Oral Fluid Drug Screening

Parkway Clinical Laboratories is one of the select clinical laboratories nationally to be certified by OraSure Corporation to perform oral fluid substance of abuse screening on specimens collected using the Intercept® oral fluid collection device – the oral fluid solution to modern drug testing.

Parkway Clinical’s oral fluid testing is focused on serving:

  • Corporations promoting a drug free workplace
  • Drug and alcohol rehab centers
  • Criminal justice probation and parole services.

The Orasure Intercept® service detects the following:

“NIDA-5” drug panel

  • Marijuana
  • Cocaine
  • Opiates
  • PCP
  • Amphetamines

The following additional drugs can also be tested upon request:

  • Barbiturates
  • Methamphetamine (including ecstasy)
  • Benzodiazepines
  • Methadone

Employee Drug Screening Services

According to the United States Department of Labor, a drug user in the workplace can cost an employer up to $13,000 annually in healthcare costs, lost production time, injuries, and damage to equipment and facilities. A NIDA-sponsored survey states that workers using drugs are 3 times more likely to be late for work, 2.2 times more likely to request early dismissal or time off, and 2.5 times more likely to have absences of 8 days or more. As an employer, you know the importance of hiring quality employees. Let Parkway Clinical Laboratories design and implement the entire pre-employment and employment drug screening program for you.

Parkway Clinical specializes in pre-employment and employment drug screening programs including post accident employee screening.

The following oral fluid testing options are available using the OraSure Intercept® oral fluid collection device:

  • Oral fluid screen only
  • Oral fluid screen with LC/MS/MS confirmation
  • Oral fluid screen with LC/MS/MS confirmation and MRO review

Results will become available online within 24 to 48 hours, followed by hard copy in the mail and fax if requested.

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About Intercept®

The Oral Fluid Difference

The Intercept® oral fluid drug test provides a smart alternative to inconvenient and often awkward and embarrassing urine drug testing. Oral fluid testing not only promotes employee-centric corporate culture but can also substantially reduce corporate liability. Oral fluid samples can be collected anytime, anywhere, without the need for special collection facilities. And because each collection can be directly observed, the risk of adulterated samples is virtually eliminated.

Minimize Adulteration

Drug users have many options to adulterate a urine test. The Intercept® oral fluid drug test nearly eliminates the risk of adulteration. It’s virtually impossible for donors providing oral fluid samples to mask drugs in their system. Besides, oral fluid collections can always be directly observed. “Beating the system” just became more difficult.

Employee Centric Culture

The act of urinating in a cup is at best demeaning and can be awkward for both the person being tested and the collector. The Intercept® service delivers a safer, more dignified and observable collection method. The dignity of the collection method is a real benefit. After all, these are your employees and potential hires being tested. We can help you make a lasting positive work environment for all of your employees.

Time Savings

With urine-based testing, valuable productive time is lost in sending an employee/candidate usually to an off site collection facility. With the Intercept service, you reduce collection time to less than 5 minutes, minimize scheduling issues, and eliminate lost work time.

Minimizing Liability

In instances where an employer demands an employee on the job who is suspected to be under the influence of an illegal drug to drive to a collection center can expose the company to increased liability. With Intercept oral fluid screening which is performed on site, one can eliminate this risk.

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Which drugs can you detect in oral fluid?
The Intercept® oral fluid drug testing service, can detect the NIDA-5 drug panel (marijuana, cocaine, opiates, amphetamines, and PCP) which represent the most common drugs requested by employers for workplace drug testing. Additional drug tests will be added to service the needs of the criminal justice market. (back to top)

How does the detection window for oral fluid testing compare with other methods?
Just like traditional urine testing, the window in oral fluid testing is different for each drug. What we have found interesting is that oral fluid testing identifies recent usage – during the first four hours after drug use – that can be missed by urine testing. For most drugs, the window of detection in oral fluid is about one-to-three days. By contrast, urine testing relies on drug metabolites retained in the body’s waste supply and may detect some drugs for a longer period. (back to top)

What methodology do you employ?
Oral fluid samples are first screened in a laboratory using enzyme immunoassay technology, proven reliable for routine drug testing. Any samples that test positive in the screening process are then subjected to gas chromatography / mass spectrometry / mass spectrometry (GC/MS/MS), the latest in drug confirmation technology. This tandem “MS”, as it is called, provides the most sensitive fingerprint of the drug target available. (back to top)

How is the data reported?
As with all laboratory-based testing, results are logged into a computerized information system and electronically reported to the client or MRO if appropriate. (back to top)

Can an oral fluid test be beaten?
We have studied a wide range of adulterants and have not found any that can beat our test. Of course, donors may attempt to introduce something onto the pad or collection vial. This risk is highly unlikely since every collection is directly and easily observed. (back to top)

Who collects the sample?
The beauty of oral fluid testing is that the donor collects his or her own sample under direct visual supervision. The donor places the collection pad in his or her cheek and gum for at least two minutes. Once the absorbent collection pad is saturated, it is placed in a vial, the handle of the collection device is snapped off at the rim of the vial, the vial is sealed, and the donor initials the seal. The entire process takes just 5 minutes. (back to top)

How much does it cost?
Oral fluid can be significantly less than traditional urine testing. The economic advantage of the Intercept® oral fluid drug test is that it can reduce the cost of collections, scheduling fees, and the time lost for employees to travel to collection sites to provide their urine sample. (back to top)

What is the turnaround time?
We receive samples via overnight courier, test them the day they arrive and reports negative results by the following day. Positive results are confirmed, reviewed and reported within 72 hours of receipt. (back to top)

Isn’t oral fluid a hazardous fluid?
No. Because the testing methodology is not classified as a “dental process,” OSHA does not consider oral fluid collections hazardous. In addition, oral fluid specimens are not subject to the same handling and disposal issues that face other body fluids. (back to top)

How do you know if you have enough of a sample to test?
If the donor keeps the collection pad in his or her mouth for at least two minutes, as indicated on the package, there is enough to test. The collection pad is treated with salts to stimulate oral fluid secretion, making the process very reliable. In fact, based on experience from life insurance testing, only 1 in 10,000 samples report as insufficient for testing. (back to top)

How do I get more information?
Contact Carolyn Bonner at (610) 636-0184 for more detailed information. (back to top)

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How Intercept® Works

Inspect the expiration date on the Intercept® collection device packaging and open the outer packaging containing the collection pad and the specimen vial. Place the specimen vial on a flat surface in view of the donor. Instruct the donor to remove the handle and remove the collection device from the packaging sleeve.
Instruct the donor to place the collection pad between the lower cheek and gums and gently rub the pad back and forth along the gum line until the pad is moist.
Once moist, leave collection pad between cheek and gums for a full two (2) minutes.
After 2 minutes, have the donor open the specimen vial in an upright position, with the tip pointed downward, by gently rocking the cap back and forth to avoid spilling the contents. Instruct the donor to push the collection pad into the specimen vial as far as it will go.
Instruct the donor to snap the collection wand at the scored line against the side of the vial. Instruct the donor to not tilt the vial or spill the fluid inside.
Instruct the donor to place the cap onto the vial until it snaps, ensuring a secure fit.
Instruct donor to place tamper evident seal across the top of the specimen vial and down the sides, date and initial.

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