Iowa Methodist Medical Center Drug Screening Tests

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Description: Iowa Methodist Medical Center Drug Screening Tests available 2 IMMC Drug Screening Screening cut offs 3 IMMC Drug Screening Confirmation Testing 4 IMMC Drug Screening Drug Screen, PrescriptionOTC, Urine Performed at MedTox Laboratory

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slide1. Iowa Methodist Medical Center Drug Screening<br>
slide2. Tests available 2 IMMC Drug Screening<br>
slide3. Screening cut offs 3 IMMC Drug Screening<br>
slide4. Confirmation Testing 4 IMMC Drug Screening<br>
slide5. Drug Screen, Prescription/OTC, Urine Performed at MedTox Laboratory
Detection and identification of prescription or over the counter drugs frequently found in drug overdose or used with a suicidal intent. This test is designed to qualitatively identify drugs present in the specimen 5 IMMC Drug Screening<br>
slide6. Other individually orderable tests of interest Methylphenidate (Ritalin®),
Adderall
Almost any Benzo you can think of… 6 IMMC Drug Screening<br>
slide7. Possible causes for false positive and negative results 7 IMMC Drug Screening<br>
slide8. Possible causes for false positive and negative results 8 IMMC Drug Screening<br>
slide9. Possible causes for false positive and negative results 9 IMMC Drug Screening<br>
slide10. DRI® Opiate Cross-Reactivity Tables 10 IMMC Drug Screening<br>
slide11. And many, many more 11 IMMC Drug Screening<br>
slide12. DRI® Benzodiazepine Cross-Reactivity Tables 12 IMMC Drug Screening<br>
slide13. What does a “positive” urine drug test result on an immunoassay actually mean? the patient was compliant and took the prescribed drug as directed.
the patient was only partially compliant and just took 1 dose prior to collection.
the patient could have directly spiked/added the drug into the urine sample after collection.
the patient took another medication that cross-reacted with the immunoassay causing a false-positive result.

False-positive results are one of the limitations of using an immunoassay. 13 IMMC Drug Screening<br>
slide14. What does a “negative” urine drug test result on an immunoassay really mean? the patient is not compliant with their prescribed medication
the patient was partially compliant and maybe missed a few doses, or took less medication.
the patient is well hydrated and the urine is dilute or possibly adulterated.
the wrong test might have been ordered and the test may not cross-react with the patient’s medications.
the drug may actually be present, but it is below the cutoff or detection limit of the assay leading to a false-negative result.

False-negative results can happen as easily as a false-positive result with immunoassays. Therefore, it is important to look at the assay cutoff or detection limit when interpreting test results. 14 IMMC Drug Screening<br>
slide15. Other information of value timing between when the patient last took their medication and when the urine sample was collected.  
Specimen validity testing can also be used to help determine the integrity and quality of the patient’s sample. 15 IMMC Drug Screening<br>