16. Collection Site Requirements
• Allows for individual privacy
• Only collector & donor in room where collection/
documentation/ screening is in process
• No bags or coats taken into toilet
• Empty pockets, remove boots, self frisk (optional)
• No access to water in toilet
• Remove cleaning agents & bins/ containers
• Colouring in the toilet
• Cistern and windows secured
• Donor washes hand before urinating
• Instruct not to flush toilet
• Collector must accompany donor to the toilet area –
stand and wait outside. Door can be ajar.
17. Company Policy: Responsibility
Post Accident/ Incident, For Cause, Random
From the time of notification, arrange for the
employee to be accompanied at all times and
escorted to the designated NZQA qualified
collector and “on-site” screener and trained
breath testing provider.
18. Collection & On-Site Screening
Impact
1. NZQA certification: US 25458 & 25511
2. Verified device
3. Creatinine test mandatory
4. Other sample integrity screen recommended
5. Daily controls: +ve & -ve
– Daily at testing site
– After 25 tests (alternate)
– Faint lines: negative ????
19. Collection & On-Site Screening
Impact
1. NZQA certification: US 25458 & 25511
2. Verified device
3. Creatinine test mandatory
4. Other sample integrity screen recommended
5. Daily controls: +ve & -ve
6. Proficiency testing program
– External: RCPA
– Program with laboratory: 5% negatives
1. Agency has IANZ accreditation
21. Chain of Custody Minimal Information
(2.2.4)
• Verification of donor’s ID (photo not essential)
– Unequivocal and independent
• Two unique identifiers (full name & date of birth)
• Date & time of collection
• Name & signature of collector
• Requesting authority details
• Results of specimen integrity checks
• Declaration by collector: compliance with Standard
– Specimen collected & Tested on-site (if applicable)
• Signature from donor confirming
– Their own specimen & correctly taken
– NB: This is the last step
• Medication & results of on-site screen not on employer
copy
22. Language & Reporting
• Screen result
– Negative or “Not Negative”
– Word “positive” prohibited
• Screen “not negative” or specimen integrity ??
– Interim report may be issued to requesting
authority that can only advise that the specimen
requires further testing
– No indication of which drug class
• Why is this critical
27. Definition: Drugs
Illicit, restricted and some currently legal drugs which have
the potential to cause impairment, eg:
•cannabis and hashish
•opiates (such as heroin and morphine)
•cocaine
•amphetamine type substances (speed, “P”, ecstasy and party pills
containing benzylpiperazine)
•synthetic THC (Kronic, Puff, Amsterdam Cafe)
•misuse of some prescription drugs (tranquillisers, sedatives)
•other currently legal party highs
•other “mind altering” substances can be added to the testing suite as
they become available and are misused.
28. Other Drugs: S1.1
The detection & reporting of drugs other
than those listed in Table 2 is not precluded
– Synthetic THC (Kronic, Spice, Puff)
– LSD
– DMAA (dimethylamylamine)
– Magic mushrooms (psilocybin)
– Salvia Divinorum (tripping weed)
– Oxycodone (on site cassettes available)
– Cathinone derivatives: at least 20 variations
• Make from Khat plant
• Mephedrone, methylene dyoxypyrovalerone,
methedrone
29. Laboratory Testing
• Laboratory testing only
• Screening by GCMS or LCMSMS
• Mass spectrometry confirmation detected
• Laboratory determines cut-offs
• No clinical trial data often to make decision on
cut-offs
• Synthetic THC
• Metabolites of JWH- 018, 073, 122: tests available
• Other derivatives: no tests yet
• Cut-off 10ng/ml
30. Pros and Cons
• Speed
• Cost
• Post Accident/ For Cause only stand down “not-
negatives”
• Random taking action immediately
• Expense of compliance
• Extended testing suite
• Personal safety
• Cross reactions medications/ foodstuff
Motto: Select the screening option(s) which is “fit for
purpose” and complies with the Company policy. Always
get laboratory confirmation after “not-negative” screen.