Oral fluid (saliva) point of care drug testing sample collection training
Please watch the following video demonstration and have the SOP (SOPDRG008S) to hand before starting this assessment.
Name:
The donor MUST have read the following before beginning the sample collection.
The sample collection procedure
Todays newspaper
The donor advice sheet
Please select the accepted forms of photo ID from the following list:
Current Passport
Current photographic Driving Licence
Bus pass
Official employee photographic ID card
If no form of photo ID is available, what must you do?:
Threaten the donor with legal action
If available, request that an authorised representative (e.g. Employer or Solicitor) verify the donor’s identity
If the option of a representative verifying the donor’s identity is not available, call Crystal Health immediately
The time-frame associated with declared medication is?:
Last 24 hours
14 days (2 weeks)
Over the donor’s lifetime
If the donor refuses to provide a sample, what MUST you do?:
Start arguing with them
Don’t do anything and ask them to leave
Complete the Non-conformity section of ROR form
Why is it important for you to wear gloves when obtaining the samples?:
For hygiene purposes
It prevents potential contamination of the sample being collected
It makes us look like we know what we are doing
What question must you ask the donor prior to collecting an oral fluid sample?
Have they eaten, smoked, chewed gum or used mouth wash in the last 15 minutes
Do they have bad breath
Have they eaten, smoked, chewed gum or used mouth wash in the last 24 hours
The following sample collection instructions are correct:
Ask the donor to swab their tonsils
Ask the donor to chew on the mouth swab for 5 minutes
Ask the donor to wipe the swab around their mouth, including tongue & cheeks then place between their lower gum and cheek
Ask the donor to gently push saliva towards the swab with their tongue
The donor should close their mouth when the swab is in place
How do you know when you have enough sample for the mouth swab?:
The donor will start choking
Leave the swab in the mouth for 5 minutes. The swab will become soft when enough sample has been collected.
Give it 2 minutes and there should be enough.
How do you activate the test?:
Place the swab in the activation device very gently and lay it on it's side.
Insert the mouth swab into the screening tube and screw down tightly. Leave upright on a flat surface to run.
Squeeze the saliva from the mouth swab into the hole on the device.
The following procedures apply when reading the drug results:
When a line appears on the Control Line (C), this indicates that the particular drug within the cup has been successfully screened.
The Test Line (T) has to be completely blank for a non-negative screen result to be recorded.
If no Control Line (C) appears, wait another 30 minutes before checking for the line again.
If no Control Line (C) appears, you must ask the donor to choose an new device and repeat the procedure.
A line on both the (C) and (T) indicates that the drug has been screened successfully and the result is negative i.e. no presence of that particular drug indicated.
Even if the line is very faint on the Test Line (T), this is still read as a negative result.
Where are the drug results recorded?:
In the Non conformity section.
On the Record of Result form in the DRUG SCREEN: Details and Results section.
What action must you take if a Non-negative result is indicated from the screen?:
If authorised, an additional saliva sample must be obtained to be sent to the laboratory for further testing. If you are unsure as to whether authorisation has been granted, you must contact Crystal Health immediately
Ask the donor if they have indeed taken that drug, if they say ‘no’, then just mark it down as negative and take their word for it.
Double check the results from the device and ensure that you accurately record the Non-negative result against the correct drug name on the Record of Result form.
The following procedures apply in concluding the test:
Top white copy of the Record of Result form to Crystal Health, yellow copy to company (if applicable) and blue copy to the test donor.
Dispose of any used devices
If authorised from a Non-negative screen result, send the sample(s) to the laboratory on the same day following approved procedures. Inform the Crystal Health team of this.
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