OPAM Workshop: Medical Review Officer Training Course: Toxicology Testing and the MRO, A Physician's Role in the Prevention and Treatment of Substance Abuse-285274

Video Transcription

Video Summary

Barry Sample, with over 40 years in the drug testing industry, discusses the processes and protocols of HHS certified laboratories. Currently a consultant after retirement, he outlines the testing components including specimen collection, chain of custody, and various testing technologies. The HHS testing program accepts urine and, as of 2023, plans to include oral fluid, though no certifications for oral fluid testing exist yet. Hair testing is not permitted for federally regulated testing. Barry explains the rigorous chain of custody procedures, including confirmatory testing following an initial presumptive positive result, employing technologies like immunoassays and chromatography mass spectrometry to ensure accuracy.<br /><br />He details the types of drugs tested, such as cannabinoids, cocaine, and opioids, and emphasizes specimen validity testing's role, particularly for urine. Barry clarifies the different testing methodologies, pointing out federal requirements like FDA clearance for immunoassays. He discusses the National Laboratory Certification Program (NLCP) and the stringent protocols laboratories follow for quality control, accreditation, and performance testing.<br /><br />Barry concludes by highlighting the maturity of the technology used in drug testing, despite challenges like a short detection window for urine and the specimen's potential adulteration during collection. This presentation serves as an insightful guide into the systems ensuring the reliability and security of federal drug testing protocols.

Keywords

drug testing

HHS certified laboratories

specimen collection

chain of custody

immunoassays

chromatography mass spectrometry

National Laboratory Certification Program

specimen validity testing

federal requirements