victory

Okay long time reader, first time poster. Thanks for all the good reading. I took the a P-NIDA: 5 Drug Panel (5.15) yesterday for pre-employment. The test was collected at a Concentra Lab and sent to Advanced Toxicology Network for review. From what I read here and from there website, I would assume they would do the EMIT test at 50ng/ml and only to the more specific test 15ng/ml to confirm a positive. I have been clean for two months and passed all of my home tests with dark lines. I did not dilute too much, but had drank enough water to have peed alot before I got there. Also gave midstream sample. I am freaked out by the (5.15), do you think the employer has automatically requested a 15ng/ml test?

Thanks for any feedback while I sweat this out.

victory

bumpity bump

Sec

It is probably the same as all the other tests with a 50ng/mL cutoff for the immunoassay and a 15ng/mL for the GC/MS confirmation test.

ATN (Advanced Toxicology Network) and CRL (Clinical Reference Laboratory) always try to do things a little differently than all the other labs. Even their shipping bags are backwards from all the others. Most have you put the vials in the front pouch and the CCF in the back pouch. Not those two. Instead, for the shipping bag, the vials are put in the back and the paperwork is put in the front pouch of the bag. It is just another thing that sets them apart from all the other labs. Not a big deal, just a pain in the ass when a lab does things like this just to be a little different.

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victory

Thank you for taking the time to reply. Obviously still freaked. i want that to be true, but the (5.15) is really throwing me off. I have read your responses on a lot of posts. If you don't mind, could you also comment on under section D. Results Review. There were two options, one said NDOT w/POS Review and NDOT w/All Review. The checked the second one for me. Does that mean an MRO has to review it regardless and the lab tech can't just generate a negative report. Or is there a chance this means that even negative emit tests are sent for the confirm test?


THANK YOU!!!!

Sec

Some employers only have the MRO review positive/adulterated/substituted test results from a lab and do not review negative (normal) test results. The employer pays a higher price for the tests the MRO does review (usually $25 per test review) for this type of arrangement.

Some employers have the MRO review 100% of the tests that they send to a lab: Positive, negative, adulterated, invalid or substituted. This type of arrangement is safer for the employer legally, and is also cheaper per test (usually anywhere from $2 - $5 per test).

It all depends on the percentage of positive tests the employer has from their applicants and/or employees.

Apparently this employer is having the MRO review and give his/her stamp of approval on 100% of the tests. It makes no difference to you. if your test is negative from a lab, and the collection & lab procedures were conducted properly, there is no reason that the MRO would change the results. The MRO will still only contact you for positive, adulterated, invalid or substituted results from a lab. He/she will not contact you for negative or negative dilute results from the lab.

The "NDOT" stands for Non-Department of Transportation regulated test. It just means that the test is not for a safety sensitive job that is regulated by the Federal Government. Again, no big deal.

Really, this is nothing to stress over either. Relax, with two months clean, you should be good to go. All you are doing now is ruining your weekend with the worry.

victory

Thanks again for the feedback. Yeah the weekend is pretty much shot, as far as not stresing. I would feel better but the (5.15) part is freaking me out the most. I just assume it to mean 5 drugs, 15ng/ml for the THC. Will post back to let you all know.

Anyone else who has seen that code, I would love to hear about it.

Thanks!

~Flor~

As Sec3 said, all too much worry, so try to let it go and have a good weekend. If you're passing your home test with nice pink/dark lines, you're good to go for the lab test. The deal is that the 50ng test (at home and at the lab) is testing for 31 different metabolites and that's been explained here to be the same as testing via GC/MS @ 15ng which is looking for 1-2 metabolites. So if you can pass the 50, you can pass the 15 and you sound like you're passing the 50 with flying pinkness.

Sec

If you pass the 50, your urine specimen will never see the 15.

The GC/MS is a CONFIRMATION test to determine THC levels. If the immunoassay cannot detect THC in the initial screening, then there is nothing to confirm, so the specimen is not given a GC/MS test.

victory

I really feel like this is the last couple question, is there an immunoassay that tests at the 15ng/level or are they always 50? And do employers ever just opt for the gc/ms test?


Thanks for the patience with getting specific. I have been obsessed with internet reading and google searches.

Sec

If an employer doesn't want their test subject to a confirmation test, then they use an instant test. An employer would be foolish to only use an instant and not send non-negatives from an instant test to a lab for a confirmation test.

The lab will automatically run an immunoassay screening. If the specimen passes the screening, that is it. The results are either forwarded to the MRO or the employer.

If the specimen screens non-negative at the lab, the lab automatically sends the specimen to a confirmation GC/MS test.

Yes, the screenings are usually always at 50ng/mL.

Now, STOP WORRYING. You are clean as you found out on your home tests. CHILL, drink a beer, go fishing, take a hike, mow the lawn, watch a movie, take a nap, do anything else besides think about this stupid test that I have already told you that you should pass anyway.

I'm not running out of patience, I just don't know how else to tell you that you will be ok.