Drugs of Abuse Testing - acllaboratories.com

January 30, 2018 | Author: Anonymous | Category: N/A
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Drugs of Abuse Testing . ACL Laboratories Drug Testing is the Substance Abuse Testing division of ACL Laboratories. Whet...


Drugs of Abuse Testing ACL Laboratories Drug Testing is the Substance Abuse Testing division of ACL Laboratories. Whether your drug testing needs are to comply with Federally mandated employee drug screening rules, to provide a drug free workplace for your employees or to monitor your clinical patients in drug treatment programs, ACL Laboratories has the ability to offer you the services to meet all of your needs. ACL Laboratories is one of a select group of laboratories nationwide that is certified by SAMHSA (formerly NIDA) for the U.S. Department of Health and Human Services to perform drug testing on Federal employees. ACL Laboratories Drug Testing is currently providing drug-testing services to clients from all over the world. Our professional staff includes certified Toxicologists, registered Medical Technologists and degreed chemists dedicated to providing fast, accurate and reliable results. Quality Assurance Quality at ACL Laboratories Drug Testing is assured by participation in proficiency testing programs with the National Laboratory Certification Program (NLCP) and the College of American Pathologists (CAP). In addition, our lab is subject to biannual on-site inspections by the NLCP in conjunction with the U.S. Department of Transportation (DOT). Internal QC procedures at ACL Laboratories require that each batch of specimens tested include at least 10% known control samples and 1% blind controls. The DOT also requires that all certified labs be subject to external blind controls on a regular basis. Drug Testing Accreditation, Certification & Provider Numbers ACL Laboratories Drug Testing holds licensure, approvals and certifications with the following agencies: Substance Abuse & Mental Health Services Administration (SAMHSA) Clinical Laboratory Improvement Act (CLIA)



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Drug Testing Department Contacts Responsible Person Anthony Wu, PhD. 414-328-7843 [email protected] Forensic Toxicologist William Bennett, PhD. (414) 328-7512 [email protected] Supervisor of Analysts Daniel Bretl, B.S. (414) 328-7844 [email protected] Quality Control Officer Judy Musich, B.S. (414) 328-7841 Department (414) 328-7840 Fax (414) 328-7847

Compliance ACL Laboratories provides fully defensible test results, which comply with all of the legal requirements of the Federal Drug Free Workplace Act. Since urine specimens for employment drug testing are potential legal evidence, all handling is done in accordance with recognized forensic procedures. ACL Laboratories provides all the supplies needed for the proper collection, packaging and shipping of specimens. The drug screen kit contains specimen containers; tamper evident seals and a 5-part Custody and Control form that ensures the validity and security of the specimen throughout the drug testing process. This form is initiated at the collection site and is continued for all specimen handling within our laboratory.

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Specimen Collection ACL Laboratories will coordinate the collection of forensic samples at our Illinois/Wisconsin hospitals or clinics or at convenient sites nationwide. Our client assistants counsel collection site staff on a daily basis to ensure that samples are collected in accordance with appropriate Federal and/or forensic regulations. We frequently contact collectors to obtain affidavits to correct chain of custody errors or to report fatal flaws. Security After specimens are received at ACL Laboratories, they are opened in the forensic storage and accessing vault. To ensure sample integrity, the specimens are examined by specially trained staff that document the condition of the specimen seals and sign the chain of custody forms. Security is maintained in the SAMHSA lab by a card-key alarm system designed to restrict access to authorized staff only. Methodology The SAMHSA lab employs the most legally defensible methods available. Initial testing is performed by enzyme immunoassay with confirmation by gas chromatography/mass spectrometry (GC/MS). In the forensic program, our certifying scientists subject urine samples to an initial test procedure and confirmation followed by a rigorous validation process before a positive result is issued. In addition, specimen validity testing is performed to detect adulteration, substitution or dilution. Reporting A variety of data transmission procedures are available to our clients, including computer interface, on-line printer, fax, E-mail, courier or U.S. mail depending on client need and volume. Results are reported by ACL Laboratories within 24 hours for negative tests and 48 hours for positive tests. Specimen/Record Storage Positive samples are stored in locked freezers for a minimum of one year. Negatives are discarded after 24 hours. All of the paper records including chain of custody documents, worksheets, instrument printouts and reports are maintained in our secure storage vault for a minimum of two years.

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Client Services ACL Laboratories Client Services staff provides 24-hour support. Contact this department for any drug testing concerns. Toll Free Local Fax Toll Free Fax

800-877-7016 414-328-7676 800-372-5670

Supplies To order urine collection kits, Chain of Custody forms, or any other supplies, please FAX a copy of a completed supply request form to 888-241-4078. Sales Contact this department to reach your account representative. All questions regarding fees, new services and/or changes to your account information should be communicated to Sales. National Local Local Fax Toll Free Fax

800-624-3134 414-328-7875 414-328-8157 888-241-4078

Logistics Our client assistants will arrange to transport your samples in a variety of ways. ACL Laboratories courier service is available to our southeastern Wisconsin and northern Illinois clients. Contact this department for assistance with specimen pickup or delivery. 888-719-3570 Samples may be shipped via DHL, FedEx or UPS. Preprinted air-bills are available by request. Samples are delivered to our lab Monday through Saturday. International clients should contact the Sales department for shipping options.

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Drug Testing General Information The Department of Health and Human Services, Office of Substance Abuse and Mental Health Services Administration (SAMHSA) has compiled the following list of drugs that could affect a screening drug test (for informational use only). If only an immunoassay screen is performed, the following substances could cause a presumptive positive result: Amphetamines (Methamphetamine and Amphetamine) Prescription medications that contain either d-amphetamine or racemic d,lamphetamine (e.g., equal amounts of d- and l-amphetamine): Adderall Durophet Benzedrine Obertrol Dexedrine Biphetamine Prescription medication that contains d-methamphetamine: Desoxyn (Gradumet) Substances known to metabolize to methamphetamine (and amphetamine): Benzphetamine (Didrex) Fencamine Dimethylamphetamine Furfenorex Famprofazone Selegiline (Deprenyl, Eldepryl) Substances known to metabolize to amphetamine: Amphetaminil Fenproporex (Tegisec) Clobenzorex (Dinintel, Finedal) Mefenorex (Pondinil) Ethylamphetamine Mesocarb Fenethylline (Captagon) Prenylamine Nonprescription medication that contains l-methamphetamine: Vicks Inhaler. Note: Although 100% l-methamphetamine would be expected, there may be a trace of d-isomer present following Vicks Inhaler use due to a slight amount of dmethamphetamine present as a contaminant. Cocaine Prescription medications that contain cocaine: None __________________________________________________________________________________ ACL Laboratories 12.1.07

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Note: The medical community uses TAC (tetracaine, epinephrine, cocaine) as a topical preparation prior to various surgical procedures and may use cocaine by itself as a topical vasoconstrictive anesthetic for various ear, nose, throat, and bronchoscopy procedure. Note: Cocaine is structurally unique and does not resemble any of the other topical analgesics such as Novocain, Xylocaine (lidocaine), benzocaine, etc. Although these compounds have analgesic properties, there is no structural similarity to cocaine or its metabolite (benzoylecgonine). Marijuana (THC) Prescription medication that contains delta-9-tetrahydronnabinol (THC): Dronabinol (Marinol) Note: Marinol may be used for stimulating appetite and preventing weight loss in patients with a confirmed diagnosis of AIDS and in treating nausea and vomiting associated with cancer chemotherapy. Additionally, some individuals have been permitted by a court order to use THC for the management of glaucoma or any other substance that might be identified as or metabolized to THC. There are no other prescription medications that contain cannabinoids. Opiates (Heroin, Morphine, Codeine) Prescription medications that contain morphine: Astramorph PF MSIR Duramorph MS Contin Tablets Prescription medications that contain codeine: Actifed with Codeine Cough Syrup Phenaphen with Codeine Codimal PH Robitussin A-C Dimetane-DC Cough Syrup Triaminic Expectorant with Codeine Emprin with Codeine Tylenol with Codeine (#1,2,3 or 4) Fiorinal with Codeine Tussar-2 Note: The above listing is a representative sampling of prescription medications that contain codeine or morphine. Nonprescription products that contain opium (e.g., morphine):

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Amogel PG Diabismul Donnagel-PG Infantol Pink Kaodene with Paregoric Quiagel PG Paregoric Nonprescription product that contains codeine: Kaodene with Codeine Note: The listed nonprescription products are used as antidiarrheals.Theyaregenerally available over-the-counter-; however, nonprescription sale is prohibited in some states. Paregoric alone is a Schedule III drug, but in combination with other substances is a Schedule V over-thecounter product. Substances that metabolize to morphine: Heroin Note: There are a number of synthetic or semisynthetic opiates available including, but not limited to, hydromorphone (Dilaudid), oxymorphone (Numorphan), hydrocodone (Hycodan), dihydrocodeine (Paracodin), oxycodone (Percodan), propoxyphene (Darvon), methadone (Dolophine), meperidine (Demerol), fentanyl (Sublimaze), pentazocine (Talwin), and buprenorphine (Buprenex). These drugs do not metabolize to either codeine, morphine, or 6-acetylmorphine. When a donor presents a prescription for narcotic analgesic, the MRO should verify that it does not contain codeine or morphine and, therefore, cannot metabolize to codeine, morphine, or 6acetylmorphine. Food item that contains morphine: Poppy seeds Note: Eating normal dietary amounts of poppy seeds can cause a urine specimen to test positive for morphine and (possibly) codeine. The concentration of morphine can be substantial, with usually very low concentrations or no detectable codeine.

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Phencyclidine (PCP) Prescription medications that contain PCP: None Note: There are no legal medical uses of PCP or any other substance that can be misidentified as PCP. Drug screen panels and tests are available with the following options: 1. Drug screen panels and tests with order codes beginning with “U” do not require an accompanying Chain of Custody, nor do they have confirmations included when screening results are positive. These panels and tests are designed for medical/clinical purposes. 2. Drug screen panels and tests with order codes beginning with “S” require collection utilizing Chain of Custody protocol. These panels and tests are designed for pre-employment and private employment purposes. 3. Drug screen panels and tests with order codes ending with “C” and specifying Confirmation require collection utilizing Chain of Custody protocol and include automatic confirmations of positive screening results. 4. NIDA/DOT Panels require collection utilizing Chain of Custody protocol and must be accompanied by a completed Federal Drug Testing Custody and Control form. The NIDA/DOT panels require confirmation of positive screen results by gas chromatography/mass spectrometry and are designed specifically for federally regulated industries. 5. Clients may choose to either have the charges associated with the confirmation of positive screen results bundled with the panel fees, or charged as a separate fee.

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