“Drug Screen Confirmation, Legal; Alere Laboratory” is an explanation of the procedure for referral of confirmatory drug testing of “legal” specimens to Alere Laboratory.
1. Obtain an Alere “Non-Federal Custody and Control” form.
A. Verify the form has United Clinical Labs/Mercy Hosp. pre-printed on the form in Step 1A and step 4.
B. Write “specimen aliquotted by” and then sign and date the specimen “A” seal, located on the side of the Alere request form.
C. Fill in the subject’s social security number or patient ID number in the Name/ID field of the form. (step 1.C.)
D. Fill in the subject’s social security number or patient ID number in step 1 of the request form (step 1.D.).
E. Drug Screen Confirmation:
Check the “√ (check) here if special test required and indicate the drug” box; in the blank following write the specific drug test needed followed by the word “quantitation”.
Note: If ordering an opiate quantitation, write “Opiate extended quantitation” so all opiates will be quantitated, not just codeine and morphine.
F. Ordering Synthetic Cannabinoid Test:
Order Panel 912 by entering 912 in the Test Code field (step 1.E).
G. Under the “Remarks” section in step 4 of the request form, write “specimen aliquotted by:” and sign after this statement including the date and time.
H. Fill in the date and time of collection in step 4.
2. Open an Alere urine specimen collection kit.
A. Pour an aliquot of the urine to be sent for confirmation into the urine container. Close the latch on the container.
Note: A minimum of 20 ml is requested for each quantitation.
B. Seal the container with the “A” seal, (previously signed in 1.B.) by centering the “A” on the cap of the urine specimen and adhering the label down the sides of the urine container.
C. Insert the sealed urine specimen into the front pocket of the Alere biohazard bag. (A biohazard absorbent is provided.)
D. Place page 1 of the Alere Non-Federal Chain of Custody form in the back pocket of the Alere biohazard bag.
E. Seal the biohazard bag by folding the adhesive flap to cover the blue crosshatch slit opening
F. Assemble the Alere shipping box.
G. Place the sealed bag into the brown Alere box.
H. Place the box into the FedEx shipping bag and seal.
I. Attach a preprinted FedEx label to the bag and set it out for the FedEx courier pickup.
Note: If no preprinted FedEx labels are available:
Ship to information:
1111 Newton St
Gretna, LA 70100
Bill to recipient
Alere FedEx number 1192-4958-9
J. The remaining specimen is sealed and placed in the locked refrigerator/freezer with the white UCL Chain of Custody form.
K. The other copies of the Alere chain of custody are gathered with the DXC printout, UCL Chain of Custody form, and UCL test request and placed in the “Waiting Confirmation” file.
L. The patients’ name, ID number, date/time/tech sending is noted in the Alere “send out” log.
i. December 2001 R. Stoffel
ii. November 2007 R. Stoffel (Revised: for Kroll Laboratory)
iii. April 2009 R. Stoffel (Revised: for shipping changes
iv. June 2010 J. Schmitz (Revised: for Alere)
v. October 2010 L. McGovern (Revised: II.1.F.)
Interim Review: December 2011 J. Murphy (no changes)