Drug Screen - Urine
CLS processes 4 types of urine drug screens.
Refer to the following table to determine which drug screen to order and collect.
Urine Drug Screen Information
| Test |
Full Name |
Trigger Words |
Definition |
| UDS |
Drugs of Abuse Screen - Urine
STAT for Emergency and ICU only
Medical Use
No History Form |
"STAT", "RRL",
"Triage", "Baby",
"Mom", "Neonate
(< 1 month old)" |
- STAT test ordered at Acute Care Hospitals and Sheldon Chumir
- Expensive slide test called "Triage"
- If test is routine, order UDSR which is less expensive
- Qualitative test (reported as Positive or Negative)
- Sometimes upgraded to FDSU when physician requests confirmation
|
| UDSR |
Drugs of Abuse Screen - Urine
Routine orders
Medical Use
No History Form |
"Drugs of Abuse Screen",
all following tests listed:
"AMP, THC, COC,
OPI, BENZ, BARB",
"Screen only",
"Routine", "ASAP" |
- Routine test performed in Chemistry at DSC on the Integra
- Qualitative test (reported as Positive or Negative)
- Tests drug classes that may be abused: Amphetamines, Cannabinoids (THC, marijuana), Cocaine, Opiates, Benzodiazepines, Barbiturates
- Sometines upgraded to FDSU when physician requests confirmation
|
| FDSU |
Drug Screen, Comprehensive - Urine
Medical Use
Requires a History Form DS #3601 |
A specific drug or
a list of drugs,
"Cannabinoid level",
"GCMS", "Baby", "Mom",
"CSART", "Neonate",
"Full Drug Screen",
"Comprehensive",
"Confirmation",
"Quantitation",
"Complete",
"Full Scan" |
- Test performed in Analytical/Toxicology at DSC on a GCMS (Gas Chromatography Mass Spectrometry)
- GCMS prints out a graph with peaks; each peak represents a specific drug
- Tests for 200+ analytes (see Clinical Toxicology Testing for list)
- Some substances may interfere with Triage and Integra analysis; GCMS is used to confirm Triage and Integra readings
- GCMS is also used if a specifiic drug(s) needs to be detected/reported or if a cannabinoid level (actual number or quantitation) is required.
|
| DRSCEM |
Drug Screen, Non-Medical
Chain of Custody Collection
Non-medical use
No History Form |
"Patient pay", "Work",
"Employment",
"Divorce", "Custody",
"Legal", "Drivers licence",
"Personal", "Family issues",
"Contract", "Social services",
"Court order" |
- Specimen is colllected at a "Chain of Custody Collection" site and sent to DynaLife Lab in Edmonton
- Donor is instructed to follow a clearly defined collection process and the urine specimen must be secured and tracked
|
CLS Staff: If a specific drug screen is not indicated on the requisition, see Flowchart to Determine Type of Drug Screen Collection.
|
