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   FAQs

• Drug detection durations?
• Drug street names?
• Keystone ’s history?
• Keystone ’s mission?
• Preferred lab services?
• Types of testing?
• Services provided?
• Medical review?
• Turn-around time?
• Territory covered or serviced by Wolfe?
• Consultation?
• Applicable laws?
• Cost of services?
• How can I order drug test kits?
• Drugs tested for at the laboratory?
• Instant product choices?
• Instant vs. traditional testing?
• Accuracy of product?
• GC/MS confirmation?
• Why use a chain of custody (COC) form?
• Legally defensible?
• Methods used to drug test?

Question: Drug detection durations?

Any or all of the following factors contribute to the length of drug detection in the human body. The amount of drug taken, how frequently the person takes the drug, how the drug was taken (smoked, snorted or injected), the metabolic rate of the user, fluid intake, and age of the user all contribute to detection periods. A general guideline for detection is as follows:

Question: Drug street names?

Although nicknames for drugs change frequently, below is a list with commonly used slang terms:

Question:Keystone ’s history?

Keystone is a nationally recognized substance abuse testing laboratory with a long standing reputation for exceptional customer service and laboratory excellence . Since 1987, when Keystone Medical was founded, Keystone Laboratories, Inc. has become a leader in the drug and alcohol testing industry and is credited as a premier provider for employee screening services and instant testing devices nationwide. In the workplaces of the real world, we understand the importance of providing the most complete and cost-effective substance abuse testing programs available to employers.

Question:Keystone ’s mission?

“To maintain a leadership position in the forensic drug testing industry by providing our clients with accurate and reliable drug testing products and services, to treat our employees and clients with respect, and to deal with integrity and forthrightness in all business dealings”

Question: Preferred lab services?

Keystone Laboratories, is a forensic drug testing lab based out of Asheville, NC. The lab participates in the proficiency program of the College of American Pathologists (CAP) and is an accredited College of American Pathologists forensic urine drug testing laboratory.  Customized testing panels are available to detect commonly abused substances such as ecstasy and date rape drugs that are not picked up by standard screening protocols.  At Keystone, each specimen is checked for appropriate pH, specific gravity, and creatinine levels to further ensure the sample is fit for testing. Detection of hydromorphone and hydrocodone is also included in opiate screening protocols.

Question: Types of testing?

Pre-employment
Random
Probable cause
Post-accident
Return to duty

Question: Services provided?

Keystone will strive to provide you with an array of solutions to meet your testing needs nationwide. Our strong laboratory affiliations provide you with access to at least half a dozen certified laboratories nationwide and nationally competitive pricing. We also offer an array of instant testing options to allow immediate answers.

Your organization will have access to all current test results within minutes of the results being processed through the laboratory using one of the following innovative reporting options. All results are reported via convenient and efficient means of communication such as email, fax, and web access. Our cutting edge retrieval technology provides some of the best turn-around times in the testing industry for obtaining drug test results. We partner with our clients to provide flexible custom solutions to your testing challenges.

Secure Internet test result access is available through our corporate website.

Using this technology, results will be readily available to your locations with Internet access and a valid username and password. Data integrity is maintained through all web-based application processing and storage to provide accurate, efficient, and detailed reporting on demand. This system automates the record keeping process by allowing you to track the number of specimens processed by location, manage results from your desktop, and provide cost analyses.

Computer generated random selection increases workplace safety. This process uses an algorithm to randomly generate numbers, which are matched with identification numbers.

Our DOT program management programs are designed to maintain your compliance with DOT regulations.

Our staff routinely sets up and facilitates all testing arrangements with collection sites nationwide, working to make them convenient for you and your donors.

Question: Medical review?

Tests confirmed positive at the laboratory should undergo the medical review process to rule out the possibility of a prescription medication or other legitimate reason for the positive result.

A licensed physician will interview the donor to gather prescription information. If the donor is currently under a doctor’s care with a valid prescription in their name, the test will most probably be reported back as a negative.

It is highly recommended that medical review be performed on any positive test involving a current employee, such as those who are part of a random selection program.

“The medical review officer is the balancing force, protecting employee rights, pursuing accurate information and watching out for the safety of all involved.”

Question: Turn-around time?

Times for each laboratory and collection site vary depending on geographic location and specimen delivery options. The collection site sends specimens out for overnight delivery by Airborne, UPS, or FedEx.

Positives are typically available to begin medical review within 24 hours of lab receipt while opiate positives can take up to 36 hours. Medical review requires the donor to be interviewed by a licensed physician before the result is reported out as a positive.

Question: Territory covered or serviced by Keystone?

Finding a collection site is just a phone call away. Our staff routinely sets up and facilitates all testing arrangements with collection sites, working to make them convenient for you and your donors.
Your organization will be equipped with all the needed collection supplies, including chain of custody forms, lab packs, airbills, specimen bottles, collection instructions, and/or authorization forms. Customized kit packaging is available to meet your individual needs.

Question: Consultation?

Training is available for collectors, supervisors, and employees on topics including drug and alcohol related workplace problems, urine and breath alcohol collections, and instant testing product procedures.

Policy development services will assist your organization in the implementation of sound substance abuse policies, procedures, and documentation to comply with applicable regulations.
When substance abuse testing programs are properly implemented and managed, everyone involved understands the issues pertaining to workplace drug testing.

Question: Applicable laws?

Federally regulated employees must adhere to guidelines established by the Department of Transportation (DOT).

Company policy largely determines the guidelines for non-DOT testing. Laws in some states restrict the use of instant testing devices.

Question: Cost of services?

We strive to offer an array of products and services to meet almost any budget. An instant product ranges in cost from $7.00 to $10.00 for a 5-panel test. A laboratory test with collection fee and medical review averages $40.00. This is a small price to pay for workplace safety.

Question: How can I order drug test kits?

Simply call our customer service staff, fax, email, or use our website to order. We accept Visa, MasterCard, and American Express. We will be happy to send you a credit application so that you can establish a billing account. Our payment terms are net 30 days.

Question: Drugs tested for at the laboratory?

Amphetamines
Barbiturates
Benzodiazepines
Cocaine
Marijuana – THC / Cannabinoids
Methadone
Methaqualone
Phencyclidine – PCP
Propoxyphene
Opiates

Question: Instant product choices?

We understand that no two companies are the same; therefore, we offer an array of urine-based drug tests to meet the diversified instant testing needs of our client.  For your instant testing needs we exclusively offer the Reality Check fully integrated immediate response urine drug test.   The Reality Check can test from three to ten drug simultaneously without ever coming into contact with the urine. 

From integrated cups to cards to cassettes, these devices test for methamphetamine, amphetamine, tetrahydrocannabinol, cocaine, opiates, phencyclidine, barbiturates, benzodiazepines, methadone, and ecstasy (MDMA) in many configurations.

Keystone also supplies the DOT approved Q.E.D.® Saliva Alcohol Test as well as the BreathScan Alcohol Detector.

Intect7, an adulterant test strip product, further ensures the laboratory-like accuracy of our instant testing products by detecting the commonly available urine additives donors use to try to beat drug tests.

Question Instant vs. traditional testing?

Instant testing is a two-step process. Step 1 is the drug screen being performed at your location. Step 2 involves a confirmation test, which is done at the laboratory, only if the instant drug screen show a positive (non-negative) result.

Question: Accuracy of product?

Our products are very reliable. Most have passed the rigorous regulations of FDA approval. We will supply detailed performance statistics upon request. It is always best to send any non-negative specimens to be confirmed at a laboratory.

Question: GC/MS confirmation?

Non-negative instant device results are backed by GC/MS laboratory confirmation, the most specific of all confirmatory methods. When the product reveals a non-negative result, best practice is confirmation by an alternative methodology (preferably GC/MS) on the same specimen. GC/MS is an extremely accurate procedure that identifies each chemical compound on the basis of its unique molecular structure.

Question: Why use a chain of custody (COC) form?

This form documents the transfer of the specimen from the time of collection through processing at the laboratory. Its use has proven effective in preventing tampering or specimen switching. The COC is an important legal safeguard, since the specimen transfer process is most challenged aspect of drug testing in court proceedings.

Question: Legally defensible?

Keystone has designed a single four-part chain of custody form to accommodate both traditional testing and instant test results. This form is accepted at several laboratories, including Keystone, to simplify the collection process.

Question: Methods used to drug test?

Urine, saliva, hair, and blood are four of the most commonly used methods to detect drug use. Each method has advantages and disadvantages. Generally speaking, urine is the most reliable established method of detection. Since the kidneys are the primary route by which drugs and their metabolites are excreted from the body, drugs are easily detected in urine.

The technology behind drug detection in saliva is still being developed. However, the collection is less intrusive and does not require bathroom facilities. Hair testing provides a longer window of detection, but is a more costly option that requires a more complicated collection process.