Drug Screening in the Public Sector: A Focus on Law Enforcement

1994 ◽  
Vol 23 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Dennis M. Daley ◽  
Curtis L. Ellis

The academic and legal literature has clearly established a set of policies suited for inclusion in a comprehensive drug screening program. The employment of urinanalysis, random drug tests, reasonable suspicion tests, and chain of custody procedures are mixed with employee safeguards such as test interpretation by medical review officers, analysis in NIDA certified labs, and confirmatory tests for initial positive results. This paper provides a two-fold, empirical examination of those policies. First, the International Association of Directors of Law Enforcement Standards and Testing were surveyed. The IADLEST members' recommendations represent the standards that law enforcement agencies in each state would consider as their most appropriate professional guidelines. Inasmuch as they fall short of what the literature recommends (and they do in regard to a number of items), it is unlikely that individual police departments would find either the support or courage for recommending stronger policies. Second, a North Carolina survey examines the implementation of these recommendations by municipalities in one of the more advanced states included in the IADLEST survey. In general, municipal police departments are found to follow the North Carolina Criminal Justice Standards Division's recommendations.


PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 843-848
Author(s):  
Thomas R. Kinney ◽  
Martha Sawtschenko ◽  
Mary Whorton ◽  
Jean Shearin ◽  
Christy Stine ◽  
...  

Controversy still exists as to the best laboratory method to use to screen newborns for sickle cell disease and other hemoglobinopathies. The proposed methods include hemoglobin electrophoresis, column chromatography, isoelectric focusing, and high performance liquid chromatography. There is also debate concerning the preferred method of sample collection. The proposed methods of sample collection include cord blood or blood obtained from the infant collected in a tube with anticoagulant or on filter paper. We compared hemoglobin electrophoresis patterns from infant blood samples collected in heparinized capillary tubes and on filter paper. This comparison was performed because hemoglobin electrophoresis of dried blood samples collected on filter paper has been advocated as a practical, reliable, and inexpensive method for mass screening programs, although the limitations of this technique have not been explored fully. We also summarize data from the North Carolina Newborn Hemoglobinopathy Screening Program, which relates to the advantages and limitations of hemoglobin electrophoresis from filter paper blood specimens. MATERIALS AND METHODS Specimens Four sets of specimens were used for this study: (1) specimens collected at Duke University Medical Center to compare hemoglobin electrophoresis patterns of hemolysates from filter paper and heparinized capillary tubes, (2) specimens collected by the North Carolina program for hemoglobinopathy screening, (3) specimens routinely collected at Duke University in heparinized capillary tubes for newborn hemoglobinopathy screening, and (4) samples for retesting to examine the error rate of the state program and to confirm screening results compatible with a hemoglobinopathy. Samples for Direct Comparison Between Filter Paper and Heparinized Specimens







2017 ◽  
Author(s):  
Brandon Tyler Peach ◽  
◽  
David E. Blake ◽  
David E. Blake ◽  
Todd A. LaMaskin ◽  
...  


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