(M) L4.1: RA 9165 - Comprehensive Dangerous Drugs Act of 2002 Flashcards
This is the central agency for health
DOH
This governs drug testing laboratories and manages the ff.:
> licensing
> accreditation
> establishment
> maintenance
DOH
What is the NRL for Drugs of Abuse and Water Toxicology?
East Avenue Medical Center
This conducts trainings, resolves conflicting results, sets formal confirmatory testing whether positive or negative, and checks for the accuracy of the laboratory
NRL
What proficiency test do NRLs give to hospitals?
EQAS (External Quality Assurance Scheme)
This test sends unknown samples for testing to determine if the laboratory is producing accurate and precise results
EQAS
When was RA 9165 signed into law?
June 7, 2002
This law further strengthens the existing laws governing the Philippine drug enforcement system
RA 9165
Which president signed RA 9165?
Gloria Macapagal Arroyo
RA 9165 created what agency?
Philippine Drug Enforcement Agency (PDEA)
This is the lead agency in the enforcement of the anti-drug law
Philippine Drug Enforcement Agency (PDEA)
PDEA is the implementing arm of what entity?
Dangerous Drugs Board (DBB)
How many articles and sections does RA 9165 have?
13 articles and 102 sections
What law did RA 9165 repeal?
RA 6425
Set-up of a Drug Testing Laboratory:
What are the 2 classifications of DTLs according to ownership?
Government and Private
Set-up of a Drug Testing Laboratory:
What are the 2 classifications of DTLs according to institutional character?
Institution-based and Freestanding
Set-up of a Drug Testing Laboratory:
What are the 2 classifications of DTLs according to service capability?
Screening and Confirmatory
Screening, Confirmatory, both, or neither?
Is purely quantitative
Neither
Screening, Confirmatory, both, or neither?
Is qualitative
Screening
Screening, Confirmatory, both, or neither?
Is both qualitative and quantitative
Confirmatory
What SCREENING test is commonly used for HIV and drugs?
Enzyme-linked Immunosorbent Assay (ELISA)
What CONFIRMATORY tests are commonly used for HIV?
- Western Blot
- PCR
- Quantification of the CD4/CD8 Ratio
What CONFIRMATORY test is commonly used for drugs?
Gas Chromatography Mass Spectrometry (GCMS)
T or F: Whatever equipment is present in a screening laboratory must also be present in a confirmatory laboratory
True
For HIV, Drugs, Both, or Neither?
ELISA screening test
Both
For HIV, Drugs, Both, or Neither?
Northern Blot Confirmatory Test
Neither
For HIV, Drugs, Both, or Neither?
Western Blot Confirmatory Test
HIV
For HIV, Drugs, Both, or Neither?
PCR Confirmatory Test
HIV
For HIV, Drugs, Both, or Neither?
Quantification of the CD8/CD4 Ratio
Neither (CD4/CD8)
For HIV, Drugs, Both, or Neither?
GCMS Confirmatory Test
Drugs
Screening or Confirmatory?
ELISA
Screening
Screening or Confirmatory?
Western Blot
Confirmatory
Screening or Confirmatory?
PCR
Confirmatory
Screening or Confirmatory?
Quantification of CD4/CD8 Ratio
Confirmatory
Screening or Confirmatory?
GCMS
Confirmatory
Substances that can mask/interfere with the analyte of concern
Adulterants
What are the examples of adulterants?
Aspirin, niacin, and zinc sulfate
Substances used to lower the solute levels of a certain analyte from its normal value
Diluents
What are the examples of diluents?
Coffee, tea, and beer
This facility contains a storage cabinet where data/information is being stored
Stock Room
T or F: If a sample is diluted, it presents more than normal physiologic activity
False (less than)
T or F: Diluents are aka anti-diuretics
False (diuretics)
In the Chain of Custody Form, it asks the client if they’ve taken any beverages in the past _____ hours
24
If an analyte is masked/hidden by an adulterant, what kind of result is produced?
False Negative
If a patient tries to dabble with the toilet water during specimen collection, what agent is used to detect this?
Bluing agent
T or F: The handwashing facility must be separated from the specimen collection area
True
What is the minimum floor area of a screening laboratory?
20 sqm.
What is the minimum work area of a screening laboratory?
10 sqm.
What is the minimum floor area of a confirmatory laboratory?
60 sqm.
What is the minimum work area of a confirmatory laboratory?
30 sqm.
What does IDTOMIS mean?
Integrated Drug Test Operations and Management Information System (IDTOMIS)
When was the beta-testing/dry run for IDTOMIS?
October 2003
When was IDTOMIS solely used for drug test operations and rehabilitation?
April 2006
IDTOMIS captures data for accrediting ____ and ______
Drug Testing Laboratories and Rehabilitation Centers
When was the nationwide implementation of IDTOMIS?
January 5, 2009
What entity became the central data storage unit for IDTOMIS?
Health Facilities and Services Regulatory Bureau (HFSRB)
What does IDTOMIS need in order to upload data?
Internet Connection
This is a system for the storage of patient data
IDTOMIS
Internet connections for IDTOMIS could lead the information directly to who?
DOH
In using IDTOMIS, who has the access?
Analyst
When an analyst is encoding patient information in IDTOMIS, what is required for identity verification?
2 Valid IDs
T or F: IDTOMIS has yet to capture biometrics
False (it already does)
The laboratory must be _____ in order to preserve reagents, products, samples, etc.
Air-conditioned
Who can become heads of a CONFIRMATORY laboratory?
- Pathologist
- Licensed Physician
- Licensed Chemist
When a licensed physician supervises a laboratory, they must have proficiency in what 2 areas?
Laboratory Management and Drug Testing Operation
In order for a licensed physician to head a confirmatory laboratory, they must have undergone how many years of training in analytical toxicology?
2
In order for a licensed physician to head a confirmatory laboratory, they must have undergone 2 years of training in what field?
Analytical Toxicology
In order for a licensed chemist to head a confirmatory laboratory, they must have what kind of degree?
Master’s Degree in any field of Chemistry
In order for a licensed chemist to head a confirmatory laboratory, they must have 2 years of training/experience in what field?
Analytical Chemistry
In order for a licensed chemist to head a confirmatory laboratory, they must have how many years of training/experience in analytical chemistry?
2 years
Which professionals can be Drug Test Analysts (DTA)?
- Licensed/registered MT
- Chemist
What are the qualifications to be an Authorized Specimen Collector (ASC)?
At least a HS graduate and trained
Which 2 people make up Administrative Personnel?
Clerk and Laboratory Aid
Which 2 people make up the Technical Personnel?
- Drug Test Analyst
- Authorized Specimen Collector
Head of the Lab, Administrative Personnel, or Technical Personnel?
Pathologist
Head
Head of the Lab, Administrative Personnel, or Technical Personnel?
Licensed Physician
Head
Head of the Lab, Administrative Personnel, or Technical Personnel?
Licensed Chemist
Head
Head of the Lab, Administrative Personnel, or Technical Personnel?
Clerk
Administrative Personnel
Head of the Lab, Administrative Personnel, or Technical Personnel?
Laboratory Aid
Administrative Personnel
Head of the Lab, Administrative Personnel, or Technical Personnel?
Drug Test Analyst
Technical Personnel
Head of the Lab, Administrative Personnel, or Technical Personnel?
Authorized Specimen Collector
Technical Personnel
How many CLs can a pathologist supervise?
4
How many BBs can a pathologist supervise?
2
How many Screening DTLs can a pathologist supervise?
10
When a pathologist supervises up to 10 screening DTLs, they must be within how many km away from each other?
Within a 5km radius
If a pathologist supervises mobile laboratories, they must be how many km away from each other?
Within a 10km radius
Mandatory or Random Testing?
Applicants for a firearm license
Mandatory
Mandatory or Random Testing?
Officers and members of the military, police, and other law enforcers
Mandatory
Mandatory or Random Testing?
Persons charged before the Prosecutor’s office with criminal offense having an imposable penalty of imprisonment of not less than 6 years and 1 day
Mandatory
Persons who are required to undergo mandatory drug testing charged with a criminal offense should have an imposable penalty of imprisonment for how long?
Not less than 6 years and 1 day
Mandatory or Random Testing?
Candidates for the public office, whether appointed or elected, both in national and local government
Mandatory
Mandatory or Random Testing?
People apprehended or arrested for violating the provisions of RA 9165
Mandatory
Mandatory or Random Testing?
Students in High School and College
Random
Mandatory or Random Testing?
Officers and employees of public and private offices whether domestic or overseas
Random
T or F: Candidates for public office are only required for the mandatory drug testing if they are to serve in the national government but not for local
False (both)
T or F: Employees of public or private offices can be subject to random drug screening in domestic corporations only
False (both domestic and overseas)
What is the title of RA 10586?
Anti-Drunk and Drugged Driving Act of 2013
What is the RA number of the Anti-Drunk and Drugged Driving Act of 2013?
RA 10586
What does RA 10586 state for people who apply for a driver’s license?
Drug Testing is NOT MANDATORY
According to RA 10586, the drug test is only required if the applicant committed what?
Violations (e.g. over speeding and lane straddling)
Drug testing for drivers who committed violations will undergo what test?
Field Sobriety Test
What tests consist of the field sobriety test?
- Eye Test
- Walk and Turn Test
- One Leg Stand
- Breath Test
This field sobriety test checks for the involuntary movement of the eye
Eye Test
This field sobriety test makes you walk 9 steps forward and return
Walk and Turn Test
This field sobriety test makes you stand on one leg for 30 seconds
One Leg Stand
This field sobriety test measures blood alcohol level through respiratory action
Breath Test
If employees/government officials are found to be positive in the drug test, then it could be the basis of their _________ based on RA 282 of the Labor Code and Civil Service Law
Termination/Suspension
What is the life span of a driver’s license? (initial and new)
Initial: 5 years
New: 10 years if w/o violation
What is the life span of an MT license?
3 years
When does an MT license expire?
On the holder’s birth date
Based on this code and law, a positive drug test could be the basis for an employee’s termination and suspension
Labor Code and Civil Service Law
A Certificate of Accreditation (COA) for a Screening DTL is valid for how many years?
1 year
A Certificate of Accreditation (COA) for a Confirmatory DTL is valid for how many years?
2 years
What is the most common specimen collected for drug testing?
Urine
What are the cases wherein urine collection is unobserved?
- Critically Ill
- Involved in post-accidents
- Involved in a crime scene
How much urine is usually collected?
60mL
How much blood is usually collected for drug testing?
5mL
What are the possible specimens used for drug testing?
- Urine
- Blood
- Macerated Tissue
- Nail Clippings
- Hair
Why are nail clippings and hair not usually used in drug testing?
Is prone to contamination
How much hair is usually collected for drug testing?
100mg
How long is the hair usually collected for drug testing?
10cm (above the scalp)
This analyte in urine is the byproduct of protein metabolism
Urea
This analyte in urine is a byproduct of muscle catabolism
Creatinine
T or F: The urine collection bottle must be transparent
False (translucent)
The urine bottle must be sealed and have which 3 pieces of information?
- Signature of Donor
- Code
- Date and Time
Waste products are aka what?
Non-protein Nitrogenous Compounds (NPN)
This is a needed procedure for each specimen which tracks its handling and storage from the point of collection to its final disposal
Chain of Custody Form
The CCF can be done by who?
Clue: 3 answers
- NRL
- Donor
- Clinic of confirmatory lab approved by the DOH and supreme court
For a clinic of a confirmatory lab to execute a CCF, it must be approved by what 2 entities?
DOH and Supreme Court
Donor, Collection Site, Laboratory, or Confirmatory Lab?
Form DT - 002A
Donor
Donor, Collection Site, Laboratory, or Confirmatory Lab?
Form DT - 002B
Collection Site
Donor, Collection Site, Laboratory, or Confirmatory Lab?
Form DT - 002C
Laboratory
Donor, Collection Site, Laboratory, or Confirmatory Lab?
Form DT - 002D
Confirmatory Lab
This is done if the donor would like to contest a confirmed result?
Challenge Test
According to the CCF, the specimen temperature must be read within how many minutes?
4 minutes
According to the CCF, the temperature must be between what 2 values?
32ºC - 35ºC
How many lines indicate a positive result for drug testing?
Include which label/s will have the line/s
1 (Control)
What is the test result for the ff.:
> 2 lines in the C and T
Negative
What is the test result for the ff.:
> 1 line in the C
Positive
What is the test result for the ff.:
> 1 line in the T
Invalid
What is the test result for the ff.:
> No lines
Invalid
What is the principle behind the drug screening test strip?
Competitive Binding
Explanation: if you have more of the patient’s antigen, it will not bind on the antigen binding site (it will not produce a band)
The drug test kit must be registered and approved by the ______
FDA
What is the immunoassay screening method?
ELISA
What are the 2 chromatography screening methods?
TLC and HPLC
What does TLC mean?
Thin-layer chromatography
What does HPLC mean?
High-performance liquid chromatography
The laboratory report, if negative, shall be valid for how long?
1 year
The laboratory report shall be signed by who?
Analyst and Head of the Laboratory
Who is the optional signee of the laboratory form?
Supervisor
Aside from drug testing, East Avenue is also the NRL for?
Water Chemistry, Analytical Toxicology, and Micronutrient Assay Technical Evaluation Services
RA 10586 was signed by which senator?
Sen. Tito Sotto
The drug test kit must be registered in what system?
IDTOMIS
This states the Guidelines for the Implementation of a Drug-Free Policy in the Philippine Judiciary
A.M No. 23-02-11-SC
This AM shall require drug testing as part of a pre-employment screening for trial court employees
A.M No. 23-02-11-SC
If a person interferes with the test results and refuses rehabilitation, what kind of violation is this?
Gross Misconduct
If a person refuses testing, what kind of violation is this?
Gross Insubordination
A lab shall generate 2 copies of the same result, to who shall the copies be given?
1 for the client, 1 for the lab
RA 9165 concerns the _______ with regard to Section 37 (Issuance of False or Fraudulent Drug Test Results)
Registered MLS/MT
Definition of Terms:
Any person authorized, licensed or accredited under this Act and its implementing rules to conduct drug examinations or tests, who issues false or fraudulent drug test results knowingly, willfully or through gross negligence
False/Fraudulent Drug Test Result
What is the imprisonment punishment for false/fraudulent test results?
From 6 years and 1 day to 12 years
What is the fine punishment for false/fraudulent test results?
100k to 500k pesos
What are the additional penalties for false/fraudulent test results?
- Revocation of license to practice
- Closure of the drug testing center
This testing method determines the positive result as well as the type of drug used
Screening (Qualitative)
This testing method supports a positive screening test
Confirmatory
These shall be issued by an accredited drug testing center which is valid for 1 year upon the date of issue
Drug Test Certificates
Drug Test Certificates shall be valid for how long from the date of issue?
1 year
These professionals are qualified to perform drug testing after completing the training at East Avenue MC
- MT
- Physician
- Pharmacist
- Chemist
- Chemical Engineer
T or F: These professionals are qualified to head/supervise a DTL after completing the training at East Avenue MC
- MT
- Physician
- Pharmacist
- Chemist
- Chemical Engineer
False (PERFORM not SUPERVISE)
