Urinalysis Program Coordinator UPC Certification Course Drug Testing

Urinalysis Program Coordinator (UPC) Certification Course Drug Testing

Learning Objectives • To know the requirements of USMC drug testing policy • To know the premise codes that can be used for drug testing • To understand the roles of COs, SACOs, UPCs, and observers in conducting drug testing • To demonstrate proper urine collection procedures SACO Training 2

Purpose of Drug Testing • To deter illegal drug use among service members • To identify Marines who use illegal substances so they can be treated and separated from service SACO Training 3

Drug Testing Policy • All Marines, regardless of rank, must be screened for drugs annually • At least 10% of each unit will be randomly tested monthly • Test personnel within 72 hours of a PCS, UA, or leave exceeding 5 days • Only COs and Medical Officers may order drug testing • Monthly testing of Marines involved collection process SACO Training 4

Premise Codes for Drug Testing Routine Testing Premise Code Basis IR Random Selection IU Unit OO Service-Directed and Other Service. Directed NO Accession HO: 5 -1 5

Premise Codes for Drug Testing Targeted Testing Premise Code Basis VO Marine’s Consent PO Probable Cause CO Command-Directed AO Official Safety, Mishap, Accident MO Physician-Directed RO Rehabilitation/Treatment HO: 5 -2, 3, 4 6

SACO’s Role • Ensure all drug testing requirements are met • The drug testing program is conducted fairly with honor and integrity • Members of your team are well-trained in policies and procedures. Members of your team correctly and conscientiously follow procedures

SACO’s Role • Urine samples are not determined to be untestable by the lab due to discrepancies in how they were collected, handled, or shipped • Accurate and complete urine testing records are maintained • All records remain confidential

UPC’s Role • Prepare all materials and supplies for the testing session. Secure an appropriate site to conduct drug testing. Maintain control over the area • Maintain surveillance over all service members selected for collection • Coordinate observers and review proper procedure with them prior to each urine collection session

UPC’s Role • Ensure proper completion of paperwork related to testing • Conduct quality control before delivering samples to the SACO for testing • UPC must be a conscientious and organized person

Observer’s Role • Escort the member providing the sample to the head and back, keeping the bottle in clear view at ALL times • Be the same sex as the Marine observed • Observe only one Marine at a time • Have direct line of sight on the urine leaving the body and entering the bottle

Observer’s Role • Sign the paperwork certifying he or she observed the subject Marine while the Marine provided the sample • NEVER TOUCH THE SAMPLE AT ANY TIME • Astute observers are essential for catching any tampering, adulteration or switching of urine

MO’s and CO’s Role Medical Officer • The Medical Officer (MO) will review results of all positive drug tests to determine whether they could be explained by legitimate use of prescribed medication. • The MO is the only person besides the CO who can order drug testing CO • The CO (or MO) must order all drug tests. • The CO will review results of all positive drug tests • (following the MO review) Determine whether unauthorized drug use occurred

DDRC’s Role • DDRCs will provide oversight of unit-level drug testing programs • DDRCs are resources who can assist with questions regarding drug testing policies and procedures • Submit “Verification of Positive Urine Drug Testing” memorandums to MO • CGIP Inspector for FA 5300

Selection and Appointments of UPCs and Observers • UPCs and observers must be designated in writing by the CO • A general rule is that you should have at least 2 UPCs and 2 observers for every 100 people in your unit • Should be upstanding members of the unit with no drug or alcohol related incidents within the past 2 years HO: 5 -5 SACO Training 15

Training UPCs and Observers ü UPC Initial Training ü Review and demonstrate items (a) through (p) on UPC’s duties list. ü Have UPC fill in their name in paragraph 2 and sign their name ü Retain on file for one year ü Place copy in case file of each positive test HO: 5 -6 SACO Training 16

Training UPCs and Observers ü Observer’s Initial Training ü Review and demonstrate items (a) through (o) on Urinalysis observer’s duties list ü Have observer fill in their name in paragraph 2 and sign their name ü Retain on file for one year ü Place copy in case file of each positive test HO: 5 -7 SACO Training 17

Maintaining Testing Supplies • As a general rule, have enough supplies to conduct two tests of each Marine in your unit • Having supplies on hand prevents you from having to order them at the last minute • You may order your own supplies (see attached list) or pick them up at building number 16105 HO: 5 -8 SACO Training 18

Preparing for Testing • MCO 5300. 17 requires that 10% of the unit be randomly drug-tested monthly (IR), regardless of proximity of previous testing • SACO must work closely with the CO to plan and schedule drug tests • To deter illegal drug use, testing must be thought of as unpredictable SACO Training 19

Preparing for Testing • Predictability of Testing – Vary the day of the week on which testing is done. Do not link testing to liberty – Avoid any behaviors that could tip off unit members that a test is about to occur – Use DTP or DTP (lite) to be sure that personnel selected for random drug tests are selected randomly SACO Training 20

Preparing for Testing • Maintaining Documentation • The CO should order all drug testing in writing. This may be done by policy letter, memo, letter, or email. Testing orders should at minimum specify: - Testing date or day - Number, percentage or identity of personnel to be tested - Testing premise code SACO Training 21

Preparing for Testing • Selecting Participants and Generating Paperwork • SACO or representative will use DTP or DTP(Lite) – See SACO or UPC CD for software – Copy of unit roster with unavailable personnel removed – Copy of authorization – Print and organize documents SACO Training 22

DTP Lite Importing Roster SACO Training Identify Columns 23

Before: DTP Lite Premise Code Selection • Use SACO Training 24

Before: DTP Lite SACO Training 25

Before: DTP Lite HO: 9 -12 SACO Training 26

Preparing for Testing • Preparing Specimen Bottles & Shipping Containers – Determine how many samples you plan to collect – Determine number shipping containers – Bring extra bottles and red labels – Make each shipping container leak proof – Insert dividers (you may mark box flaps to indicate specimen location) 27

Preparing for Testing • Identifying Testing Location – – Should have waiting area Inspected the heads for actual collection Tables and chairs for UPC stations Bottle water • Staffing Participants – Minimum (1) UPC and (1) Observer – Large testing pool should have (1) UPC and (2) observers per 100 personnel – Re-brief UPC and Observers (Sign Brief Sheet) HO: 5 -13 SACO Training 28

Conducting Testing • Notify Selected Marines – No earlier than two hours before test – Establish report by time • Bring Necessary Supplies – – – SACO Training DTP (Lite) documentation Red tamper resistant tape Shipping materials Sample bottles Female cups Gloves, bottle water (if not available at site) 29

Conducting Testing • Adulteration – involves adding a substance to the urine in order to interfere with the accuracy of drug testing • Dilution – drinking an excessive amount fluids to reduce concentration of drugs in urine • Substitution – Exchanging donor’s urine with another person’s urine 30

Conducting Testing • To Prevent Adulteration, Dilution, or Substitution: – Recon and establish an adequate and controlled testing area – If possible, secure heads to all personnel except those required to provide samples. – Have personnel remove their blouses if they are wearing utilities. Observers must never lose sight of the bottle, and must witness the complete collection process 31

Conducting Testing • After Marines arrive brief them on procedures • Do not approach table until directed • Raise your hand if you have a question SACO Training 32

Conducting Testing • UPC will direct one Marine at a time to approach the table and present ID Card • (Step 1) UPC confirms identity with EDIPI & ID Photo • UPC checks EDIPI on testing register SACO Training 33

Conducting Testing UPC Correcting EDIPI • Draw a single line through the incorrect EDIPI on Urinalysis Register and Bottle label • Write correct EDIPI on Urinalysis Register, UPC’s initial and date • Write correct EDIPI on Bottle Label and UPC’s initial 34

Conducting Testing • (Step 2) Marine removes an empty specimen bottle from the box • UPC or Marine place ID Card in empty slot SACO Training 35

Conducting Testing • Marine will visually inspect the bottle • If the Marine does not approve of a bottle, he or she can choose a different bottle • Marine should NOT put a finger inside the bottle or blow into the bottle • Verbally confirm that the Marine accepts bottle SACO Training 36

Conducting Testing • (Step 3) Identification card is retained by the UPC during testing • Observer will watch the Marine select a bottle (Observer assumes responsibility for monitoring) SACO Training 37

Conducting Testing • If the Marine is a female, the UPC will offer her the option of taking a transfer cup • Just like sample bottle the Marine must inspect and accept transfer cup • Both transfer cups and specimen bottles must remain in full view of the observer at all times SACO Training 38

Conducting Testing • (Step 4) After leaving the UPC table, the Marine will go to the head, holding the bottle up over his or her shoulder • The observer will follow closely behind, keeping the bottle in full view. If a Marine has a transfer cup, that should also be held within the observer’s view. The observer must never lose sight of the bottle (and transfer cup, if applicable) 39

Conducting Testing. 40

Conducting Testing. • (Step 5) Upon reaching the head, the observer will position him or herself so as to be able to witness the complete collection process, to include at least 30 ml of urine (or 60 ml for steroid testing) • The observer must maintain full observation of the specimen bottle during this process and must directly observe the stream of urine leaving the body and entering the bottle • For males, this will typically occur at a urinal • The observer must be continually vigilant for any attempts at adulteration, dilution or substitution 41

Conducting Testing. 42

Conducting Testing. • If the sample provider is female and using a transfer cup, the observer must observe the stream of urine leaving the body and entering the cup, as well as the transfer of urine from the cup to the standard specimen bottle • The transfer cup can then be discarded in the trash receptacle in the head • Throughout this process, the observer must be vigilant for any attempts at adulteration, dilution or substitution 43

Conducting Testing. 44

Conducting Testing (Step 6) The observer escorts the Marine back UPC table and must NEVER lose sight of the bottle. SACO Training 45

Conducting Testing • (Step 7) At the UPC table the Marine places the specimen on the table in the line sight of the UPC, observer, and the Marine. • (Step 8) The observer will sign the urinalysis ledger and print his or her name to certify that the specimen bottle contains the subject Marine’s urine • At this time, the observer will also notify the UPC of any comments, attitudes or unusual actions taken by the Marine while under his or her observation 46

Conducting Testing 47

Conducting Testing The Marine will certify that he or she provided the specimen by: • (Step 9) Verifying his or her identifying information on the label by initialing it • Printing and signing his or her name on the urinalysis register 48

Conducting Testing • (Step 10) The UPC will then initial the Bottle label 49

Conducting Testing • The Marine will ensure Marine that the cap is tightly affixed to the bottle and will demonstrate this by inverting the bottle over his or her shoulder • (Step 11) The Marine will Marine attach his or her label to the specimen bottle 50

Conducting Testing (Step 12) The Marine will attach tamper resistant tape across the cap, ensuring that the tape touches the label on both sides 51

Conducting Testing (Step 13) The Marine will initial the tape on the bottle cap with a felt tip marker or black ink pen SACO Training 52

Conducting Testing • The UPC will touch the bottle with a gloved hand to make sure the urine is warm. If the sample is not warm, this should be noted in the “Comments and Disposition” field on the testing register. • (Step 14) The UPC will then return the Marine’s military identification card to him or her. The UPC will ensure that the Marine places the specimen bottle into the empty box slot where the military identification card was retained 53

Collection Exercise • • 2 Recorders/Inspectors 2 Observers 4 Marine Specimen Providers 1 UPC 54

Potential Problems • If substitution is suspected, the observer should take note but not confront the Marine in the head. (The exception is if the Marine is actively destroying evidence of their offense) • The observer should accompany the Marine back to the UPC’s table and inform the UPC The UPC will notify competent military authority but will not take action directly 55

Potential Problems • Test Refusal – If a Marine refuses to participate, you should simply in- form him or her that the CO ordered the test – and failing to participate constitutes disobeying the CO’s order – If a person leaves the area without providing a sample it must be reported to the CO 56

Potential Problems • Everyday small issues – Cannot urinate: Provide the Marine with a standard bottle of water and tell the Marine to remain in the waiting area until he or she is able to provide a sample – He or she needs to defecate – The observer should watch the urine collection regardless – Menstrual cycle – Collect as normal – Drops bottle into the urinal or toilet – Destroy the bottle and have the Marine provide another sample 57

INTERNET FORENSIC TOXICOLOGY DRUG TESTING LABORATORY (IFTDTL) • IFTDTL – Provides and stores urinalysis test results. – Detection cut off levels • • THC Heroin Morphine Spice Cocaine Codeine D-Meth Benzodiazepines 15 ng/m. L 10 ng/m. L 4000 ng/m. L 100 ng/m. L 2000 ng/m. L 100 ng/m. L 58

Questions 59 SACO Training