Drug Testing in the Workplace Drug Testing Cutoff Levels Drug testing cutoff levels are the minimum concentrations of drugs or metabolites that must be present in specimens, before labs will report the drug testing results as positive. How much of a drug labs can detect depends on drug detection times, frequency of use, type of specimen, drug testing method, metabolism, and other factors. Labs that follow the Mandatory Guidelines for Federal Workplace Drug Testing Programs published by the Substance Abuse and Mental Health Services Administration (SAMHSA), first conduct one or more initial screens followed by confirmatory tests. The approved methods for urine analysis are one or more types of immunoassay (IA) screens, confirmed by gas chromatography and mass spectrometry (GC/MS). If you test below the drug cutoff levels on the initial screens, the lab cannot report it as positive or continue with the confirmatory tests. If you test above them on the initial screens, but below them on the confirmatory test, the lab still cannot report it as positive. Basic testing typically screens for the following, commonly-abused drugs.  Amphetamines (speed, meth, crank, ecstasy)  Cannabinoids (marijuana, hash)  Cocaine (coke, crack)  Opiates (heroin, morphine, opium, codeine)  Phencyclidine (PCP) Extended testing might also screen for some or all of the following, but basic testing is the most common.  Barbiturates (phenobarbital, butalbital, secobarbital)  Benzodiazepines (tranquilizers like Valium, Librium, Xanax)  Ethanol (ethyl alcohol, booze)  Hallucinogens (LSD, mushrooms, mescaline, peyote)  Inhalants (paint, glue, hair spray)  Anabolic Steroids (synthesized, muscle-building hormones) The tables below are compiled from public-domain information in the Mandatory Guidelines for Federal Workplace Drug Testing Programs. (See Notes below.) They are for urine analysis of the commonly-abused types of drugs known as the "SAMHSA Five." Initial Drug Cutoff Levels Drug Nanograms per Milliliter (ng/ml) Marijuana metabolites 50 Cocaine metabolites 150 Opiate metabolites 1 2000 Phencyclidine (PCP) 25 Amphetamines 2 500 1 Labs are permitted to initial test all specimens for 6-acetylmorphine at a 10 ng/ml cutoff 2 Target analyte must be d-methamphetamine and the test must significantly cross-react with MDMA, MDA, and MDEA Confirmatory Drug Cutoff Levels Drug Nanograms per Milliliter (ng/ml) Marijuana metabolite 1 15 Cocaine metabolite 2 100 Opiates Morphine Codeine 6-acetylmorphine 4 2000 2000 10 Phencyclidine (PCP) 25 Amphetamines Amphetamine Methamphetamine 3 MDMA MDA MDEA 250 250 250 250 250 1 Delta-9-tetrahydrocannabinol-9-carboxylic acid 2 Benzoylecgonine 3 Specimen must also contain d-amphetamine at a concentration > 100 ng/ml 4 Labs test for 6-acetylmorphine when the morphine concentration exceeds 2,000 ng/ml Notes As of September 3, 2001, SAMHSA last revised these cutoff levels in 1998 and considers them sound. For the full text of the guidelines and tips about searching for revisions, see Mandatory Federal Guidelines. Other government entities might have their own specifications that differ from those above. See Mandatory Federal Guidelines for more information and links. If you've never or rarely abused drugs, but happen to get some into your system close to the time you submit your specimen, like at a party where pot smoke fills the air, you'll come in at only about 5 ng/ml for marijuana metabolites. That's well below the cutoff level of 50 ng/ml, so you're safe. The tests are only for illegal drug use, too. If you're on legit prescription medications and have normal levels for such, you have nothing to fear. But if you're royally screwing up on the job because of your medication or the condition you're medicating, you might have to take medical or disability leave. 6-acetylmorphine (6-AM) is a heroin metabolite and also called 6-monoacetylmorphine (6-MAM). 6-AM is rapidly metabolized to morphine, so will not likely be detected in most urine specimens. But of course, morphine will likely be detected after recent heroin use. Because codeine is a naturally-occurring alkaloid in the opium poppy juice that is the source of morphine and heroin, it too might be in the urine of heroin users. Codeine is rapidly metabolized and excreted in urine as codeine, morphine, or both. Morphine is a metabolite of codeine, but not the other way around, so ingestion of morphine will not account for the presence of codeine. The chemical names for the most-common forms of amphetamines are d-amphetamine and d-methamphetamine. MDMA, MDA and MDEA are methylene-dioxy derivatives of amphetamine and methamphetamine. They are the so-called "designer drugs" commonly known as Ecstasy, X, XTC, etc.

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Please make note that I, Jessica Lynn Hepner the creator of What Every Parent Should Know, is not giving legal advice. I am not a lawyer. I am giving you knowledge via first hand experiences.

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Save A Life by Angie Kassabie

Save A Life by Angie Kassabie
I URGE ALL MY FRIENDS TO READ & SHARE THIS; YOU COULD SAVE A LOVED ONES LIFE BY KNOWING THIS SIMPLE INFORMATION!!! Stroke has a new indicator! They say if you forward this to ten people, you stand a chance of saving one life. Will you send this along? Blood Clots/Stroke - They Now Have a Fourth Indicator, the Tongue: During a BBQ, a woman stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) ...she said she had just tripped over a brick because of her new shoes. They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Jane went about enjoying herself the rest of the evening. Jane's husband called later telling everyone that his wife had been taken to the hospital - (at 6:00 PM Jane passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Jane would be with us today. Some don't die. They end up in a helpless, hopeless condition instead. It only takes a minute to read this. A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough. >>RECOGNIZING A STROKE<< Thank God for the sense to remember the '3' steps, STR. Read and Learn! Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke. Now doctors say a bystander can recognize a stroke by asking three simple questions: S *Ask the individual to SMILE. T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently) (i.e. Chicken Soup) R *Ask him or her to RAISE BOTH ARMS. If he or she has trouble with ANY ONE of these tasks, call emergency number immediately and describe the symptoms to the dispatcher. New Sign of a Stroke -------- Stick out Your Tongue NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick' out his tongue. If the tongue is 'crooked', if it goes to one side or the other that is also an indication of a stroke. A cardiologist says if everyone who gets this e-mail sends it to 10 people; you can bet that at least one life will be saved. I have done my part. Will you?

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