Abuse, Sexual, Suspected — Toxicology Testing, Drugscan — Clinical Pathway: Emergency Department

Sexual Abuse Clinical Pathway — Emergency Department

Toxicology Testing, Drugscan

  • Consider drug testing if presenting within 96 hrs of assault if:
    • Obvious signs of intoxication
    • Loss of memory for events around assault
    • Adolescent/parental concern for drug-facilitated assault, including those who used alcohol or drugs voluntarily
  • Toxic Ingestion Pathway

Selecting a Toxicology Test

Consider Poison Control Center (PCC) Consult

Current Intoxication or Test Results Will Affect Clinical Decision Making
CHOP Urine Drug
Screen (UDS)
  • Amphetamines
  • Barbiturates
  • Most benzodiazepines
  • Cannabis
  • Cocaine
  • Most opiates
    • Buprenorphine not detected
  • PCP
  • Fentanyl
Save our Specimen (SOS) Allows for add-on testing
CHOP Serum Drug Screen Alcohol, acetaminophen, salicylates
Urine Drugscan Kit,
SART CART
  • Send urine only as clinically indicated
  • Place 20 mL urine in each vial in the kit
  • Complete paperwork/consent forms in the kit if applicable
  • Send Urine Drugscan Kit with Forensic Evidence Collection Kit — give to
    Law Enforcement
HUP Expanded Urine
Test Information

Toxic Ingestion Pathway
  • Consult with PCC
  • HUP Drug Analysis Pain Management Panel (DPAM)
    • Drugs of abuse
  • HUP Comprehensive Expanded Pharmaceuticals
    • Common over-the-counter and prescription drugs
No Intoxication, Results Will Not Alter Clinical Decision Making
Drugscan Kit
  • Send urine only
  • Place 20 mL urine in each vial in the kit
  • Complete paperwork/consent forms in the kit if applicable
  • Send Urine Drugscan Kit with forensic evidence collection kit — given to
    Law Enforcement