ASAM Drug Testing Pocket Guide

Drug Testing Pocket Guide

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9 Î When a patient is stable in treatment, drug testing should be done at least monthly. Individual consideration may be given for less frequent testing if a patient is in stable recovery. When possible, testing should occur on a random schedule. Random Testing Î Random unannounced drug tests are preferred to scheduled drug tests. Î A random-interval schedule is preferable to a fixed-interval schedule because it eliminates known non-testing periods (for example, if Monday is randomly selected from a week interval, the patient knows they will not be tested Tuesday-Saturday), and it is preferable to a truly random schedule because it limits the maximum number of days between tests. Table 1. Terms Often Used Imprecisely to Refer to Presumptive and Definitive Tests Presumptive Definitive Qualitative Quantitative Preliminary Confirmatory Immunoassay Chromatography/mass-spectrometry Point of care/in-office/lab-based In-office/lab-based Screen Confirmation Semi-quantitative/quasi-quantitative Absolute level/creatinine-corrected Simple (cup/strip/dipstick/cassette) Complex Class or category test Specific drug identification 2015.

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