorized access
the floor drains also need to be secured
as seen here this floor drain is not
removable if the drain cover could be
removed it would have to be secured to
prevent unauthorized access
fifth ensure there is a single point of
entry for the room and inspect the
collection room before and after each
collection if you are using a collection
area that has a window or has multiple
doorways you will need to secure the
window and all doorways not in use
during the collection process and post
do not enter signs you must ensure that
no one enters the collection facility
either before or during the time the
employee provides his or her specimen
sixth inspect the collection room before
and after each collection in this
demonstration you can see the collector
is taking time to carefully inspect that
every item is secured and no tampering
has occurred in the collection area
he first inspects the water faucet next
the paper towel and soap dispensers are
inspected next the toilet is inspected
for bluing and if a tank toilet is used
inspect the security of the tank lid or
make sure a bluing agent is present in
the tank any areas in the ceiling that
have been secured are inspected
lastly the general area is inspected for
anything out of the ordinary
you
if the collection facility is part of a
common area for example a medical
facility or public restroom you must
ensure the collection materials are
secure and only the collector employee
and observer when used have access to
the collection room this is to ensure
privacy for the employee and prevent
distraction of the collector now let's
take a look at the other steps
collectors must take to ensure the
integrity of the collection process
in this scene when the employee
presented himself to the collector what
did the collector fail to do
here is the correct procedure for
ensuring employee integrity when the
employee approaches you must ask the
employee to show you a current picture
identification as you can see the
collector looks at both the picture ID
and the employee to verify that the
employee is actually the individual on
the photo ID now the collector explains
the basic collection procedures to the
employee and has the employee reviewed
the instructions on the back of the CCF
have the employee remove outer clothing
next ask the employee to leave any bags
or briefcases with you and empty and
display items in all pockets to include
their wallet the collector must also
direct you to empty the contents of all
of your pockets and display them to the
collector to ensure there are no items
present that can be used to adulterate
the specimen this inspection also
applies to your wallet once the
collector determines there are no items
present that can be used to adulterate
or substitute a specimen the employee
can place the items back into their
pockets the employee is allowed to keep
their wallet to safeguard the employees
belongings the employees personal items
may be locked in a file cabinet or lock
box or a mutually agreed-upon location
if there is nowhere to secure these
items the collector would need to ensure
the room can be locked when not in use
the collector instructs the employee to
wash and dry his or her hands under the
collectors observation the collector
should inform the employee not to wash
his or her hands again until after the
employee provides the specimen to the
collector the employee may use soap and
if practicable it should be a liquid or
cream a solid bar of soap gives the
employee the chance to conceal soap
shavings under his or her fingernails
and subsequently use them to attempt to
adulterate the specimen
now the collector either gives the
employee or allows the employee to
select the collection kit or collection
container if it is separate from the kit
from the available supply with both
present either the collector or the
employee then unwraps or breaks the seal
of the collection container the
collector is to ensure the employee
takes only the collection container into
the room used for urination while the
sealed specimen bottles are to remain
with the collector before the collector
escorts the employee to the restroom
the collector must first make sure the
collection containers CCF's any
collected specimens and the employees
belongings are secured in this scenario
the collector does so by locking the
door to the room where the collection
materials and specimens are kept
after escorting the employee to the
restroom and verifying that the restroom
is still secure and that no one is in it
the collector now directs the employee
to go into the restroom and instructs
the employee to provide a specimen of at
least 45 milliliters the employee should
be instructed not to flush the toilet
and return with the specimen as soon as
possible preferably within two minutes
and a single toilet restroom the
collector is to stand outside the
restroom while in a multi stall restroom
the d-o-t prefers the collector to
conduct a monitored collection
immediately after exiting the restroom
the employee hands the specimen cup to
the collector who must inspect the
specimen as you can see here the
collector checks the temperature and
volume of the specimen and checks for
signs of adulteration or substitution as
seen here the collector escorts the
employee back to the locked room while
holding the specimen cup in plain view
of the employee remember the collector
and employee will maintain visual
contact of the specimen to the greatest
extent possible until the labels or
seals are placed over the specimen
bottle caps or lids when the collector
and employee returned to the collection
side area they will complete the
collection process
the collector should pay close attention
to the employee during the entire
collection process to note any conduct
that clearly indicates an attempt to
substitute or adulterate a specimen
the collectors should never leave the
employee unattended or uh nests courted
once the collection process has begun by
doing so the employees chances of
altering or substituting their specimen
will be significantly reduced
to recap these are the 10 important
steps for maintaining d-o-t collection
site security and integrity that
collectors must follow before and after
every collection they are one pay
careful attention to employees
throughout the collection process look
for any suspicious behavior or attempt
to adulterate the specimen to ensure
that there is no unauthorized access to
the collection areas and that undetected
access for example through a door not in
view is not possible secure any doors
windows or other access points with tape
or other mechanism to prevent entrance 3
make sure that employees show proper
picture ID such as a state issued
driver's license or employee badge
issued by the employer for make sure
employees empty pockets remove outer
garments for example coveralls jacket
coat or hat leave briefcases purses and
bags behind and wash their hands
remember the employee is allowed to
retain his or her wallet after it has
been inspected when requested you will
provide a receipt for personal items 5
maintain personal control of the
specimen and CCF at all times during the
collection 6 secure any water sources or
otherwise make them unavailable to
employees for example turn off water
inlet tape handles to prevent opening
faucets secure tank lids the preferred
method is to turn off all water to the
collection area 7 ensure that the water
in the toilet and tank if applicable has
bluing or coloring agent in it tape or
otherwise secure shut any movable toilet
tank top or put bluing in the tank this
is to prevent the water from being used
to dilute the specimen 8 ensure that no
soap disinfectants cleaning agents or
other possible adulterants are present
remove or secure soap or disinfectant
dispensers and cleaning agents from the
collection area 9 inspect the site to
ensure that no foreign or unauthorized
substances are present
overhead vents drop ceilings or other
areas that could be used to hide
adulterants 10 secure areas and items
for example ledges trash receptacles
paper towel holders under sink areas and
ceiling tiles that appear suitable for
concealing contaminants remove trash
receptacles or other items that can be
removed and secure paper towel
dispensers and any storage cabinets in
the collection area when you comply with
these 10 steps you communicate to
employees and employers that you are
following d-o-t procedures for ensuring
collection site security
you will also be ensuring that you are
maintaining the integrity of the
collection process by limiting the
employees opportunity to alter or
adulterate their specimen
thanks for taking the time to view this
training video and thank you for taking
the necessary steps to ensure that your
collection sites and collection
procedures are always and in always
compliance with the d-o-t requirements
you just saw I and the American public
are counting on you in this important
effort to increase collection site
security and integrity thank you
[Music]
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