DRE 12 Step Process The Drug Influence Evaluation

DRE 12 Step Process

The Drug Influence Evaluation Systematic and Standardized Process The DEC procedure is a systematic and standardized method of examining a subject to determine: • Whether the subject is impaired, and if so • Whether the impairment is caused by drugs or a medical condition • And if drugs, the category (or categories) of drugs that is/are the likely cause of the subject’s impairment

The Drug Influence Evaluation Systematic and Standardized Process There may be times when the DRE may be unable to complete each step of the evaluation, i. e. , injuries, uncooperative subject, equipment failure, etc.

The Drug Influence Evaluation 1. 2. 3. 4. 5. 6. Breath alcohol test The interview of the arresting officer Preliminary examination Examinations of the eyes Divided attention tests Examination of vital signs

The Drug Influence Evaluation 7. Dark room examinations 8. Examination of muscle tone 9. Examination for injection sites 10. Subject's statements and other observations 11. Opinion of Evaluator 12. Toxicological examination

1. Breath Alcohol Test

2. Interview of the Arresting Officer

3. Preliminary Examination

3. Preliminary Examination

4. Examinations of the Eyes

4. Examinations of the Eyes HGN LEFT RIGHT Vertical Gaze Nystagmus? Yes Convergence Lack of Smooth Pursuit Max. Deviation Angle of Onset Right Eye No Left Eye

5. Divided Attention Tests

5. Divided Attention Tests (Cont. ) Balance Eyes Closed Internal Clock: ____Estimated as 30 sec. One Leg Stand: L R Sways while balancing. Uses arms to balance. Hopping. Puts foot down. Type of Footwear Right left Draw lines to spots touched 2 1 4 3 5 6

6. Examination of Vital Signs

6. Examination of Vital Signs Pulse & Time 1. ____bpm / _____ 2. ____bpm / _____ 3. ____bpm / _____ Blood Pressure Body Temp ______ /____mm. Hg ______

7. Dark Room Examinations

7. Dark Room Examinations Pupil Size Room Light Darkness Direct Left Eye Oral Cavity Right Eye Rebound Dilation: Nasal Area Yes No Reaction to Light

8. Examination of Muscle Tone

8. Muscle Tone Examination MUSCLE TONE: Near Normal Comments: Flaccid Rigid

9. Examination for Injection Sites

9. Examination for Injection Sites RIGHT ARM LEFT ARM ATTACH PHOTOS OF FRESH PUNCTURE MARKS

10. Subject's Statements and Other Observations

10. Subject's Statements and Other Observations What medicine or drug have you been using? How much? Time of use? Where were the drugs used? (Location) Date/Time of Arrest Time DRE Notified Eval. Start Time Completed Member Signature (Include ID No. Rank) Opinion of Evaluator: Reviewed By Rule Out Alcohol Medical CNS Stimulant CNS Depressant Hallucinogen Dissociative Anesthetic Narcotic Analgesic Inhalant Cannabis Narcotic Analgesic

11. Opinion of Evaluator

12. Toxicological Examination

Questions?

Mike Pappas 618 -218 -3736 mike_pappas@isp. state. il. us Scott Wobbe 618 -977 -7281 Scott_wobbe@isp. state. il. us