ASAM Drug Testing Pocket Guide

Drug Testing Pocket Guide

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12 Part 3: Additional Considerations for Drug Testing in Addiction Treatment Î Users of POCTs should refer to the POC package insert and/or the manufacturer to determine the device's capabilities. Î Cost issues should be considered when deciding to initiate a POCT protocol. These include costs associated with additional staff time and training, space to perform testing, quality assurance procedures, and documentation of POCT results. Choosing a Laboratory Î Providers should seek to work with a laboratory that has expertise in drug testing in addiction treatment settings. Î When selecting a laboratory, providers should investigate whether state law requires a specific certification. Î It is important to work with a laboratory qualified to perform accurate tests and assist in the interpretation of results. Î Providers should work to create a collaborative relationship with the laboratory. Important areas for collaboration are test panel selection, detecting sample tampering, interpreting test results, and regional drug use trends. Î When selecting a laboratory, providers should contact the toxicology director or a medical toxicologist at the laboratory to discuss panels, types of drug tests, testing procedures, and technical assistance. Î Because drug testing should be individualized, laboratories should allow providers to order specific tests for each patient. Table 3. General Windows of Detection Across Matrices (from SAMHSA's TAP 32) Minutes Hours Days Weeks Months Blood Breath Oral Fluid Urine Sweat Hair Part 4: Biological Matrices

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