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Epic Code LAB2111041 Drug Screen Abuse without Alcohol (Inpatient Only)

Test Name Alias

UDS | Drug Screen Abuse without alcohol | DAU w/o alcohol | DOA

Interface Order Alias

10359

Clinical Information

Link: Reflex Information

Ordering Instructions

Inpatient collection only

United Lab: Outpatient/Offsite collection is acceptable for non-chain of custody urines

Collection Instructions

Specimen Collection: Urine, Random

 

Container(s):  Sterile Urine Cup or Pale Yellow Top Urine Tube-no preservative

Preferred Volume to Collect: 10.0 mL

Minimum Volume to Collect: 1.0 mL

 

Collection Instructions:

  • Include Chain of Custody form when appropriate
  • Samples should be within the normal physiological pH range of 4.0 – 8.50
  • Keep container upright at all times and check that lid is fastened evenly and securely.
  • Do not send container home with patient, must be collected on site.
  • Do not open container after collection.
  • Detailed Instructions (link): Urine Collection Guide for Staff

Processing Instructions

  • Centrifuge highly turbid specimens before testing

Specimen Stability

Ambient: 72 hours

Refrigerate: 14 days

Frozen: 14 days

Laboratory Retention: 10 days

Test Frequency

Available 24 hours, usual TAT 1 day.

STAT TAT 1 hour.

Reference Range

Screen Cutoff Limits:

 

Amphetamines 500 ng/mL

Barbiturates 200 ng/mL

Benzodiazepines 300 ng/mL

Cannabinoids 50 ng/mL

Cocaine/Metab. 150 ng/mL

Methadone 300 ng/mL

Opiates 300 ng/mL

Oxycodone 100 ng/mL

 

SCREENING PROCEDURE ONLY. Positives are not confirmed except where established by Laboratory policy. For other specimens, confirmation testing must be ordered by the physician. The Laboratory recommends that no legal action be taken on a positive screen result without confirmatory testing being performed.

 

Screening procedures generally target only one or a few specific drugs of a given class. Other drugs of the class may or may not cross react. Comprehensive Drug Screen may detect drugs not detected by this screening procedure.

 

pH and SG testing are performed to evaluate specimen integrity. Results outside the indicated ranges may or may not indicate an attempt by the patient to adulterate or otherwise compromise the specimen. Repeat testing on a new collection may be indicated if there is a question as to specimen integrity.

 

All urine drug screen specimens are stored for 10 days. Contact the Toxicology laboratory at 267-2780 for questions about confirmation testing, cross reactivity, Comprehensive Drug Screen, or specimen integrity testing.

 

pH Screen UR
     4.0 – 8.50

SG Screen UR
     1.003 – 1.030

 

Performing Department

TOXICOLOGY (SHRL)
Chemistry (All other locations)

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Kinetic Interaction of Micro particles in a Solution (KIMS) / Enzyme Immunoassay (EIA)

CPT

Linked chargeables:

HC DRUG SCREEN CLASS A [80307 (CPT®)],

CHG DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY [80305 (CPT®)],

PR URINALYSIS, AUTO, W/O SCOPE [81003 (CPT®)],

CHG DRUG TEST PRSMV QUAL INSTRMNT OPTCL OBS PER DAY [80306 (CPT®)],

CHG DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS [80307 (CPT®)]

Epic Test ID

1230100633

Beaker LOINC

AMPHETAMINE SCREEN, URINE: 19261-7
BARBITURATE SCREEN, URINE: 19270-8
BENZODIAZEPINE SCREEN, URINE: 14316-4
CANNABINOIDS SCREEN, URINE: 18282-4
COCAINE SCREEN, URINE: 19359-9
DAU SCREEN CUTOFF LIMITS: 54247-2
METHADONE SCREEN, URINE: 19550-3
OPIATE 300 SCREEN, URINE: 19295-5
OXYCODONE SCREEN URINE: 19642-8
PH SCREEN, URINE: 2756-5
SG SCREEN, URINE: 53326-5

Reviewed Date

12/6/2021

Beaker Names

Beaker Procedure Name: DRUG SCREEN ABUSE W/O ALCOHOL
Beaker Display Name: Drug of Abuse Screen without Alcohol
BEAKER TEST NAME: DRUG SCREEN ABUSE W/O ALCOHOL
BEAKER TEST REPORT NAME: Drug Screen Abuse w/o alcohol

Beaker Synonyms

DAU W/O ALCOHOL

Beaker Collection and Specimen Handling

BEAKER COLLECTION: Random/A

Beaker Location, Container and Temperature

BW TOXICOLOGY: URINE CUP R (Preferred)-Refrigerated
BW TOXICOLOGY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
BW TOXICOLOGY: UR YELLOW/GREY (Acceptable)-Refrigerated
BL CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
BL CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
BL CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
BR CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
BR CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
BR CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
GM CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
GM CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
GM CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
KL CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
KL CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
KL CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
LH CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
LH CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
LH CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
PH CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
PH CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
PH CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
RC CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
RC CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
RC CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
UN CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
UN CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
UN CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
ZH CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
ZH CHEMISTRY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated
ZH CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated