Lab-based Drug Tests vs. Rapid Screens
Ever been at a crossroads, not sure which way to go? Picture this: you're an employer. You've got job applicants lined up, ready for the all-important drug test - but do you choose a lab-based drug test or rapid screen?
This decision isn't as easy as it may seem at first, it’s kind of like choosing between a chef prepared dinner or fast-food – each has its advantages and pitfalls.
In the world of drug testing, there's no one-size-fits-all solution. Some situations call for thoroughness while others demand speed. The stakes are high because lives can be affected by these results.
Test Smartly Labs is your one-stop hub for all your drug testing needs in Kansas City. Whether you require it for pre-employment testing, compliance with workplace regulations, or personal health monitoring, we've got you covered.
Understanding the "Basics" of Drug Testing
Drug testing is an important means of finding out if someone has used illicit drugs. Drug testing is commonly used by employers, law enforcement, government agencies, individuals, and medical institutions. Testing can be essential for maintaining safety at work, ensuring fair competition in sports, or evaluating patient healthcare options.
Drug testing involves analyzing human specimens such as blood, urine, hair, or saliva for the presence of drugs. Each type of sample provides different information about substance use over varying time periods. Urine drug assessments are a widely used form of drug screening as they're simple and cost-effective.
A Peek into Different Types of Drug Tests
How Urine drug tests are performed:
These are often considered the “go-to” for detecting drugs of abuse as they are cost effective and reliable in detecting a broad range of drugs by detecting the metabolites of parent drugs in an individual’s urine.
How Hair Follicle tests are performed:
Drugs remain detectable longer with this method—up to 90 days—but it cannot reveal recent usage within the past few days like urine, saliva or blood test can do. This testing can identify many illicit and prescriptions drugs by analyzing the follicle of the hair shaft which maintains traces of drugs ingested over recent months. Test Smartly Labs offers numerous drug panels and options for hair follicle drug testing.
How Oral Fluid tests aka Saliva tests are performed:
This test methodology is growing in popularity as it can detect both prescription and illicit drugs almost immediately after usage. They are also convenient and can be administered almost anywhere since restrooms and privacy are not required. Oral Fluid drug tests involve collecting a saliva specimen from a donor using a buccal swab.
This type of testing is ideal for pre-employment drug testing, reasonable suspicion drug testing, and for those drug tests that require direct observation. They are non-invasive and sanitary which make them excellent for mobile or on-site drug testing programs. Test Smartly Labs will be happy to help you understand the pros and cons of Oral Fluid / Saliva drug testing for your organization.
How Nail drug tests are performed:
Like hair follicle drug tests, nails maintain traces of prescription medications and many illicit drugs of abuse for up to 6 months or more. However, it is not a method used for detection of current impairment or recent ingestion of drugs. Nail tests are used when a longer history of drug usage is required. This method is also used when hair follicle drug testing is not possible, or the desired window of detection exceeds 90-days. Test Smartly Labs has a broad range of nail drug test panels and options to choose from. Understanding the advantages and shortcomings of each testing type is what we do.
How Sweat patch tests are performed:
This form of testing collects sweat from an individual for up to two weeks, offering 24-hour monitoring and a long detection window. A tamper resistant patch is professionally applied to begin the monitoring period. That same patch is removed by a trained professional anytime up to 14 days from application. The worn drug patch is thoroughly examined for tampering before it's sent to the laboratory for detailed analysis. Sweat patch drug testing is primarily either a court ordered drug test or other mandated drug monitoring program. It is reliable drug test for monitoring drug usage while the patch is being worn. Test Smartly Labs has a lot of experience with Sweat Patch drug testing in Kansas City. If this type of drug monitoring is required, give us a call and we will be happy to assist.
The Actual Type of Substance Matters Too
Different drug substances stay detectable for varying lengths depending on many factors, including frequency of usage, body mass, metabolism rate, etc. For example, cocaine generally leaves the system faster than marijuana, which tends to stick around, especially for heavy users. It also matters what specific metabolites the lab is looking for, as some break down quickly while others linger.
The Role of Cutoff Levels
Cut-off levels are used in drug testing to lessen false positives from incidental exposure. An example is poppy seeds consumption, which can cause a positive result for opiates due to the trace amounts present in them. That's why labs rely on cutoff levels set by SAMHSA as their guide.
Key Takeaway:
Drug testing, an essential tool for employers and medical professionals alike, can be complex. Different tests—like saliva, urine, nail, or hair follicle—offer varying levels of accuracy and detection windows. The type of substance matters too as some leave the system faster than others. Cut-off levels for drug concentrations help reduce the false positives from incidental exposure.
What is Lab-Based Drug Testing
Lab-based drug testing is seen as the best option for accuracy and completeness, though it needs more resources and takes longer than rapid tests.
The drug testing process starts with the specimen collection. This is usually a urine, saliva, or hair specimen, although blood or nails can also be used in certain situations. The collected sample is then sealed properly to maintain its integrity during transport to the lab. A detailed chain-of-custody record is maintained to ensure the integrity of the specimen and the identity of the donor. All parties sign the chain-of-custody documentation to attest to the authenticity of the specimen collected.
Skilled lab technicians in the laboratory use sophisticated GC-MS equipment to separate and identify each component of the sample. Through this meticulous procedure, even small trace amounts of drugs can be detected.
Detecting Specific Drugs
Lab-based tests have an impressive ability to pinpoint specific substances in a person's system. From commonly abused illicit drugs like marijuana or cocaine to prescription medications such as opioids - if it's been ingested recently enough for detection - these labs will find it.
How Reliable Are the Results
No test method is 100% foolproof; however, when accuracy matters most—lab testing stands tall among alternatives because of its rigorous procedures designed specifically for minimizing errors both human-related or due instrument malfunctioning factors at play during analysis phase where slightest mishap could potentially skew results dramatically.
A More In-depth Look into Lab Processes
- Drug Screens: Initial drug screens use immunoassay technology. This method detects antibodies to identify the presence of drug substances or their metabolites in the sample.
- Confirmations: If a screen is positive, a lab confirmation test is performed using GC-MS or similar technologies. These tests can confirm which specific substance was detected in the sample and often its concentration too.
This two-step approach significantly reduces the likelihood of false positives which is an important factor when drug test results could potentially impact someone's employment status, legal situation, or medical treatment plan.
The Waiting Game?
What is the biggest drawback to lab-based drug testing? Time
Since the lab-based test is highly controlled and sophisticated in nature it may take up to 2-3 days to a detailed lab report. If prescription drugs are involved, a Medical Review Officer (MRO) will contact the donor to get a list of prescribed medications before making an ultimate determination on the outcome of the result. If a donor fails to respond in a timely manner to an MRO, a delay may occur.
Lab-based drug tests are the gold standard in detection, using detailed procedures to find specific substances. However, they need more time and resources than rapid screenings. Despite their process that can detect even trace amounts of drugs, lab-tests aren't foolproof but stand tall due to minimized error risks.
What is Rapid Drug Screening?
When it comes to drug testing, time is often of the essence. That's where rapid drug screenings come into play.
Rapid drug screenings, also known as point-of-care or instant tests, provide a faster method of detecting drugs in someone's system. Unlike traditional lab-based tests that require shipping and laboratory analysis, these tests give a preliminary result on the spot - usually within minutes.
The basic drug screening process first involves collecting a urine sample from a person who is being tested. The initial screen uses immunoassay technology to detect the presence of certain drugs, or their metabolites found in the urine specimen. However, only the drugs included as part of the screen are detectable so usually these screens are basic in nature. The results are simple, the test is either negative or non-negative for the drugs being tested in the screen. A non-negative should not be considered a “positive” drug test as it should be sent for further lab analysis the confirm the presence of a drug and to determine if prescription medications may be triggering a non-negative result.
The Advantages of Rapid Drug Screening
One major advantage is speed. Instant results can mean faster decisions can be made regarding employment status or policy compliance. Research has shown this quick turnaround time can be an advantage when workplace accidents occur or initial screening of applicants prior to starting a job are necessary.
Besides speed, convenience also stands out as an attractive feature. With no need for sending samples offsite and waiting for lab reports, many organizations find rapid screening more practical for their needs.
Limitations of Instant Screenings to Consider
However quick and convenient they may be though; these screenings do have limitations worth noting. First up is accuracy: while good at detecting common substances like marijuana or cocaine (source), they may struggle to pick up newer synthetic drugs or prescription medications.
Another limitation to rapid screening is the risk of false positive indications. Because these tests are more sensitive, everyday substances like poppy seeds or certain medications can trigger a positive result.
Roles of Lab Confirmations & Medical Review Officer Evaluation on Lab-Based Drug Tests
When a person's initial drug screening shows a non-negative result, two key steps come into play. These are lab confirmations and evaluations by a Medical Review Officer (MRO). Both processes hold significant weight in determining if someone has truly tested positive or negative for prohibited drug usage.
The Role of Lab Confirmations
A laboratory confirmation test is crucial to verifying any detected substance from the initial screen. The lab confirmation involves using advanced scientific equipment like Gas Chromatography/Mass Spectrometry (GC/MS). This technology can isolate specific substances, even when present in very small quantities.
This kind of precision analysis helps eliminate false positives that might occur due to certain foods or prescription medications causing similar reactions as illicit drugs during drug testing. So, while it may seem like another layer of bureaucracy, this step safeguards against wrongful accusations.
The Importance of MRO Evaluation Prior to Issuing a Final Test Result
An equally important part comes next - the involvement of an MRO. A Medical Review Officer, commonly referred to as an MRO, is a licensed physician with expert knowledge about substance abuse disorders. The MRO also understands the legal issues associated with federal and state drug testing regulations. An MRO does much more than just reading results off paper sheets, their job includes reviewing medical records provided by donors (the individuals being tested), discussing these findings directly with them if necessary, interpreting data from various sources such as previous medical history or use of prescription medication, and making the final determination about whether a test is positive for drugs.
Evaluating Positive Results from Lab-Based Tests & Rapid Screens
An important part of an MRO's job involves reviewing 'positive' results from both types of tests before making final determinations regarding illicit drug use cases.
If someone uses prescription drugs under legitimate medical supervision it might result in non-negative screening outcomes for certain substances. This doesn't automatically equate to illicit usage - this is where our trusty MRO comes into play again. The MRO review process helps protect individuals who are legally taking certain medications for health conditions while also identifying those truly in violation of drug policies. When you receive a positive result from either a lab-based test or rapid screen, the MRO will interview the donor to understand if there is any legal prescription that could have caused this. They then confirm with healthcare providers and pharmacies as needed.
Key Takeaway:
When it comes to drug testing, whether lab-based or rapid screens, the Medical Review Officer (MRO) is a key player. MROs have the expertise needed to differentiate between legitimate prescription use and illegal substance abuse. They review 'positive' results thoroughly before making final determinations about illicit drug use cases - ensuring fairness and accuracy in testing.
Comparing Accuracy Levels of Lab-Based Tests & Rapid Screens
The quest for accurate drug testing is a high-stakes game, and choosing between lab-based tests and rapid screenings can be tricky. Let's compare their accuracy levels to decide which is best.
Lab-Based Drug Testing: The Gold Standard?
Many consider lab-based drug testing as the "gold standard" because it offers more detailed lab analysis. It involves an initial screening followed by confirmatory tests using sophisticated lab equipment such as Gas Chromatography/Mass Spectrometry (GC/MS) or High-Performance Liquid Chromatography (HPLC). These methods identify specific drug metabolites, providing conclusive evidence of the presence of an ingested substance.
In essence, lab-based testing minimizes false positives - a crucial factor when decisions impacting someone’s life or career are on the line. But even with these advanced technologies, no test is 100% foolproof due to potential human error during sample collection or handling.
Rapid Drug Screenings: Fast but Fallible?
Rapid drug screenings, often referred to as point-of-care tests (POCT), provide results within minutes rather than days. They're convenient and cost-effective; especially useful for mass screening events where timing matters most.
But speed sometimes comes at a price - reduced accuracy levels compared to laboratory analyses. Rapid screens are sensitive enough to detect drugs present in a person's system; however, they can give non-negative results that aren't necessarily positive. This means they might detect a substance that isn't the target drug of the screen, leading to potential false positives.
Moreover, rapid screens can’t distinguish between different drugs within the same class – for example, distinguishing morphine from other opiates. So, if you need detailed information about specific substances used, lab-based tests would be more suitable.
An Instant or Rapid Drug Screen is just that, a SCREEN
Let's clear up some confusion about instant drug screens and lab-based drug tests. Think of an instant drug screen as your favorite detective show's first clue - it suggests something might be amiss, but we need more evidence before making conclusions.
Instant or rapid drug screens can quickly indicate the presence of drugs in the system. But these results are classified as "non-negative" rather than positive because they're not definitive proof yet.
Key Takeaway:
Instant drug screens are just that - SCREENS. They're like the first clue in a detective show, hinting at possible substance use but not proving it definitively. If substances are indicated, don't panic. These test results need a lab confirmation to be considered conclusive. Lab-based tests give us solid evidence through an initial screening and a confirmatory test if needed.
Lab-Based Drug Testing Costs
Lab-based drug tests tend to carry a higher upfront cost compared to rapid screenings. This higher cost is due in part to the use of advanced lab equipment and detailed procedures to detect and confirm the presence of drugs. Additionally, these tests are conducted using skilled technicians who are focused on specimen integrity, legal chain-of-custody documentation, and operating in a non-contaminated environment.
The price may also go up if additional substances are tested for or if there's a rush request. For example, Test Smartly Labs' comprehensive 12-panel test, which screens for multiple drugs at once, will naturally be more expensive than a more basic 5-substance drug panel.
Rapid Screening Costs
Rapid drug screening typically costs less upfront than lab-based testing since it doesn't require specialized laboratory equipment or highly trained staff members. Instead, most rapid tests utilize easy-to-read kits that give results within minutes rather than days.
This affordability makes them an attractive option when budget constraints are tight but regular screening is still needed - think pre-employment checks or random workplace assessments.
How to Choose Between a Drug Test and Drug Screening
Choosing between lab-based tests and rapid screenings can be a tough call. It's critical to ponder the details of your unique situation, such as how quickly you need initial results and what level of precision and reliability is necessary.
Suitability for Different Scenarios
Choosing between lab-based drug testing and rapid screenings can feel like a tough call. It all comes down to your unique situation or requirements.
Pre-Employment Screening:
If you're an employer looking to hire, quick turnaround times might be crucial. Here, rapid drug screens could be the way forward because they give results within minutes. You'll know right away if further investigation is needed with a lab test.
Maintaining Workplace Safety:
In industries where safety is paramount (like construction or transportation), regular random tests are common practice. Lab-based tests are ideal for workplace health and safety programs as they provide detailed and reliable analysis of substance use and current impairment.
Legal Requirements & Compliance
Certain sectors have stringent regulations around drug testing – think healthcare or government jobs. In these cases, rigorous lab-based testing may not just be suitable but necessary for compliance with legal guidelines (DOT regulations, for instance).
Treatment Programs & Recovery Monitoring
Rapid screens are beneficial in recovery monitoring scenarios due to their immediacy - important when assessing sobriety status on the spot at treatment centers or sober living homes.
Schools & Educational Institutions
Educational institutions often opt for random student drug screening programs aimed at prevention rather than punishment. Rapid screens work well in such settings due to their ease of administration and immediate results that let educators address issues promptly without disrupting academics too much.
Hopefully, we’ve provided you with helpful information. Choose the type and method of drug testing wisely based on your organization's needs because lives can be affected by these decisions! Contact Test Smartly Labs today, we are always here to help answer your questions.
From Where You Can Get Accurate Drug Screen & Drug Testing in Kansas
At Test Smartly Labs, you can count on us for accurate drug screens and drug testing in the Greater Kansas City Area. We're here to give you reliable results, fast and private.
Our team uses the latest tech to make sure you get the info you need. When you choose us, you're choosing a straightforward and dependable place for your drug testing needs. Trust Test Smartly Labs to keep it simple and get it right.
FAQs
Is a drug screen the same as a drug test?
Yes, the terms "drug screen" and "drug test" are often used interchangeably.
What is usually tested for in a drug screen?
A drug screen typically checks for common illicit substances such as marijuana, cocaine, opioids, amphetamines, and others.
How is a drug screen done?
A drug screen is often conducted through urine, blood, hair, or saliva samples, depending on the testing method.
What is the difference between a lab test and a drug test?
A drug test is a broader term encompassing various screening methods. A lab test refers specifically to the detailed analysis conducted in a laboratory setting.
How much does a drug screen cost in Kansas?
The cost of a drug screen in Kansas varies, but it generally ranges from $50 to $150, depending on the type of test and testing facility.
How much does a drug test cost in Kansas?
The cost of a drug test in Kansas varies based on factors like the type of test and the testing facility. On average, it can range from $30 to $100.
Information On This Topic
High Liability Risk of DIY Company Drug Screening
In today’s competitive marketplace, every employer plans to thrive in their business and to do that, employee’s efforts mean a lot. But to make sure that the employees are not misusing prescribed, OTC drugs, illicit or illegal drugs in the workplace or in their personal lives; most employers understand the importance of drug testing in the workplace.
However, many employers try to save money and cut corners by conducting drug screenings by the “Do-It-Yourself (DIY)” method to control the drug usage and impairment problems. Unfortunately, most employers don’t realize that “Instant Drug Screens” or “Dip Sticks” do not yield conclusive drug test results and are not nearly as accurate as lab-based drug testing. Not only that, but if disciplinary measures are taken based on inconclusive instant drug screens, the employer will be a legal risk from the employee. Not every industry requires drug screening but for many it is inevitable and highly advised. Some companies have strict policies regarding drug use while others find it as a personal matter of the workers. But the implications of being liable to the risk of lawsuits are definitive in both cases. If a company does not consistently apply drug screening practices to new and existing workers, and someone by accident injures himself or other employees due to impairment caused by drug or alcohol use, the company may be challenged and sued for negligence in a court of law. Legal actions would likely result in lawsuits and costly court cases where core questions of a prosecutor or attorney will likely be, “Why didn’t you drug test your employees for drug use?” “Do you have a Company Drug Policy” or “Do you use a professional drug testing company or DIY?” Major liabilities risks exist for DIY drug screening and for no drug testing in the for workplace. These issues should be tackled very carefully and taken seriously.
Drug Screening: Who? When? and How?
It should be understood that different states have different laws for drug screening and drug testing employees. Some states might find it as intrusive to worker’s privacy while others might embrace such policies. No doubt that drug screening may not be popular in some circumstances but it is very useful in avoiding accidents, injuries and liability in the workplace caused by drug use and impairment.
The first question is related to who the drug screening should be applied to avoid lawsuits or liability. Anti-discrimination challenges might be faced by employers, if they randomly screen workers for drug tests, on discriminating certain groups of people based on their gender, salary, ethnicity, etc., if they do not have any solid proof and written policies for having a certain employees tested. It is most suitable for employers to apply drug screening/testing to either all the employees or to group-specific high-risk workers if all workers are not liable to risks.
The next question concerns when should be the employees screened. To withstand any legal lawsuits, the primary motive of the employer must be the safety of employers, customers and all other people vulnerable to the risk. In this case, certain limitations might help an employer to survive a lawsuit challenge which include; drug screening of workers who are vulnerable to high-risk jobs such as operating heavy machinery or lifting cargo, etc., the operators who have recently faced an accident or injury while operating a specific equipment, those employees who are currently taking or have recently tested positive for drugs or are on some type of return-to-work drug program, and the reasonably suspected workers for ill-legal drug use that affects their work efficiency.
The last part of the topic is how should a drug screening be applied by a company itself for the safety of the employees as well as the company. Using a professional drug testing company with trained collectors’ aides in not violating the privacy or self-respect of any employee would help the employer reduce legal liability. Other considerations include consulting a lawyer for creating a drug testing policy or keeping a written Drug Policy that addresses all the employees and the use of drugs and its implications concerning the company. The confidentiality of test results and consistency of dealing with the workers is essential to any drug testing or screening program or policy.
For help with your company drug testing, contact Test Smartly Labs today…
If Your Business Doesn’t Drug Test, Will You Attract Illicit Drug Users?
The United States is heavily involved in the drug crisis and the gravity of the issue can be judged from the fact that America is only 5% of the world's population but is responsible for buying over 60% of the world's supply of drugs.
And the majority of these drug users/abusers are found at American workplaces. Be it a large corporate or a small business, you will find these drug users everywhere. According to a report, 77% of the illicit drug users are either full or part-time employed.
Almost 8 out of every 10, individuals and workers are involved in consuming some form of drugs. That’s makes around 9.4 million workers to be involved in this mess. As this is a very large number, we can safely assume the major impact of employee drug abuse has on businesses. Taking drugs can decrease their work efficiency and productivity which will greatly affect the business or company profitability. Employees also suffer from illnesses and lose valuable time at work and in worst cases people can die due to overdose or accidents. Unfortunately, this will affect their payouts on insurance claims for their family.
Employees also stop appearing on their jobs calling for ‘sick days’ more frequently. At times, they don’t bother to make an excuse or go back to work. In addition, when they do appear at their workplace, they become more involved in accidents in the workplace. They become involved in workplace property damage and theft. Moreover, they will be also late on deadlines and the work they submit will be either inaccurate or unprofessional.
How workplace should handle drug abuse problems?
Since the cases of employee drug abuse are increasing day by day, workplace management is now taking certain measures against this problem. They are introducing company-wide anti-drug policies; comprehensive employee drug abuse education and drug awareness programs; drug testing programs; employee assistance (EAP) and rehabilitation programs.
Is drug testing accurate?
Yes, when done properly. The procedure of drug testing involves a few steps. In the first step, generally the person’s urine is tested. The typical procedure is a two-step process in which one half of urine sample is tested using a relatively simple, inexpensive, yet highly accurate "screen" (usually an “immunoassay”). If the screen shows the negative result, it usually means that person appeared negative against the drugs being tested for which further means that they are not consuming it. If the screen shows the non-negative result, then a second test will be performed at a diagnostic lab for confirmation of the substance in question. Upon the confirmation findings, a Medical Review Officer (MRO) will contact the donor directly to obtain any prescription medications that he or she is taking. Once the entire analysis is done and the result is positive, this means that a person is consuming drugs. If done properly, this test is very accurate. It is important to note that an “Instant Screen” without Lab Confirmation and an MRO review should never be considered a conclusive result and would not stand up to a legal challenge.
Can employee drug abuse affect me?
Employee drug abuse can greatly affect you. From an economic point of view, it can cause higher insurance rates higher health care costs, and higher consumer prices. Moreover, this will also generally lead to a higher crime rate. People can also get harassed at the workplace by such drug consuming employees asserting peer pressure or simply because they are impaired. If you are a CEO, Manager, or Owner of a company, your business will be greatly affected if a drug problem exists in your workplace.
Do these prevention programs work?
If the company actively participates in educating its employees regarding drug abuse, it can have a very positive impact. The people involved in drugs don’t even bother to apply such companies where they openly educate employees about drugs or have very clear and strict drug-abusing policies. If such people are already working in these companies, they might stop using them due to the fear of being caught and fired. A random drug program is recommended to keep your workplace drug-free.
There are many success stories that celebrating success or drug prevention programs. However, a particular case of the US Navy in the 1980s is very famous. Some active personnel were tested positive for drug consumption. They introduced a very thorough drug abuse prevention program due to which there was a decrease in drug abuse cases. The percentage of such cases dropped from 28% to 4% which was a huge success.
For help understanding all of the drug screening/testing options available, please contact Test Smartly Labs today…
Teen Drug & Alcohol Testing
Whether you’re a parent searching for truthful answers or a caseworker, social worker or professional working with juveniles – Test Smartly Labs can help. We have experience in testing teens for drug and alcohol use and can help you get to the bottom of things – quickly.
Teenage drug and alcohol use is not a new problem; for decades America has struggled to keep its young generations off of drugs and out of the liquor cabinets. And while many strides have been made to reduce illegal drug and tobacco use, issues still remain amongst many adolescents and college students.
How Common Is Teenage Drug Use Today?
The National Institute on Drug Abuse (NIDA) has monitored adolescents and college students since 1975 and publishes a yearly survey called “Monitoring the Future” which illuminates teenage drug use.
In the 2016 survey, it found:
- “The percentages of students seeing great risk of smoking marijuana regularly is at or near the lowest point ever recorded in the study—58%, 44%, and 31% in grades 8, 10, and 12, respectively.”
- “Young people are less concerned about the dangers of using prescription drugs outside of medical regimen because they are widely used for legitimate purposes.”
- “The use of so-called “bath salts” (synthetic stimulant cathinones) rose significantly (but just by 0.5% to 0.9%) among 8th graders in 2016. Similarly, cough and cold medicines used to get high (which usually contain dextromethorphan) rose significantly among 8th graders to an annual prevalence of 2.6%”
- “Alcohol remains the substance most widely used by today’s teenagers.”
What’s especially concerning is the introduction of “new” drugs like synthetic drugs and bath salts (which are way more toxic), and the rise of teenagers also abusing prescription drugs. With every new advancement in the variety of drugs, every testing center across the world is forced to become even more versatile in its service offering.
The reason we are able to provide the kind of trustworthy test results every employer or parent deserves is because we do everything we can to remain informed on every front. As each new popular drug reveals itself, we analyze it and break down the best methods to trace it in the body.
For advice on how to proceed and to learn your options, contact us today.
Understanding the Differences Between Methods
As you consider which drug testing or screening method will best meet your needs, you need to consider several factors:
- What am I testing for?
Some methods are better suited for identifying long-term drug use, as would be used in employment or custody scenarios. Other methods determine if an individual has used drugs in recent history, which is best suited for parole officers or recovery testing. Some tests are less likely to be subjected to adulteration, while others are operated more on the honor system. Understanding the purpose and outcomes of each method is critical when choosing which drug test to administer. - How soon do I need results?
Perhaps you need the rapid response of an instant drug screen for a pre-employment check. Maybe you need a more in-depth examination of the full panel after a car accident and can wait longer. For some prolonged screenings, it can take up to two weeks to gather the necessary data. Depending on your timeline, different methods might suit your needs better. - Will this need to be admissible in a court of law?
Not all drug tests are considered equal in the courtroom. If you need results that are Federally approved and permissible in court, you need to consider what specimen you choose to test and where you choose to test it. - Which drugs am I testing for?
While many of the mainstream drugs are testable through a variety of methods, there are literally hundreds of controlled or illegal substances that can be tested for. Additionally, some drugs have a rapid metabolism rate in various specimens – knowing what drugs you’re looking for will help inform which test you should consider. - What is the likeliness of adulteration or tampering?
Some tests have a significantly higher rate of manipulation and meddling. For some pre-employment drug screens for positions of a reduced safety risk, the potential for tampering might be reduced and therefore a better fit for unobserved testing. However, a police officer administering a drug test to a parolee might choose a method that has a reduced risk of interference by having the screening be fully observed.
Below we have identified the five most common methods and specimens utilized in drug screening and testing. Each method carries with it differing detection windows, different levels of intrusion, and different drug types to be tested for – all factors in choosing the right screening option for your needs.
Be prepared for your drug test:
- Bring your Government Issued Picture ID
- Bring Drug Test Paperwork or Authorization
- Complete TSL Intake Form & HIPAA Disclosure
- Pay for your Test on the same day it happens
- Make sure you are hydrated if you are performing a Urine Test
- Expect to have your nail polish removed if getting a Nail Drug Test
- We do not need your prescription information but a Medical Review Officer (MRO) may contact you after collection to verify your medications.
- For urine testing, plan on arriving 3 hours before we close (1 hr minimum) to provide a cushion of time for a shy bladder situation.
- For hair testing, be sure to dry your hair completely before arriving.
- For nail testing, be sure to clean your nails with soap and water before arriving. Also, artificial nails and polish must be removed.
What Are Your Hours?
- All Test Smartly Labs are open Monday through Friday, from 9am - 5pm
Do We Need To Have An Appointment?
- No appointment is required to come into our labs, and all of our locations are on a walk-in basis. However, it is recommended you arrive at least 30 minutes prior to closing. If your situation requires special time considerations, please call us to determine if it would be better to arrange an appointment time.
Do I Need Doctors’ Orders For Testing?
- No doctors’ orders needed, we are a Direct-Access Testing Center. You are encouraged to consult your medical professional with your lab test results.
What’s The Turnaround Time For Lab Work?
- Average turnaround time is 2-5 business days depending on the complexity of the lab work. Most tests are available in 2-3 days
Do You Need A List Of My Medications For A Drug Test?
- Per protocol, the lab techs are not allowed to receive or ask for your medications. A medical review officer or MRO, a licensed physician who specializes in toxicology, will call you and ask for your medications and your physician’s phone number if it’s detected in your sample during testing. The MRO will then call your physician to verify your medications.
Lab-Based Drug Testing
Traditionally administered in a controlled environment and under some form of supervision, lab-based testing is considered the more traditional and reliable method of drug testing and screening. Often used for court orders, legal matters, high risk safety circumstances, there are several benefits and set-backs to consider when choosing lab-based drug screening.
Lab-Based Testing Pros
- Accuracy
Regardless the tested specimen, lab-based screening delivers significantly more reliable results than the instant drug screening alternative. The higher level of sophisticated machinery utilized in the lab delivers dependable results that will hold up in any court of law. Also, next level lab confirmations and MRO reviews to ensure the accuracy of the results. - Federally, State, and Court Approved
Lab-based testing is the only form of drug screening recognized by the Federal government and a large number of state government agencies. Additionally, lab-based drug screening is the only method recognized in a court of law. - Wider Options for Testing
With the wide array of specimen options available to lab-based testing, it stands to reason that there are far more options to specify what substances, thresholds, or timeframes you are screening for. - Greater Sensitivity
With precise and expert administration of screening, lab-based testing can potentially identify hundreds of substances, illicit or not. Beyond being able to identify a large number of substances, lab-based drug testing can pick up on chemicals that might otherwise be overlooked by an instant drug screening. - Automatic Retesting of Non-Negatives
It is critical to understand the difference between testing positive for a drug and testing non-negative. The majority of testing will identify non-negatives, something that simply states that the specimen is inconclusive of the substance – but not necessarily testing positive for it. In lab-based testing, non-negatives are automatically retested for lab confirmation and then a Medical Review Officer (MRO) will contact the donor for possible prescriptions before determining the drug test positive or negative.
Lab-Based Cons
- Turnaround Time and Waiting Period
Unlike an instant drug screening, lab-based testing can take a couple of days to receive a result. Once a specimen is obtained, it needs to be sent to the lab, tested, analyzed, quantified, and verified before results can be received. - Typically, More Intrusive
There is no way around it: Lab-based testing can be far more intrusive to the individual being tested. Whether hair is being cut from their head, blood is being drawn, or patches are being adhered to the body, the process is far more intrusive. - Often Location Based
The majority of lab-based drug screenings require off-site travel to have the test administered. However, Test Smartly Labs has the ability to do on-site and mobile lab-based drug and alcohol testing. - Possibly More Expensive
It stands to reason that with additional testing, additional options, and additional support staff comes additional cost. The overhead cost of administering lab-based drug testing translates directly into a higher purchase cost. However, if Instant Screening is done properly it should include lab confirmations and MRO review which can make Instant Screening more expensive than lab-based testing. Test Smartly Labs bundles lab confirmations and MRO services to save our clients money and because it is the right way to test.
Instant Drug Screening vs. Drug Tests
The more mobile and speedy option, instant drug screening is often administered in the home, in the office, or even in a school setting. Instant drug screening can be used for home purposes, employment, mass hiring situations, or job sites. Contrary to a Drug Test that can provide a definitive positive result, an Instant Screen only shows a negative result or non-negative result. It is not a conclusive positive drug test and should never be used as a final verdict on drug testing. Instant Screening is not conclusive and should not be considered as a “Drug Test.”
Instant Drug Screening Pros
- Instant Results
Unlike lab-based testing, instant drug screening results are available (almost) instantly. Within a few minutes, quick results are available for consideration and examination. - Can Be Administered Anywhere
The mobile and less technical nature of instant drug screenings lends to far more flexible testing location options. Whether administered in the office or off-site, instant drug screenings don’t require a lab setting at all but a restroom will be needed. - Several FDA Approved Options Exist
While the results of an instant drug screening might not be recognized in legal matters or for the Federal courts, there are still verified FDA approved testing products that are able to deliver quality results. - Inexpensive
Without lab to send away to and less overhead, the cost of instant drug screening is typically far less expensive than its lab-based counterpart. However, non-negative results should be sent to a diagnostic lab for lab confirmation and an MRO review which will likely end up costing more in the long run. - Covers Dozens of the Substances
While not as varied as lab-based, instant drug screenings typically offer the most commonly sought-after substances.
Instant Drug Screen Cons
- Will Not Hold Up in Court
In legal matters, an instant drug test will not be considered reliable or substantial enough for consideration in a court of law. - Less Accurate
Instant drug screenings are more prone to inaccuracies or misinterpretations, due in part to the less sensitive nature of the test, the wide variables, the inability to retest non-negatives, or human error. - Varying Thresholds
Depending on what test you purchase, thresholds and sensitivities may vary greatly. Additionally, some testing companies can change their thresholds with little notice. - Limited Specimen Types
Instant drug screenings are only able to examine two types of specimen – urine and saliva. The limited options for specimen also limit the screening potential for the tests.
Deciding for Yourself
Ultimately, the decision on what type testing option is right for your specific circumstance depends entirely on your individual needs. By examining the benefits and drawbacks of both types of testing, you can make an educated decision on whether lab-based or instant drug screening will best suit your needs.
To learn what may be best for your situation, contact Test Smartly Labs…
Find your nearest location
- Overland Park
Test Smartly Labs ofOverland Park6600 College Blvd, Suite 205
Overland Park, KS 66211,
United StatesOpening Hours :
Mon - Fri : 9am - 5pm | Sat : Closed | Sun : Closed - Kansas City
- Kansas City North
- Independence
- Belton-Raymore
- Anywhere In The USA