Northern Industrial Clinic Urine Drug and Alcohol Screening

Northern Industrial Clinic:

Urine Drug and Alcohol Screening Protocol.


1. Patients must fill in a consent form on arrival to the clinic. It must be explained to them by the receptionists that they will be tested for the listed medicines, drugs and alcohol from the last 30 days. After sighting this, they then must read through the donor certification, sign and print their name and the date they attended.
2. A separate record of the drug screening must be kept. The date, donor’s name and the company who has sent them for the test must be recorded in the book kept at reception.
3. The collector then asks for a form of ID, for example, a driver’s licence, passport or key pass, so the collector can properly identify the donor as being the one who is to be tested. This is to be done by the collector only.
4. The collector then signs on the consent form that they have sighted the ID.
5. There is to be one place only in the clinic for the collection and testing of the sample.
6. Give the donor the collection cup. Explain to them that the sample has to be ‘over the white strip.’ This ensures that the temperature can be taken later on.
7. The donor provides the sample in an area that allows for privacy. The collection site must be secure; that is, no other accessible source of water is to be in the area. Toilet colouring agents must be used to deter the dilution of specimens.
8. When receiving the sample the collector ensures that it is over the white strip so the temperature can be taken accurately.
9. The temperature must be taken within four minutes of the sample being supplied. It must be between 33° C and 38° C.
10. The collector should also inspect the urine to determine its colour and look for any indication of it being tampered with. Any unusual findings must be noted.
11. If the validity of the sample can not be established, or if it is suspected that the donor has in fact used a substitute sample instead of supplying their own, then another specimen can be requested and should be collected ASAP.
12. The donor shall stay with the collector at all times while the specimen is being tested to ensure that there is no dispute over the identity and result of the sample.










Testing the Sample.

1. After recording the temperature of the sample, the collector also writes down the date and time of collection. All of this should be recorded on the consent form.
2. The site screen pouches should always be kept at room temperature. The pouch contains one site screen and one pipette.
3. The collector opens the site screen pouch. This should only be done just before the collector is ready to test the sample.
4. The collector draws the sample to the line marked on the pipette. The entire contents are dispensed into the sample well (approximately 3 drops per well). A separate pipette device is used for each sample.
5. The result must be read on the site screen between 3 and 8 minutes after the addition of the sample. Do not read the results after 8 minutes.
6. If all the lines are present on the site screen, even if faint, it is a negative result. The donor marks on the consent form that it is negative. The results are either faxed or posted to the company accordingly.


If Positive Result.

1. If there are lines missing on the site screen, the result is positive.
2. The collector notes on the consent form what the donor has tested positive to, i.e., if line one on the site screen is missing, it is a positive result for opiates.
3. The urine sample is then transferred to another cup. The lid is placed securely.
4. A Urine Drug and Alcohol screening pathology form is printed off.
5. A label from the pathology form that states the donors name and DOB is placed around the secondary cup, followed by a security seal over the top.
6. It is placed in a sealed bag with the pathology form in the gribbles box and picked up by a courier to be taken away for testing.
7. A second label is placed on the consent form which is then filed in the ‘pending’ file.
8. Results are withheld from the company until the final result comes back from Gribbles.










References.

1. Australian/New Zealand Standard: Procedures for the collection, detection and quantitation of drugs of abuse in urine. AS/NZS 4308:2001
2. d.tec Australia: www.dtecaustralia.com.au