Case Plan Drug Testing: Myths, Best Practices, and Strategies
|
|
- Samantha Walton
- 5 years ago
- Views:
Transcription
1 Case Plan Drug Testing: Myths, Best Practices, and Strategies Children s Law Institute, Albuquerque, New Mexico January 13, 2017
2 Presenters Jennifer Olson, Attorney, Respondents Contract Counsel, Solo Practitioner, Farmington Robert Retherford, Attorney, Senior Children s Court Attorney, former Respondent s Counsel Children, Youth, and Families Department, Farmington Ron O. Smock, President, Independent Drug Testing and Forensic Services, Albuquerque
3 Goals & Agenda Case Management & Best Practices: Questions Rumors, Myths & Misconceptions Scientific Perspective Legal Perspective & Best Practices Case Management & Best Practices: Responses Please write questions on the paper we ve handed out
4 Case Management Perspective When should drug testing be a part of a case plan? Which tests are available, which tests should the Department request, and how frequently should tests be requested? How do you work with parents to engage them in substance abuse testing/treatment? How do you address issues of a parent s access to testing because of location/transportation challenges? How do you address issues of prescription medications and medical marijuana use?
5 Rumors & Myths Adulterants Cross reactivity Myths of testing positive Prescription drugs Internal possession
6 Collection Procedures Identification Date/Time of Collection Medications Chain of Custody Handling of Evidence
7 Collections Observed vs. non-observed Temperature Sealing of samples Shipping criteria for samples
8 Detection Methods & Times Urine Saliva Hair Blood
9 Time Line for Drugs of Abuse Testing Urine Hair Saliva Alcohol - one ounce per hour Alcohol via ETG Testing Amphetamine Cocaine Opiate 3-5 days THC rare/occassional user THC recreational user THC Moderate user THC chronic (daily) user 30 day segment 60 day segment 90 day segment Detection from 15 minutes on Up to 3 days for most drugs except THC which can only be detected for a matter of hours APPROXIMATE DAYS of DETECTION
10 AMPHETAMINES 48 hours ng/ml DRUG INDUCED ASSAULT HOURS [6-12 HOURS RECOMMENDED] BARBITURATES [Secobarbital] 24 hours ng/ml [Phenobarbital] 2-3 weeks BENZODIAZEPINES 3 days/single dose ng/ml MARIJUANA light smoker 24 hours-5 DAYS ng/ml moderate smoker 5-10 DAYS heavy smoker DAYS COCAINE 2-4 days ng/ml METHADONE 3 days ng/ml OPIATES 3-5 days ng/ml PHENCYCLIDINE 8 days ng/ml PROPOXYPHENE 6-48 hours ng/ml ALCOHOL 0.01 gm % Eliminated at approx. 1 oz per hour. 1 oz of alcohol = 1 can of beer, 1 1/2 glasses of wine, 1 shot of liquor. To convert urine to approximate blood alcohol, divide by 1.3. NOTE: 1000 ng/ml (nanograms/milliliter) = 1.0 mcg/ml (micrograms/milliliter) 0.1 gm% (grams percent) = 100 mg/dl (milligrams/desiliter) Legal alcohol limit in New Mexico =.08 mg% for adults,.02 gm% for minors ETG 5 DAYS HALLUCINOGENS 24 HOURS 500 ng/ml LSD 24 HOURS 0.3 ng/ml INHALANTS HOURS parts per million METHYL ETHYL KETONE, TOLUENE, XYLENE, DICHLOROMETHANE
11 KNOW WHAT DRUGS ARE DETECTED, Page 1 ALCOHOL = ethanol or ethyl alcohol AMPHETAMINES = amphetamine, meth, & high concentrations of OTC cold/ allergy meds containing ephedrine, pseudoephedrine, & phenylpropanolamine BARBITURATES = butalbital, butabarbital, pentobarbital, phenobarbital, & secobarbital BENZODIAZEPINES = diazepam (Valium), chlordiazepoxide (Librium), oxazepam (Serax), and other tranquilizers CANNABINOIDS = carboxy-thc, the major metabolite of marijuana & hashish COCAINE = benzoylecognine (major metabolite of cocaine) & cocaine METHADONE = methadone & its metabolites OPIATES = morphine, morphine glucuronide (major metabolite of morphine), codeine, heroin, hydromorphone (Dilaudid), hydrocodone (Lortab), oxycodone (Percodan) PROPOXYPHENE = propoxyphene & norpropoxyphene (Darvon, Darvon-N, Darvocet) PHENCYCLIDINE = PCP (Angel Dust)
12 KNOW WHAT DRUGS ARE DETECTED, Page 2 HALLUCINOGENS: D-LYSERGIC ACID DIETHYLAMIDE: Known as LSD, acid, blotter PSILOCYBIN: Known as mushrooms, caps, magic mushrooms, shrooms PHENCYCLIDINE: Known as PCP, Angel Dust METHYLENEDIOXYAMPHETAMINE: Known as MDA, ADAM N-METHYL-METHYLENEDIOXYAMPHETAMINE: Known as MDMA, XTACY, XTC METHYLENEDIOXYETHAMPHETAMINE: Known as MDE, EVE MESCALINE: Known as peyote, chocolate mesc INHALANTS: ACETONE, BENZENE, CHLOROFORM, ETHANOL, ETHYL ACETATE, ISOPROPANOL, METHYL ETHYL KETONE, TOLUENE, XYLENE, DICHLOROMETHANE DRUG INDUCED ASSAULT PANEL: ROHYPNOL: (Flunitrazepam) Known as Roofies, KETAMINE, GHB and ANALOGUES: (Gamma-hydroxybutyrate) Known as Blue Thunder
13 Testing Methodologies Immunoassay GC/MS On-site Products
14 Interpretations of Results Biological samples Metabolic pathways Screening vs. Confirmations Prescription drugs
15 Understanding Creatinine Creatinine ( kre-at-tin-in ): An orange colored substance produced by the body as a waste product responsible for the yellow coloration in urine. Creatinine is produced and excreted at a fairly constant rate, so metabolism can be measured to look at the function of the liver and kidneys. The normal rate of creatinine is around 100 mg/dl on a random urine sample. Creatinine measurement is used to identify flushing or tampering with the sample. Any sample below 20 mg/dl indicates dilution. Many common drugs of abuse are water soluble and can be artificially flushed from the system. Large amounts of fluids taken in a short period of time can just pass through the body, by-passing normal bodily functions where drugs may be detectable. Samples below 20 mg/dl are considered adulterated. They should be rejected and recollected. Creatinine also helps to identify specimens that have been submitted that are not actual urine samples.
16 Legal Perspective: Caselaw on Drug Testing Routinely admitted but be careful to have the right witness. (More later) Drug possession and use may be relevant to a parent's ability to care for a child. See generally State ex rel. CYFD v. Amanda H., 2007 NMCA 029, 26 27, 141 N.M. 299, 154 P.3d 674. In re Montoya, 2011-NMSC-42, 30, 150 N.M. 731, 266 P.3d 11 (N.M., 2011) At TPR, CYFD needs to present evidence that a substance abuse problem persists and is among the causes and conditions that are unlikely to change in the foreseeable future. See State v. Alfonso M.-E. (In re Uriah F.-M.), 366 P.3d 282, 296, NMCA- 21 (N.M. App., 2015)
17 Potential Effects on Drug Testing of the new BIA Guidelines on ICWA substance abuse does not by itself meet the standard of evidence needed for TPR or foster-care placement. BIA: Quick Reference Sheet for State Agency Personnel in Involuntary Proceedings To order foster placement or TPR, evidence must show a causal relationship between conditions in the home & the likelihood of serious emotional/physical damage to a child (c) At the Custody hearing: How can testing help arguments for and against imminent physical damage or harm? (b)(1) After the Custody hearing: How can testing affect the ongoing evaluation of whether removal is still needed to avoid imminent physical damage or harm?
18 Legal Issues with Tests Admission of drug test results in Abuse and Neglect proceedings Impact of admission of drug tests throughout case on termination of parental rights proceedings
19 Admission of Drug Tests in Abuse & Neglect Proceedings Hearings that do not apply the Rules of Evidence: Custody Hearings Judicial Review Hearings Permanency Hearings (even when addressing change of plan) DRUG TESTS ADMITTED THROUGH: Caseworker testimony Substance abuse provider testimony Client admission In-court testing
20 Admission of Drug Tests in Abuse & Neglect Proceedings Hearings that do apply the Rules of Evidence: Adjudication Termination of Parental Rights Any hearings that are NOT exempted from the Rules of Evidence, such as Guardianships, Orders to Show Cause, etc. DRUG TESTS ADMITTED THROUGH: Business record exception (Rule (6) NMRA 2015): Made at or near the time by or from information transmitted by someone with knowledge; Kept in the course of a regularly conducted activity of a business, institution, organization, occupation, or calling, whether or not for profit; Making the record was a regular practice of that activity; and Conditions are shown by the testimony of the custodian Expert testimony Client admission
21 Admission of Evidence Through An Expert (Summary of materials from NITA, the National Institute for Trial Advocacy) INTRODUCE the expert QUALIFY the expert (credentials/experience/education) TENDER the expert ( with a flourish ) ASK for the expert s OPINION ELICIT the expert s BASIS for the opinion ELICIT the DIFFERENCES between your expert & the opponent s expert CROSS-EXAMINATION
22 Impact of Admission of Drug Tests on Future Proceedings, page 1 The issue of the relationship between contested permanency/cop and TPR hearings Even when the Rules of Evidence do not apply, consider the application of DUE PROCESS requirements. [P]ermanency hearings determine the direction of the proceedings and can increase the risk that the natural family will be destroyed. State ex rel. CYFD v. Maria C., 2004-NMCA-83, 32. Proceedings must be conducted with scrupulous fairness to the parents when seeking to sever the legal relationship of parent and child. State ex rel. CYFD v. Mafin M., 2003 NMSC-015, 18. NMSA 1978, 32A Requires opportunity to present evidence and to cross-examine witnesses at permanency hearing.
23 Impact of Admission of Drug Tests on Future Proceedings, page 2 The issue of unringing the bell at TPR State of N.M., ex rel. CYFD v. Brandy S., 2007-NMCA-135, 142 N.M. 705, 168 P.3d 1129 Mother argued the lower court committed structural error by taking judicial notice of hearings that occurred before the TPR hearing. Court found no evidence of improper reliance but cautioned lower courts to specify what is being judicially noticed. MAKE DUE PROCESS ARGUMENTS AT SIGNIFICANT HEARINGS. BE CAREFUL WHAT IS BEING JUDICIALLY NOTICED.
24 Drug Issues & Client Competency How do you handle a parent who wants to stipulate but may be under the influence? When should a parent get a GAL? Who should bring up the issue of a GAL?
25 Responses to Case Management Perspective, page 1 When should drug testing be a part of a case plan? Which tests are available, which tests should the Department request, and how frequently should tests be requested? How do you work with parents to engage them in substance abuse testing/treatment?
26 Responses to Case Management Perspective, page 2 How do you address issues of a parent s access to testing because of location/transportation challenges? How do you address issues of prescription medications and medical marijuana use?
27 MORE QUESTIONS???
Drug Testing Basics. by Erowid
Drug Testing Basics by Erowid INDEX 1. What do they Test for? 2. Test Types 3. Test Sensitivity 4. Detection Periods WHAT DO THEY TEST FOR? The first thing to know about drug testing is what the standard
More informationEffective Date: Approved by: Laboratory Executive Director, Ed Hughes (electronic signature)
1 Policy #: 803 (PLH-803-02) Effective Date: NA Reviewed Date: 4/11/2008 Subject: URINE DRUG SCREENS Approved by: Laboratory Executive Director, Ed Hughes (electronic signature) Approved by: Laboratory
More informationNARCOTIC NOTES FLIPBOOK BY: PER:
NARCOTIC NOTES FLIPBOOK BY: PER: 1 https://www.youtube. com/watch?v=lolb21bii-a 2 Laws, Collection, & Preservation Narcotic Drugs = natural or synthetic substance that produces bodily (physiological) or
More informationFrequently Asked Questions: Opiate Dependency and Methadone Maintenance Treatment program follow-up
Frequently Asked Questions: Opiate Dependency and Methadone Maintenance Treatment program follow-up Dr. Bhushan M. Kapur Associate Professor Department of Laboratory Medicine and Pathobiology, Faculty
More informationTest Definition: PDSOX Pain Clinic Drug Screen, Chain of Custody, Urine
Reporting Title: Pain Clinic Drug Screen, CoC, U Performing Location: Rochester Specimen Requirements: Container/Tube: Chain-of-Custody Kit (Supply T282) containing the specimen containers, seals, and
More informationThe Drug Testing Process. Employer or Practice
Disclosures Clinical Professor, Jefferson Medical College BOD MROCC [Medical Review Officer Certification Council] BOD National Sleep Foundation BOD POEMS [Pennsylvania Occupational & Environmental Medicine
More informationDetection of Drugs-of-Abuse by Tandem Mass Spectrometry.
Detection of Drugs-of-Abuse by Tandem Mass Spectrometry. Dr Tim Laurens MSc.Chem(Pretoria), Ph.D. Chem (Pretoria), MSc.Toxicology (Surrey,UK) FRSChem, MFSSoc Email: laurensj@lancet.co.za / tim.laurens@up.ac.za
More informationUrine Drug Testing Methods 3-5
Urine Drug Testing Methods 3-5 Type of Test Logistics Pearls Initial Screening Test: Immunoassay Confirmatory Test: Gas chromatography-mass spectrometry (GCMS) + or Liquid chromatography-mass spectrometry
More informationSeptember HCMC Toxicology Transition: Additional information and Frequently Asked Questions
September 2016 HCMC Toxicology Transition: Additional information and Frequently Asked Questions Many clinicians have asked for more information about the Urine Drug Compliance Analysis (LAB8742) switch
More informationTesting for Controlled Substances
Testing for illicit drugs Testing for Controlled Substances 1 Purposes: Employment Sports Screening medical eval. Legal Monitoring Treatment Probation Prescribing controlled substances Forensics 2 Drug
More informationONS/REC: 1 = WITHIN LAST 2 WEEKS 2 = 2 WEEKS TO < 1 MONTH 3 = 1 MONTH TO < 6 MONTHS 4 = 6 MONTHS TO < 1 YEAR 5 = 1 YEAR OR LONGER
ONS/REC: 1 = WITHIN LAST 2 WEEKS 2 = 2 WEEKS TO < 1 MONTH 3 = 1 MONTH TO < 6 MONTHS 4 = 6 MONTHS TO < 1 YEAR 5 = 1 YEAR OR LONGER CARD_ONS.WPD: 05/01/2001 CARD A LIFE EVENTS Record these events on the
More informationCARD TOBACCO: Cigarettes, E- Cigarettes, Cigars, Tobacco Pipe, Chewing Tobacco, Snuff
CARD 1 1. TOBACCO: Cigarettes, E- Cigarettes, Cigars, Tobacco Pipe, Chewing Tobacco, Snuff 2. ALCOHOL: Beer, Wine, Liquor 3. MARIJUANA: Grass, Pot, Hashish, Hash, Hash Oil, Weed, Ganja, Marijuana Edibles
More informationWhat Your Drug Test Really Means. Krista Beiermann, RN, OHS Occupational Health Services, Columbus Hospital
What Your Drug Test Really Means Krista Beiermann, RN, OHS Occupational Health Services, Columbus Hospital Disclosure There are no relevant financial relationships with commercial interests associated.
More informationTest Definition: PCDSO Pain Clinic Drug Screen, Urine
Reporting Title: Pain Clinic Drug Screen, U Performing Location: Rochester Specimen Requirements: Collection Container/Tube: Plastic urine container Submission Container/Tube: Plastic, 60-mL urine bottle
More informationUrine drug testing it s not always crystal clear
Urine drug testing it s not always crystal clear Kirk Moberg, MD, PhD, FASAM Executive Medical Director, UnityPoint Health Illinois Institute for Addiction Recovery Clinical Professor of Internal Medicine
More informationEDUCATIONAL COMMENTARY rd TEST EVENT Chemistry Urine Drug Testing
EDUCATIONAL COMMENTARY 2003 3 rd TEST EVENT Chemistry Urine Drug Testing Educational commentary is provided through our affiliation with the American Society for Clinical Pathology (ASCP). To obtain FREE
More informationWelcome! Supreme Court of Ohio Specialized Dockets Conference. October 23-24, 2017
Welcome! Supreme Court of Ohio Specialized Dockets Conference October 23-24, 2017 Drug Testing: Do you know enough to be dangerous? Presented by William L. Parker President & CEO American Court & Drug
More information1/27/ New Release, Quest Diagnostics Nichols Institute, Valencia
NEW TESTS Please Note: Not all test codes assigned to each assay are listed in the table of contents. Please refer to the complete listing on the page numbers indicated. Test Code Test Name Effective Date
More informationRecent Developments in FRA s Post-Accident Toxicological Testing Program
Recent Developments in FRA s Post-Accident Toxicological Testing Program Transportation Research Board Legal Workshop July 22, 2012 Elizabeth Gross Patricia Sun Trial Attorney Trial Attorney FRA Office
More informationLaboratory Service Report
4 05/25/19 Client C702884-DLP ROCHESTER Amphetamines, Confirmation Positive Confirmed POSITIVE by LC-S/S for the following: Amphetamine = 52 ethamphetamine = 124 ethamphetamine exists in the d- and l-isomeric
More informationHallucinogens Marijuana
Introduction A drug is defined as a natural or synthetic substance that is used to produce physiological or psychological effects in humans or other higher order animals. Narcotic drugs are analgesics,
More informationForensic Toxicology Scope of Testing and Detection Limits
Forensic Toxicology Scope of Testing and Detection Limits Table of Contents QUALITATIVE ANALYSES... 2 Volatile Screen by GC/FID... 2 Carbon Monoxide by Microdiffusion... 2 Ethylene Glycol by GC/MS... 2
More informationORAL FLUID AS A CHEMICAL TEST FOR THE DRE PROGRAM : HISTORY, THE FUTURE, AND PRACTICAL CONSIDERATIONS
ORAL FLUID AS A CHEMICAL TEST FOR THE DRE PROGRAM : HISTORY, THE FUTURE, AND PRACTICAL CONSIDERATIONS Barry K Logan PhD, DABFT National Director of Forensic Services, NMS Labs Willow Grove PA Disclaimer
More informationSocial Security #: - - Driver's License#: Phone Number(s): Date of Birth:
NEPTUNE BEACH POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT We are an equal opportunity employer, dedicated to a policy of n-discrimination in employment on any basis including race, color, age, sex, religion
More informationSchedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK
Schedule of ccreditation United Kingdom ccreditation Service 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK ccredited to Laboratory locations: Gavenny Court Brecon Road bergavenny Monmouthshire
More informationYou Can t Fool the Bladder Police. Effective Use of Urine Drug Screening
You Can t Fool the Bladder Police Effective Use of Urine Drug Screening Why Test? Accountability Create and maintain safe treatment environment Compliance with licensing or policy Collection Supervised
More informationPhysician s Reference for Urine and Blood Drug Testing and Interpretation
Physician s Reference for Urine and Blood Drug Testing and Interpretation DETECTIMED PANEL Urine (test code 70195) Screen Confirmation Screen Confirmation Alcohol Ethanol Amphetamines Amphetamine Methamphetamine
More informationDrug Testing: How to Evaluate Results
Drug Testing: How to Evaluate Results Prepared for you by the West Virginia Drug Testing Laboratory Drug testing, whether for an individual or a large corporation, consists of two necessary steps - specimen
More informationTypes of Drugs by Physical Effect- Narcotics
Illegal Drugs Types of Drugs by Physical Effect- Narcotics Narcotics depress the CNS, releive pain, produce sleep Morphine, heroin, and codeine. Morphine comes from the poppy plant Heroin is acetylated
More informationOTHER DRUGS OF ABUSE Source:
Volume 6, Number 4 APRIL - JUNE, 2017 This newsletter is provided by the Lorain County Crime/Drug Lab discussing technical and general information dedicated to local agencies within Lorain County. The
More informationDRUGS OF ABUSE
DRUGS OF ABUSE www.btnx.com 1-888-339-9964 Rapid Response Drugs of Abuse and Alcohol Screening Devices BTNX Inc. prides itself in offering quality drug detection tests for accurate, safe and rapid testing.
More informationDrugConfirm Advanced Urine Dip Cards.
DrugConfirm Advanced Urine Dip Cards The information in this presentation is a general overview on using the Confirm BioSciences DrugConfirm Advanced drug test cup but can be applied to many similarly
More informationSECTION 1 LEARNING OBJECTIVES:
CHAPTER 5 DRUGS SECTION 1 LEARNING OBJECTIVES: 1. Define psychological and physical dependence. 2. Name and classify the commonly abused drugs. 3. Describe the tendency to develop psychological and physical
More informationGlencoe Health. Lesson 3 Psychoactive Drugs
Glencoe Health Lesson 3 Psychoactive Drugs Health espotlight Video BIG IDEA Psychoactive drugs affect the central nervous system and can be especially damaging to the developing brain and body of a teen.
More informationDrug Screening. Separating Facts from Myths
Drug Screening Separating Facts from Myths Today s Presenter: Todd Shoulberg, EVP ClearStar Medical Information Services Todd Shoulberg, Executive Vice President of Medical Information Services for ClearStar,
More informationPatient-Centered Urine Drug Testing. Douglas Gourlay, MD, MSc, FRCPC, FASAM
Patient-Centered Urine Drug Testing Douglas Gourlay, MD, MSc, FRCPC, FASAM Declaration of Potential Conflict of Interest The content of this presentation is non- commercial and does not represent any conflict
More informationContract No. 952-M1 Collection Service Requirements Texas Department of Criminal Justice (TDCJ)
The services and requirements referenced are specific to Texas Department of Criminal Justice (TDCJ) and are in addition to and may include the services and must be in compliance with the requirements
More informationKenosha County Drug and Alcohol Abuse Policy
Kenosha County Drug and Alcohol Abuse Policy Kenosha County is committed to protecting the safety, health and well-being of all employees and other individuals in our workplace. We recognize that alcohol
More informationPinellas County Forensic Laboratory. Annual Report 2006
Pinellas County Forensic Laboratory Annual Report 26 Published April 27 Analytical Services Provided Post Mortem/Medical Examiner Toxicology Seized Drug (Controlled Substances) Analysis Fire Debris and
More informationLyndsey Knoy, D-ABFT-FT Forensic Scientist Washington State Toxicology Laboratory.
Lyndsey Knoy, D-ABFT-FT Forensic Scientist Washington State Toxicology Laboratory Lyndsey.Knoy@wsp.wa.gov Forensic Toxicology is an interdisciplinary science that analyzes blood, fluid and/or tissues for
More informationDrugs. January 30, , 2008 Pearson Education, Inc. Upper Saddle River, NJ 07458
Drugs January 30, 2018 5-1 Breaking the Ice 1. Introduce Yourself to your neighbor. 2. Discuss/Define the following two words: A. Drugs B. Dependence 3. Find a writing utensil and your notebook! 5-2 Video:
More information2. DEFINITIONS. For the purposes of this policy the following terms are defined herein:
SECTION IV: ALCOHOL AND DRUG FREE WORKPLACE 1. GENERAL POLICY. The purpose of this policy is to implement the Federal Drug Free Workplace Act of 1988 by providing for a safe and productive work environment
More informationWelcome - SAMHSA s Role. Welcome SAMHSA Key Messages 4. Welcome SAMHSA s Direction
Welcome - SAMHSA s Role 2 Welcome and Opening Remarks The National Conference on Substance Abuse, Child Welfare and the Courts Division of Workplace Programs Ron R. Flegel, BSMT, M.S. and Charles Lodico,
More informationPARTICIPANT GENERAL INFORMATION
PARTICIPANT GENERAL INFORMATION Instructions: Please complete entire form (print) First name: Last Name: Other names used: Street address: City/State/Zip: County: Region: East TN Middle West Social Security
More informationMEMORANDUM. Subject: University of Utah Drug and Alcohol Abuse Prevention Program
MEMORANDUM To: From: All University of Utah Faculty, Staff, and Students Dr. Ruth Watkins Senior Vice President for Academic Affairs Date: August 15, 2016 Subject: University of Utah Drug and Alcohol Abuse
More informationQuest Diagnostics Drug Testing Index Full Year 2015 Tables
Quest Diagnostics Drug Testing Index Full Year 2015 Tables Table 1. Annual Positivity Rates Urine Drug Tests (For Combined U.S. Workforce) (More than 9.5 million tests from January to December 2015) Year
More informationLearning Objectives. Drug Testing 10/17/2012. Utilization of the urine drug screen: The good, the bad, and the ugly
Utilization of the urine drug screen: The good, the bad, and the ugly Jennifer A. Lowry, MD Chief, Section of Medical Toxicology Children s Mercy Hospital Kansas City, MO Learning Objectives Describe the
More informationPain Medication Management Program Monitors Patient Compliance
PeaceHealth Laboratories UPDATE 2014/15 Edition Pain Medication Management Program Monitors Patient Compliance BENEFITS Monitors analgesic medication adherence to ensure patient safety and protect your
More information3703 Camino del Rio South 100-A San Diego, CA, Phone Fax CLIA# 05D Director: David J.
Drug Adherence Assessment Report Prescribed Medications: NO MEDICATION LIST PROVIDED CONSISTENT RESULTS - REPORTED MEDICATION DETECTED (PARENT DRUG AND/OR METABOLITE) REPORTED PRESCRIPTION FLAG ANTICIPATED
More informationControlled Substance Monitoring in the Age of the Opioid Epidemic
Controlled Substance Monitoring in the Age of the Opioid Epidemic Paul E. Hilliard, MS, MD Hospital Pain Committee Chair Department of Anesthesiology CME housekeeping I have no financial disclosures AKA,
More informationThe Drug Evaluation and Classification Program
The Drug Evaluation and Classification Program International Association of Chiefs of Police Drug Evaluation and Classification (DEC) Program The Drug Evaluation and Classification (DEC) Program is a transportation
More informationAnnual Reports Questionnaire (ARQ) Part III: Extent, patterns and trends in drug use
Annual Reports Questionnaire (ARQ) Part III: Extent, patterns and trends in drug use Report of the Government of: Reporting Year: Completed on (date): Please return completed questionnaire to: arq@unodc.org
More informationCross-reactivity reactivity in EMIT
Blood Drug Analysis at the State Bureau of Investigation Crime Laboratory Richard W. Waggoner, Jr. Sample Requirements 2-10 ml gray top vacutainers At least 10 ml of urine sample for drug facilitated sexual
More informationAlcohol. Ethanol Highlands Parkway, Suite 100 Smyrna, GA 30082
Alcohol The alcohol of interest is ethanol. Ethanol has a sedative effect in the brain. Ethanol intoxication symptoms include blurred vision, slurred speech, poor coordination and difficulty thinking depending
More informationThe college will enforce the following regulations, regardless of the status of court decisions:
DRUG POLICY Beloit College is a private, coeducation, residential institution of higher education committed to providing a sound liberal arts education that promotes life-long learning and personal growth.
More informationWheaton Franciscan Healthcare
Today s Date Wheaton Franciscan Healthcare PATIENT AND FAMILY MEDICAL HISTORY Patient s Name: Marital Status: r Married r Single r Divorced r Widowed r Other Date of Birth: Gender: r Male r Female Religion:
More informationLinking Opioid Treatment in Primary Care. Roxanne Lewin M.D.
Roxanne Lewin M.D. The Facts Fewer than 10 percent of individuals with an alcohol use disorder and only about 20 percent of individuals with an opioid use disorder receive specialty treatment. Many individuals
More informationChemaTox Blood Drug Testing Matrix (Updated May 24th, 2016)
ChemaTox Blood Drug Testing Matrix (Updated May 24th, 2016) Email: DREtox@chematox.com; Phone: (303)440-4500 Always identify any medications/drugs the suspect states they have taken, or that you suspect
More informationConfirm Limit--Level of detectable drugs in urine to confirm a positive test.
Alcohol and Substance Abuse Policy Purpose To establish and maintain a safe, healthy working environment for all PVFD members; reduce the incidence of accidental injury to members and property; reduce
More informationPain Medication Management Program Supports Patient Outcomes and Adherence
PeaceHealth Laboratories UPDATE 2015 Revised Edition Pain Medication Management Program Supports Patient Outcomes and Adherence BENEFITS Monitors analgesic medication adherence to ensure patient safety
More informationMAKOTEK EMPLOYEE DRUG-FREE WORKPLACE POLICY
Revised 090309 MAKOTEK EMPLOYEE DRUG-FREE WORKPLACE POLICY Makotek expects that Employees will perform their duties safely and efficiently in a manner that protects their interests and those of their coworkers.
More informationCARD 1 ALASKAN NATIVE/ESKIMO/ALEUT AMERICAN INDIAN... 20
CARD 1 ALASKAN NATIVE/ESKIMO/ALEUT... 10 AMERICAN INDIAN... 20 ASIAN OR ASIAN-AMERICAN Chinese... 30 (East) Indian... 31 Filipino... 32 Japanese... 33 Other (Specify):... 34 BLACK African American... 40
More informationAltering Perception and Dirty Deeds. Forensic Science Part #D
Bell-Ringer Forensic Science What are the classifications of Heroin/Cocaine? What is the primary system these types of drugs effect? What is the typical cause of death with overdose> Altering Perception
More informationSlide into easier drug testing in Answers to 5 Frequently Asked Drug Test Questions
Slide into easier drug testing in 2013 Answers to 5 Frequently Asked Drug Test Questions About Your Presenter Melissa DiThomas Melissa.Dithomas@lexisnexis.com +1.724.742.0485 2 5 Top Questions Asked What
More informationDORAN & WARD PRINTING COMPANY S DRUG AND ALCOHOL ABUSE POLICY FOR A DRUG AND ALCOHOL FREE WORKPLACE EFFECTIVE 1/20/06
DORAN & WARD PRINTING COMPANY S DRUG AND ALCOHOL ABUSE POLICY FOR A DRUG AND ALCOHOL FREE WORKPLACE EFFECTIVE 1/20/06 1. POLICY 1.1 Doran & Ward Printing Company has a vital interest in maintaining a safe,
More informationSubstance Abuse Testing Electronic Result Reporting Layout Specifications. Version 3.2 January 2004
Substance Abuse Testing Electronic Result Reporting Layout Specifications Version 3.2 January 2004 Copyright Notice This publication is produced and distributed by LabOne, Inc. to specify the content and
More informationCutoff levels for hydrocodone in a blood test
Cutoff levels for hydrocodone in a blood test The premier DNA and drug testing company in the North Texas area. Specializing in legal cases but also provide testing for employers and private individuals.
More informationClearing Up The Confusion About Substance Abuse Testing
Clearing Up The Confusion About Substance Abuse Testing 2018 Indiana Safety and Health Conference and Expo Presented by Tiffany Ellefson, DISA/Midwest Toxicology Services Items to cover Latest Trends in
More informationClose to Home A Recovery Brief WNC Recovery Recovery Ministries of the Episcopal Church
Close to Home A Recovery Brief WNC Recovery Recovery Ministries of the Episcopal Church Prayer for Victims of Addiction O blessed Lord, you ministered to all who came to you: Look with compassion upon
More informationSTATE OF FLORIDA DEPARTMENT OF HEALTH
DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, V. RYAN P. WATSON, R.N., CASE NO. 2017-20520 RESPONDENT. ADMINISTRATIVE COMPLAINT COMES NOW, Petitioner, Department of Health, by
More informationNorth Carolina Drug Evaluation & Classification (DEC) Program
State of North Carolina Forensic Tests for Alcohol Branch Division of Public Health Department of Health & Human Services North Carolina Drug Evaluation & Classification (DEC) Program Drug Recognition
More informationControlled Substances: Drugs. Chapter 5
Controlled Substances: Drugs Chapter 5 1 Introduction 2 You hear about drugs on TV and in the movies, on the radio, in books and magazines, on the Internet, and in daily conversation with friends and peers.
More informationDrug Use Around the World
Special Agents U.S. DRUG ENFORCEMENT AGENCY STAFFING AND BUDGETS 1975 2000 10000 5000 Total Employees 8000 6000 4000 3000 2000 4000 1975 1980 1985 1990 1995 2000 1000 1975 1980 1985 1990 1995 2000 Support
More informationCommon Drugs of Abuse. What to look for, physical symptoms, and dangers
Common Drugs of Abuse What to look for, physical symptoms, and dangers We lead the industry in science and service. By choosing Quest Diagnostics Employer Solutions as your drug testing partner, you gain
More informationDrug-Free Schools Annual Disclosure
Drug-Free Schools Annual Disclosure It is the policy of Zenith Education Group to comply with the Drug-Free Schools and Communities Act Amendments of 1989 and the Drug-Free Workplace Act of 1988. Accordingly,
More informationNew Test Announcements
27027 Tourney Road Valencia, CA 91355 800 421 7110 www.specialtylabs.com New Test Announcements Dear Colleague: We are pleased to announce many new test offerings this month. January 25, 2007 In oncology,
More informationConflict of Interest Disclosure
Patient Rx Drug Misuse and Abuse: Compliance Toxicology Monitoring in Clinical Practice Toxicology Staff Andrea Terrell, Ph.D., DABCC Chief Scientific Officer George Behonick, Ph.D., DABFT, Manager, FBU
More informationChild Welfare and Substance Abuse. Erica Tarasovitch, MSW Central Florida Behavioral Health Network
Child Welfare and Substance Abuse Erica Tarasovitch, MSW Central Florida Behavioral Health Network Parental Substance Use Marijuana was the most commonly used illicit drug in 2006, accounting for 72.8
More informationSAFETY SERVICES NOVA SCOTIA The Human Factor Evolving Health & Safety
Drug Recognition Expert Program SAFETY SERVICES NOVA SCOTIA The Human Factor Evolving Health & Safety March 23 th 2011 Goal The goal of the IACP Drug Recognition Expert Program is to help prevent ent collisions
More informationIndustry Health & Safety Testing, Training & Prevention.
Industry Health & Safety Testing, Training & Prevention How Drugs Affect Your Health & Safety Presentation Outline Introduction Workplace Health and Safety What are Drugs? Health Effects of Psychoactive
More informationLaboratory Testing to Support Pain Management: Methods, Concepts and Case Studies
Laboratory Testing to Support Pain Management: Methods, Concepts and Case Studies Frederick G. Strathmann, PhD, DABCC, (CC,TC) Medical Director, Toxicology Associate Scientific Director of MS ARUP Laboratories
More informationAPPENDIX A DRUG AND ALCOHOL TESTING POLICY AND PROCEDURES
APPENDIX A DRUG AND ALCOHOL TESTING POLICY AND PROCEDURES Section A. 1 General Policy Regarding Drugs and Alcohol The use of illegal drugs and the abuse of legal drugs and alcohol by District employees
More informationDrugConfirm Advanced Instant Urine Drug Test Cups Training Guide.
DrugConfirm Advanced Instant Urine Drug Test Cups Training Guide The information in this presentation is a general overview on using Confirm BioSciences DrugConfirm Advanced urine drug test cup; however,
More informationTHE BASICS: SUBSTANCE USE AND THE IMPACTS ON ADULT LEARNERS
04-10-15 THE BASICS: SUBSTANCE USE AND THE IMPACTS ON ADULT LEARNERS James Shedden Prevention and Health Promotion Specialist, Mental Health and Addiction Services, Nova Scotia Health 4/23/2015 2 Substance
More informationCenter for Substance Abuse Research Drug Early Warning System
DEWS County Snapshot Frederick County July 2003 Drug Use in Frederick County: Overview Current use of marijuana, LSD, PCP, methamphetamines, designer drugs, heroin, amphetamines, barbiturates and narcotics
More informationSUBSTANCE ABUSE MODEL POLICY
SUBSTANCE ABUSE MODEL POLICY LUCAS R. AUBREY SHERMAN DUNN, P.C. WASHINGTON, D.C. AUBREY@SHERMANDUNN.COM OVERVIEW Why test? Is testing legal? Federal law State law Model Substance Abuse Policy and Program.
More informationFluids. There are 32 body fluids that may be found at a crime scene
Fluids& Toxicology Fluids There are 32 body fluids that may be found at a crime scene Some of them include amniotic fluid, bile, cerebrospinal fluid, mucus, perspiration, phlegm, saliva, semen, tears,
More informationDiagnostic Screening Tool
Name: Section I: Mood Diagnostic Screening Tool than a 1. Little interest or pleasure in doing things? 2. Feeling down, depressed, or hopeless? If either of your answers to items 1 or 2 is greater than
More informationDiagnostic Screening Tool
Name: Section I: Mood Diagnostic Screening Tool than a half the 1. Little interest or pleasure in doing things? 2. Feeling down, depressed, or hopeless? If your answer to item 1 or 2 is greater than 1,
More informationNICOLET COLLEGE LAW ENFORCEMENT ACADEMY BACKGROUND QUESTIONAIRE
NICOLET COLLEGE LAW ENFORCEMENT ACADEMY BACKGROUND QUESTIONAIRE Applicant s Name: Academy Applied for: Read Carefully Nicolet College Law Enforcement Academy has established admittance standards that are
More informationDrug & Alcohol Testing in. Canada. Point of Care Testing
Drug & Alcohol Testing in Canada Point of Care Testing Introduction We are the leading Canadian innovator of diagnostic testing products and services Verify Diagnostics has assisted governments, corporations,
More informationPOINT OF CARE TESTING
POINT OF CARE TESTING POINT OF CARE INSTANT TESTING Randox Testing Services offers a wide range of products to enable you to carry out on-site drug and alcohol testing for instant results. Our products
More informationNIDA Quick Screen V1.0F1
NIDA Quick Screen V1.0F1 Name:... Sex ( ) F ( ) M Age... Interviewer... Date.../.../... Introduction (Please read to patient) Hi, I m, nice to meet you. If it s okay with you, I d like to ask you a few
More informationDrugs of Abuse I Serum
Drugs of Abuse I Serum 2017-11 1.10 For quality monitoring of quantitative measurements by chromatographic methods These reference materials are produced on the basis of human matrices. The highly accurate
More informationControlled Substances. Forensic Science
Controlled Substances Forensic Science Copyright and Terms of Service Copyright Texas Education Agency, 2011. These materials are copyrighted and trademarked as the property of the Texas Education Agency
More informationEVERYTHING YOU WANTED TO KNOW ABOUT DRUG TESTING
EVERYTHING YOU WANTED TO KNOW ABOUT DRUG TESTING JUDGE BRIAN MACKENZIE (RET.) JUSTICE SPEAKERS INSTITUTE DRUG TESTING PROGRAM MANAGEMENT http://justicespeakersinstitute.com/matcptestingmanual AS A RESULT
More informationIllicit Drug Positivity Rate Increases Sharply in Workplace Testing, Finds Quest Diagnostics Drug Testing Index Analysis
News from Quest Diagnostics Contacts: Wendy Bost, Quest Diagnostics (Media): 973-520-2800 Dan Haemmerle, Quest Diagnostics (Investors): 973-520-2900 Illicit Drug Positivity Rate Increases Sharply in Workplace
More informationNIDA-Modified ASSIST Prescreen V1.0 1
NIDA-Modified ASSIST Prescreen V1.0 1 F Name:... Sex ( ) F ( ) M Age... Interviewer... Date.../.../... Introduction (Please read to patient) Hi, I m, nice to meet you. If it s okay with you, I d like to
More informationINSTANT DRUG SCREENING
................................ INSTANT DRUG SCREENING Rapid tests for the detection of drugs and their metabolites in urine and saliva A CEuropean Background NHS Supply Chain Approved Reliable, quick
More informationToxicological Investigation of Drug Impaired Driving Toxicology Laboratory Survey
Toxicological Investigation of Drug Impaired Driving Toxicology Laboratory Survey Kayla J. Lowrie, MS, Jennifer Turri, BS, Jill Yeakel, MSFS, Barry K. Logan, PhD, DABFT, Arcadia University, 450 S. Easton
More information