Trust that this site was not the first nor the 50th preferred place to go for advice.
On a Sunday am and in a panic, there are not many options to help with informed guidance.
I appreciate A1, Devil Doc, Capt MJ offered advice. From history they have offered reliable and usable posts that helped assist in deciding on the reasoned path. For the others, I hope this post helps people separate the wheat from the chaff for those looking for sources of reasonable guidance.
There is much information on people using the "Innocent or unknowing" defense after failing a test. There is zero guidance I could find on self reporting immediately after occurrence and not because a test was involved. The hard right decision was to go to the hospital, get a test to confirm what it was, and report immediately once able, and as soon as possible.
A PRB is scheduled as the zero tolerance policy requires. I believe with the prevalence of these product out there, this will occur more often. Hope this info helps someone else in the future.