[CC] Drug Testing in the Philippines

R.A. 9165

_______OTHERWISE KNOWN AS “COMPREHENSIVE DANGEROUS DRUGS ACT OF 2002” IS THE LEGAL BASIS OF DRUG TESTING.

DSWD

THE POWER TO MONITOR AND REGULATE WAS GIVEN TO DOH WITH COORDINATION TO _____ AND OTHER AGENCIES (PDEA, ETC.)

DOH/BHFS

FORMULATE AND ESTABLISH THE STANDARDS FOR REGULATIONS OF HOSPITALS, CLINICS AND OTHER HEALTH FACILITIES

DOH/BHFS

ENFORCE THE STANDARDS THAT SHALL BE THE BASIS OF ISSUANCE OF LICENSE AND ACCREDITATION OF A FACILITY

DOH/BHFS

DEVELOP POLICIES AND GUIDELINES ON ESTABLISHMENT, OPERATION AND MONITORING OF DRUG TESTING LABORATORIES. 

DOH/BHFS

CONDUCT ACCREDITATION OF ALL PRIVATE AND GOVERNMENT DRUG TESTING LABORATORIES.

DOH/BHFS

CONDUCT TRAINING OF DOH REGULATORY OFFICERS.

DOH/BHFS

CONDUCT RESEARCH AND DEVELOPMENT OF DRUG TESTING AND OTHER RELATED ACTIVITIES.

EAMC

DEVELOP COMPREHENSIVE PROCEDURAL AND SCIENTIFIC STANDARDS FOR ALL ASPECTS OF DRUG TESTING PROGRAM.

EAMC

PROMOTE QUALITY ASSURANCE PROGRAM IN ALL DRUG TESTING LABORATORIES.

EAMC

ASSIST DOH DESIGNATED AGENCIES IN THE CONDUCT OF ACCREDITATION OF CONFIRMATORY LABORATORIES FOR DRUG TESTING AND IN THE EVALUATION OF DRUG TEST KITS AND REAGENTS.

EAMC

RESOLVE CONFLICTING/CHALLENGE RESULTS AMONG CONFIRMATORY LABORATORIES

EAMC

TRAIN TECHNICAL STAFF OF DRUG TESTING LABORATORIES

EAMC

CONDUCT RESEARCH AND DEVELOPMENT OF DRUG TESTING AND RELATED ACTIVITIES.

DTL OWNER

HEAD OF LABORATORY

ANALYST

ASC

LABORATORY AIDE

CLERK

SECRETARY

SCREENING LABORATORY

A LICENSED PHYSICIAN CERTIFIED IN CLINICAL PATHOLOGY BY THE PHILIPPINE BOARD OF PATHOLOGY HEADS WHAT LABORATORY

SCREENING LABORATORY

A LICENSED PHYSICIAN TRAINED IN LABORATORY MANAGEMENT AND DRUG TESING OPERATION HEADS WHAT LABORATORY?

CONFIRMATORY LABORATORY

A LICENSED PHYSICIAN CERTIFIED IN CLINICAL PATHOLOGY BY THE PHILIPPINE BOARD OF PATHOLOGY WITH AT LEAST 2 YEARS OF ACTIVE LABORATORY EXPERIENCE IN ANALYTICAL TOXICOLOGY HEADS WHAT LABORATORY?

CONFIRMATORY LABORATORY

A LICENSED CHEMIST WITH MSTER’S DEGREE IN CHEMISTRY, BIOCHEMISTRY OR A BRANCH OF CHEMISTRY WITH AT LEAST 2 YEARS OF ACTIVE LABORATORY EXPERIENCE IN ANALYTICAL CHEMISTRY HEADS WHAT LABORATORY?

CHEMIST
CHEMICAL ENGINEER

MEDICAL TECHNOLOGIST

PHARMACIST

TO BE ANALYST THEY MUST BE REGISTERED

ANALYST

FINISHED THE TRAINING UNDER THE NRL AND MUST BE A DOH CERTIFIED DRUG ANALYST.

AUTHORIZED SPECIMEN COLLECTOR

THE DESGINATED PERON TO COLLECT SAMPLES WITHIN THE LABORATORY

AT LEAST HIGH SCHOOL GRADUATE

MUST HAVE UNDERGONE APPROPRITAE TRAINING.

AUTHORIZED SPECIMEN COLLECTOR MUST BE AT LEAST

LABORATORY AIDE

EACH PERSONNEL MUST HAVE THE EDUCATIONAL BACKGROUND APPROPRIATE FOR THE TASKS ASSIGNED.

THEORY AND PRACTICE OF THE DRUG TESTING PROCEDURES USED IN THE LABORATORY.

CHAIN OF CUSTODY, REPORTING AND RECORD KEEPING

REVIEW AND INTERPRETATION OF TEST RESULTS

QUALITY ASSURANCE PROGRAM

DANGEROUS DRUGS REGULATIONS AND POLICIES.

TRAINING REQUIREMENTS FOR HEAD OF LABORATORY

ANALYTICAL METHODS AND PROCEDURES.

MAINTENANCE OF CHAIN OF CUSTODY.

REVIEWING AND REPORTING TEST RESULTS.

PROPER REMEDIAL ACTION IN RESPONSE TO PROBLEM THAT MAY ARISE. 

QUALITY CONTROL PROCEDURES AND PRACTICES

DANGEROUS DRUGS REGULATIONS AND POLICIES

TRAINING REQUIREMENTS FOR ANALYST

COLLECTION PROCEDURE FOR EACH TYPE OF SPECIMEN

CHAIN OF CUSTODY AND RECORD KEEPING

SPECIMEN INTEGRITY AND SECURITY

DANGEROUS DRUGS REGULATIONS AND POLICIES

TRAINING REQUIREMENTS FOR ASC

THE COLLECTION PROCEDURES CHANGES SIGNIFICANTLY.

THE ASC MADE A MISTAKE THAT CAUSED A TEST TO BE CANCELLED.

RETRAINING ASC SHALL BE REQUIRED UNDER THE FOLLOWING CONDITIONS

EMPLOYER OF THE CLIENT/DONOR/SUBJECT.

INVESTIGATOR AT THE CRIME SCENE

COMPLAINANT

OWNER/ADMINISTRATOR OF ESTABLSIHMENT

THE FOLLOWING PERSONS ARE NOT AUTHORIZED TO COLLECT SPECIMEN

SCREENING

AT LEAST HAVE 20 SQUARE METERS IS FLOOR AREA AND 10 SQUARE METERS WORK AREA AND MUST HAVE EXHAUST FAN, SINK AND STORAGE CABINET.

CONFIRMATORY

AT LEAST 60 SQUARE METERS FLOOR AREA AND 30 SQUARE METERS WORKING AREA WITH EXHAUST FAN, SINK, FUME HOOD, STOCK ROOM AND INSTRUMENTATION ROOM

BLOOD

10 ML CAPACITY PLAIN TEST TUBE.

TISSUE

SPECIMEN IMMEDIATELY FROZEN AND TRANSPORTED PLACED IN A CLEAN, DRY, TIGHTLY CAPPED PLASTIC CONTAINER WITH NO ADDITIVES.

SCALP HAIR

SELF-SEALING TRANSPARENT PLASTIC BAG, 200 MG CAPACITY

REASONABLE SUSPICION/CAUSE

A DRUG TESTING LABORATORY MAY COLLECT: BLOOD

REASONABLE SUSPICION/CAUSE

A DRUG TESTING LABORATORY MAY COLLECT: FINGERNAILS

PRE-EMPLOYMENT, RANDOM, REASONABLE SUSPICION/CAUSE

A DRUG TESTING LABORATORY MAY COLLECT: SALIVA (ORAL FLUID)

PRE-EMPLOYMENT, RANDOM, RETURN TO DUTY, FOLLOW-UP

A DRUG TESTING LABORATORY MAY COLLECT: SCALP HAIR

RETURN TO DUTY, FOLLOW-UP

A DRUG TESTING LABORATORY MAY COLLECT: SWEAT

REASONABLE SUSPICION/CAUSE

A DRUG TESTING LABORATORY MAY COLLECT: TISSUE

PRE-EMPLOYMENT, RANDOM, REASONABLE SUSPICION/CAUSE, MANDATORY

A DRUG TESTING LABORATORY MAY COLLECT: URINE

MINIMUM OF 5ML

HOW MUCH OF BLOOD

TO BE DETERMINED #1 [QUANTITY]

HOW MUCH OF FINGERNAILS

100 MG HAIR

HOW MUCH OF SCALP HAIR

TO BE DETERMINED #2 [QUANTITY]

HOW MUCH OF TISSUE

2 ML COLLECTED AS A NEAT SPECIMEN

HOW MUCH OF SALIVA

1 PATCH WORN FOR 7 TO 14 DAYS

HOW MUCH OF SWEAT

60 ML IN SINGLE CONTAINER OR 30 ML IN TWO SEPARATE CONTAINERS.

HOW MUCH OF URINE

SEPARATE THE SERUM IMMEDIATELY AND FREEZE THE SAMPLE AFTER USE.

HOW TO HANDLE AND STORAGE OF BLOOD

TO BE DETERMINED #1 [STORAGE]

HOW TO HANDLE AND STORAGE OF FINGERNAILS

STORED AT COOL AND DRY PLACE.

HOW TO HANDLE AND STORAGE OF SCALP HAIR

MACERATED AND FROZEN

HOW TO HANDLE AND STORAGE OF TISSUE

DEEP-FROZEN AT LEAST -8 TO -10 DEGREE CELSIUS.

HOW TO HANDLE AND STORAGE OF SALIVA

TO BE DETERMINED #2 [STORAGE]

HOW TO HANDLE AND STORAGE OF SWEAT

PROLONGED STORAGE AT -20 DEGREE CELSIUS. (2 – 6 FOR NO MORE THAN 1 DAY)

HOW TO HANDLE AND STORAGE OF URINE

UNIQUE ACCESSION NUMBER

THE LABORATORY MUST HAVE A _________ UPON ENTRY OF THE SPECIMEN TO THE LABORATORY.

CCF FORM

INSPECT THE SPECIMEN SUBMITTED AND THE _________ TO VERIFY THE INTEGRITY AND IDENTITY OF THE SPECIMEN. 

IMMUNOASSAY

THESE METHODS ARE USED FOR PRELIMINARY SCREENING, BASED ON ANTIGEN-ANTIBODY REACTION. SMALL AMOUNTS OF THE DRUG AND/OR METABOLITES MAY BE DETECTED.

CHROMATOGRAPHY

SEPARATION OF MIXTURE IN THE MAIN OUTCOME OF THIS METHOD. IN THIS PROCESS, A MIXTURE OF SUBSTANCES IS SEPARATED IN A STATIONARY MEDIUM.

HYPHENATED TECHNIQUE

COMBINATION OF TWO SOPHISTICATED TECHNOLOGIES

VALIDITY TEST

__________ IS A TEST TO DETERMINE THE INTEGRITY OF THE SPECIMEN.

OBSERVED

UNOBSERVED

THERE ARE TWO TYPES OF URINE SAMPLES

ADULTERATED

SUBSTITUTED

DILUTED

IMPROPERLY COLLECTED, HANDLED AND STORED

IMPROPERLY DOCUMENTED

INVALID URINE SAMPLES

COC

CHAIN OF CUSTODY

MEMORANDUM FOR RECORDS

IT IS A RECORD TO DOCUMENT SPECIMEN THAT HAD BEEN REJECTED OR CANCELLED. IT INCLUDES REASON AND CORRECTIVE MEASURES DONE.

Integrated Drug Test Operation Management Information System

IDTOMIS

2

THE LABORATORY MUST RETAIN ALL RECORDS GENERATED TO SUPPORT TEST RESULTS FOR AT LEAST _____ YEARS.

INDEFINITELY

HOWEVER, POSITIVE RESULTS ARE STORED _________

THE CLIENT MUST GET HIS/HER OWN RESULTS

LABORATORIES MUST STRICTLY ADHERE TO CONFIDENTIALITY OF THE RESULT AND MAINTAIN THE COC OF THE TESTING. #1

THE CLIENT MUST INFORM THE LABORATORY IN ADVANCE

LABORATORIES MUST STRICTLY ADHERE TO CONFIDENTIALITY OF THE RESULT AND MAINTAIN THE COC OF THE TESTING. #2

THE AUTHORIZED PERSON MUST HAVE A GOVERNMENT ISSUED I.D., AUTHORIZATION LETTER FROM THE CLIENT AND A COPY OF THE CLIENT’S I.D.

LABORATORIES MUST STRICTLY ADHERE TO CONFIDENTIALITY OF THE RESULT AND MAINTAIN THE COC OF THE TESTING. #3

INTERNAL QC

PERFORMED BY USING A POSITIVE AND NEGATIVE CONTROL SAMPLES/KITS PROVIDED BY THE MANUFACTURER OR SUPPLIER PER BATCH/BOX OF TEST KITS IN SDTL.

EXTERNAL QC

GIVEN BY THE NRL/PROFICIENCY TEST

7

NEGATIVE URINE SAMPLES ARE RETAINED FOR _____ DAYS BEFORE DISPOSAL.