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Epic Code LAB677 Drug of Abuse Screen Emergency Panel (Emergency Department Only)

Important Note

The test is only to be ordered by Spectrum Health Hospital Emergency Department

Test Name Alias

Drug of Abuse Screen ED w/alcohol | 9049 | UDS | DOA

Interface Order Alias

10823

Ordering Instructions

The test is only to be ordered by Spectrum Health Hospital Emergency Department

Collection Instructions

Specimen Collection: Urine

 

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

Uscreen and iSCREEN POC (Point of Care) urine drug testing cups are acceptable but not preferred

Preferred Volume to Collect: 10.0 mL

Minimum Volume to Collect: 1.0 mL

 

Collection Instructions:

  • Include Chain of Custody form when appropriate
  • 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.
  • Samples should be within the normal physiological pH range of 4.0 – 8.50
  • 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.

Reference Range

Screen Cutoff Limits:

 

Amphetamines 500 ng/mL

Barbiturates 200 ng/mL

Benzodiazepines 300 ng/mL

Cannabinoids 50 ng/mL

Cocaine 150 ng/mL

Ethanol 20 mg/dL

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.

Performing Department

TOXICOLOGY (SHRL)
Chemistry (All other locations)

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Blodgett Laboratory, Grand Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Kelsey Laboratory, Lakeview, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Zeeland Laboratory, Zeeland, MI

Methodology

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

CPT

80307, G0479

CDM Code

3018030716

Epic Test ID

1230102351

Reviewed Date

2/15/2023