Hair Nails Exposure Test 15 (ChildGuard 15)

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Marshfield Clinic Public WebSite

Test Code: CHR15SO

Overview
Ordering
Specimen
Performing
Clinical/Interpretive
Contacts
Coding

Synonyms/Keywords

ChildGuard, Hair Exposure, Nail Exposure, Child Advocacy

Test Components

Amphetamines (amphetamine, MDA, MDEA, MDMA, methamphetamine), Cannabinoids (cannabidiol,carboxy-THC, native-THC), Cocaine (benzoylecgonine, cocaethylene, cocaine, norococaine), Opiates (6-MAM, codeine, hydrocodone, hydromorphone, morphine), Phencyclidine (PCP), Benzadiazepines (alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam), Barbiturates (amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital), Methadone (methadone, EDDP), Propoxyphene (propoxyphene, norpropoxyphene), Oxycodone (oxymorphone, noroxycodone), Meperidine (normeperidine), Tramadol, Fentanyl (fentanyl, norfentanyl, alfentanil, acetyl fentanyl, acety norfentanyl, sufentanil, norsufentanil), Sufentanil (norsufentanil, sufentanil), Ketamine (ketamine, norketamine)

Useful For

Child advocacy test use only. Test to determine contact or exposure of children to select drug(s).

Specimen Requirements

Fasting Required	Specimen Type	Preferred Container/Tube	Specimen Volume	Specimen Minimum Volume (allows for 1 repeat)	Pediatric Minimum Volume (no repeat)
No	Hair	Foil in USDTL Secure Envelope	150 mg (300 strands at 1.5 inches)
No	Nails	Foil in USDTL Secure Envelope	150 mg

Collection Processing Instructions

For internal use associated with Child Advocacy cases only. Follow collection processing instructions detailed in USDTL chain of custody.

It is highly recommeded that collectors use a gem scale to weigh the specimens to avoid quantity not sufficient (QNS) results.

Observance of the specimen at all times by the donor and collector prior to sealing the specimen container is required.

Specimen Stability Information

Specimen Type	Temperature
Hair	Ambient
Nails	Ambient

Rejection Criteria

Chain of custody incorrect/incomplete, Specimen packaged incorrectly

Interference

Bleaching, perming, dyeing and straightening can affect the outcome of a hair test. Cosmetically treated hair should not be collected. Dark hair binds drug tighter than light hair.

Do not mix fingernail and toenail specimens. Do not collect toenails if the client is diabetic or suffers from peripheral artery disease.

Specimens below the required volumes will be tested and billed at full price - according to the tests ordered for the specimen, but may result in a quanity not sufficient (QNS) for some or all drugs.

Performing Laboratory Information

Performing Location	Day(s) Test Performed	Analytical Time	Methodology/Instrumentation
US Drug Testing Lab (USDTL)	Monday through Friday	1 day for negatives/2-3 days for positives	Micro-plate enzyme immunoassay

Test Information

Ethyl glucuronide (EtG) add-on must be noted as an add-on test on the accession.

Reference Range Information

See Report

Interpretation

Positive screens to be quantitated

Synonyms/Keywords

ChildGuard, Hair Exposure, Nail Exposure, Child Advocacy

Test Components

Ordering Applications

Ordering Application	Description
Cerner	Hair Nails Exposure Test 15 (ChildGuard)

If the ordering application you are looking for is not listed, contact your local laboratory for assistance.

Specimen Requirements

Fasting Required	Specimen Type	Preferred Container/Tube	Specimen Volume	Specimen Minimum Volume (allows for 1 repeat)	Pediatric Minimum Volume (no repeat)
No	Hair	Foil in USDTL Secure Envelope	150 mg (300 strands at 1.5 inches)
No	Nails	Foil in USDTL Secure Envelope	150 mg

Collection Processing

For internal use associated with Child Advocacy cases only. Follow collection processing instructions detailed in USDTL chain of custody.

It is highly recommeded that collectors use a gem scale to weigh the specimens to avoid quantity not sufficient (QNS) results.

Observance of the specimen at all times by the donor and collector prior to sealing the specimen container is required.

Specimen Stability Information

Specimen Type	Temperature
Hair	Ambient
Nails	Ambient

Rejection Criteria

Chain of custody incorrect/incomplete, Specimen packaged incorrectly

Interference

Bleaching, perming, dyeing and straightening can affect the outcome of a hair test. Cosmetically treated hair should not be collected. Dark hair binds drug tighter than light hair.

Do not mix fingernail and toenail specimens. Do not collect toenails if the client is diabetic or suffers from peripheral artery disease.

Specimens below the required volumes will be tested and billed at full price - according to the tests ordered for the specimen, but may result in a quanity not sufficient (QNS) for some or all drugs.

Useful For

Child advocacy test use only. Test to determine contact or exposure of children to select drug(s).

Test Components

Reference Range Information

See Report

Interpretation

Positive screens to be quantitated

For more information visit:

http://labtestsonline.org

Performing Laboratory Information

Performing Location	Day(s) Test Performed	Analytical Time	Methodology/Instrumentation
US Drug Testing Lab (USDTL)	Monday through Friday	1 day for negatives/2-3 days for positives	Micro-plate enzyme immunoassay

For billing questions, see Contacts

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For most current information refer to the Marshfield Laboratory online reference manual.

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26532 Hair Nails Exposure Test 15 (ChildGuard 15)