Oral Fluid Drug Testing – A Simplified Guide

Preparation

  What You Need:

  • Private area
  • Testing devices
  • PPE (gloves, etc.)
  • Absorbent pad (e.g., blue hospital pad)
  • Chain of Custody (COC) forms
  • Waste disposal bag

Donor Interaction

  1. Introduce yourself to the donor.
  2. Confirm consent:
    1. Ask if they’re familiar with drug policy.
    1. Get verbal & written consent.
  3. Confirm identity:
    1. Use ID or supervisor confirmation.
    1. Record on COC form.
  4. Check for food/drink:
    1. Must be nil by mouth for 20 minutes.
  5. Complete paperwork:
    1. Signatures from collector & donor.
    1. Record device lot # and expiry.

Collection Procedure

  1. Donor selects device.
  2. Instruct donor  
    1. Put wand into mouth                                           
    1. Lean forward.
    1. Don’t chew or bite sponge.
    1. Notify when sponge is soft. (2-3 minutes typically)
  3. Check color indicator (if applicable).
  4. Insert wand into test device, and keep upright.
  5. Remove label and wait for control lines.  

  Check both sides of the device!

Reading the Test

RESULTWHAT TO LOOK FOR
  NegativeLine in C (Control) & T (Test), even faint.
  Non-NegativeLine in C, but no line in T.
  InvalidNo line in C = test failed, redo.

If Test is Non-Negative

  • Explain result to donor.
  • Collect confirmation sample and referee sample using Quantisal vials.
  • Label & seal with tamper-proof seals.
  • Apply barcodes to:
    • COC forms
    • Vials
    • Transport doc
  • Donor signs declaration.
  • Store sample in chilled, locked container.
  • Notify company rep privately.
  • Dispose of used materials safely.

Tips and Reminders

  • Stay with donor until testing is finished.
  • Always wear gloves (PPE).
  • Provide a private collection area.
  • Never test without consent.
  • Keep a waste bag nearby.

Updated on March 21, 2025

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