Laboratory Testing Reference Guide - Nebraska Supreme Court

Laboratory Testing Reference Guide

an Alere company.

R EFER EN CE G U I D E // Result reporting

REFERENCE GUIDE // Table of contents

TABLE OF contents

L A B O R ATO RY T ES T I N G S E R V I C ES

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Drugs of Abuse Testing ¨C Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8

Drugs of Abuse Testing ¨C Oral Fluid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10

Esoteric/Specialty Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

S PEC I M E N C O L L EC T I O N

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Collection: Site Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Collection: Urine/Oral Fluid Collection Protocol . . . . . . . . . . . . . . . . . . . . . . 15-16

Collection: Specimen Validity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-18

Collection: Problematic Situations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20

S PEC I M E N L A B E L I N G & S H I PPI N G

Option 1: ToxAccess? Labeling Guide . . . . . . . . . . . . . . . . . . . . . . . . . . .

Option 2: Urine Test Request Labeling Guide . . . . . . . . . . . . . . . . . . . . . .

Option 3: Oral Fluid Test Request Labeling Guide . . . . . . . . . . . . . . . . . .

Packaging Protocol: Shipping to Lab . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23

24-25

26-27

28-29

30-31

R ES U LT R E P O R T I N G & C O L L EC T I O N M A N AG E M E N T

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ToxAccess?: Web Result Reporting & Collection Management . . . . . . . . . . . 34

Standard Result Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

D R U G I N FO R M AT I O N

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Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Amphetamines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Barbiturates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Benzodiazepines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Buprenorphine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Cocaine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Designer Stimulants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Diuretics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Fentanyl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Gamma-Hydroxybutyric Acid (GHB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Marijuana (cannabinoids) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Methadone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Opiates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Oxycodone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Phencyclidine (PCP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Steroids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Stimulants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Synthetic Cannabinoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Urine Creatinine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

C O N TAC T I N FO R M AT I O N

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REFERENCE GUIDE

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Laboratory services

Laboratory services

Redwood Toxicology Laboratory (RTL) performs drug and alcohol testing in accordance

with strict forensic standards and scientifically accepted methods. Testing is performed by

a highly educated, experienced staff using state-of-the-art equipment under the scrutiny of

state and federal agencies. We¡¯ll find out.

Drugs of Abuse Urine Testing ¡ª RTL processes over 85,000 urine specimens each

week for thousands of clients.

Drugs of Abuse Oral Fluid Testing ¡ª Oral fluid testing is gaining popularity with

many programs that require easy, gender-neutral specimen collection combined with

the accuracy of lab testing.

Esoteric/Specialty Testing ¡ª RTL also offers a wide range of specialized tests including: EtG/EtS Alcohol testing, Synthetic Cannabinoid testing, Designer Stimulants testing,

Comprehensive drug testing, GHB testing, Fentanyl testing and hCG (pregnancy) testing

and more.

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