Transcript Document
IMPORTANT MESSAGE ---------------------------------------- From: Date: AIDAT 20 October 2012 To: Cc: Australian Workplaces Industries, Unions and WHS Regulators Re: DRUG TESTING HARMONISATION ---------------------------------------------------------------------- DISCLAIMER: Although this presentation is made in support of Safe Work Australia Week, it is not authorised by Safe Work Australia and does not represent any official or other views of Safe Work Australia, who may not endorse, adopt, confirm, guarantee or approve of any material or representations in this AIDAT presentation. Drug Testing Today® Roadmap to Uniform Drug Testing Standards By Sylvest Larsen Safety Ambassador Safe Work Australia Week © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. All rights reserved. Drug Testing Laws without Flaws All Testing All Workplaces, All Roadsides All States, All Territories All Australians Same Standards © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Trends State FED Rail Bus Ferry Road 2013* VIC 2004 TAS 2005 SA 2006 NSW 2006 QLD 2007 WA 2007 NT 2008 ACT 2010 ? Urine Oral Air FWA L.Gov. 2008 2012 2012 * The Australasian Railway Association will set up a new single National Rail Safety Regulator in January 2013, which will replace the seven state-based regulators in Australia. NRSR will replace 46 pieces of state, territory and national legislation related to railway safety, bringing national, consistent and uniform (drug testing) regulations. © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Milestones 1988-2008 1988: Ronald Reagan introduces urine based mandatory drug testing in federal workplaces for illicit drugs 1995: Standards Australia introduces AS 4308 urine drug testing for illicit and prescription drugs 2004: Victoria is the first state to introduce random roadside oral fluid drug testing for illicit drugs 2006: Introduction of AS 4760 - the world’s first oral fluid based drug testing standard for illicit drugs 2008: Civil Aviation Safety Authority (CASA) introduces AS 4760 based mandatory testing for illicit drugs © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Milestones 2009-2012 2009: AIRC Full Bench: urine to be replaced with oral fluid when AS 4760 accredited laboratories are available 2009: The first laboratory is NATA accredited to AS 4760 oral fluid (for screening and confirmatory testing) 2010: ACT is last, and Australia first country, to adopt random roadside, AS 4760 based, drug testing 2012: The first oral fluid based on-site/rapid drug test is NATA certified to AS 4760 (screening testing) 2012: FWA Full Bench declares AS 4308 urine testing to be replaced with AS 4760 oral fluid for all testing © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Key Drug Testing Rulings [2009] FWA 424: Random, drug & alcohol testing justified at dangerous refinery - for safety-critical staff only [2009] AIRCFB 428: Urine to be replaced with oral fluid as soon as accredited laboratories becomes available [2010] NSWIRC 1068: On-site, urine testing of truck drivers justified - in the absence of accurate oral fluid tests [2011] FWA 8288: On-site, urine testing of coal miners ruled more effective than current, deficient, oral fluid tests [2012] FWAFB 4998: Urine “unjust and unreasonable” and to be replaced with oral fluid for all testing purposes © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Key Drug Testing Standards Drugs US NIDA AS 4308 1988, Urine 1995, Urine Workplace Workplace AS 4760 2006, Oral Work/Road Amphetamines Benzodiazepines Cannabis Cocaine Opiates Phencyclidine Irrelevant Irrelevant Conformity: All standards test for most common illicit drugs Discrepancy: Only AS 4308 tests for BZO prescription drugs © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® [2012] FWA Full Bench 4998 Drugs US NIDA AS 4308 1988, Urine 1995, Urine Workplace Workplace AS 4760 2006, Oral Work/Road Amphetamines Benzodiazepines Cannabis Cocaine Opiates Phencyclidine Irrelevant Irrelevant Progress: AS 4760 replaces AS 4308 for all testing purposes Regress: Benzodiazepines (BZO) to be included in all testing © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Benzodiazepines (Benzos, BZO) Benzos are a group of 30+ drugs called minor tranquillisers prescribed to help people cope with grief or trauma, to help calm people and relieve anxiety or to help people sleep. ● ● ● ● Anxiety/Stress Depression Insomnia Muscle Relaxation ● ● ● ● Nervousness Sedation Seizures Panic Attacks Benzos are depressants which can cause drowsiness and other impairments. Extended use (against medical advice) can lead to tolerance and dependence, and BZO can also be misused in combination with alcohol and other drugs (AOD). © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Permanent Problem By adding benzodiazepines (BZO) to the testing menu you mix common prescription medicine with illicit drugs (cannabis, cocaine, ecstasy, ice and heroin). “Employees shall not have to disclose any information about prescription medication - unless and until they have returned a confirmed positive drug test” (FWA). With increasing popularity of on-site testing, staff testing “positive” to BZO will be sent home in front of colleagues (often branded as illicit drug users), before the screen test has been confirmed and the usage/prescription validated. © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Pending Problems BZO is not part of current oral fluid standard (AS 4760) The number of BZO drugs to be included is not clarified No (official) cut-off levels have been set for above drugs No (accurate) rapid/on-site testing devices are available No (accredited) on-site testing providers are available It has taken 25 years to develop an accurate on-site test for illicit drugs, and it may well take another five years before on-site screening becomes available for AS 4760 compliant testing incorporating the most important benzodiazepines. © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Status Fair Work Australia Standards Australia Technology & Industry - are not in sync any time soon .. © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Perspective Drug Testing Today® Review ∙ Refine ∙ Resolve © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Regime Endeavour Energy Reason Non-Safety -Sensitive SafetySensitive AS 4308 AS 4760 Urine Oral Pre-employment Periodic Check-up Random/Blanket Suspicion/Incident Counsel/Follow-up Rehab/RTW © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Regime Fair Work Australia Non-Safety -Sensitive SafetySensitive Pre-employment + BZO + BZO Periodic Check-up + BZO + BZO Random/Blanket + BZO + BZO Suspicion/Incident + BZO + BZO Counsel/Follow-up + BZO + BZO Rehab/RTW + BZO + BZO AS 4308 AS 4760 Illicit & BZO Illicit Drugs Reason © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Framework Drug Testing Today® Reason Non-Safety -Sensitive SafetySensitive Setting Pre-employment Clinic Periodic Check-up Clinic Random/Blanket Work Suspicion/Incident Work Counsel/Follow-up Work Rehab/RTW Clinic Unjustified Justified © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Options Drug Testing Today® Reason Non-Safety -Sensitive SafetySensitive Pre-employment Setting Clinic Periodic Check-up ? Clinic Random/Blanket Work Suspicion/Incident Work Counsel/Follow-up ? ? Rehab/RTW Work Clinic AS 4308 AS 4760 Urine Oral © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Code Drug Testing Today® Reason Non-Safety -Sensitive SafetySensitive Setting Pre-employment Clinic Periodic Check-up Clinic Random/Blanket Work Suspicion/Incident Work Counsel/Follow-up Work Rehab/RTW Clinic AS 4308 AS 4760 Illicit & BZO Illicit Drugs © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Demarcation Drug Testing Today® UNIFORM Drug Testing MODEL HEALTH (Medical) SAFETY (Operational) Pre-employment Periodic, Rehab Work, Road, Rail Bus, Ferry, Air Setting Medical Facility Work/Roadside Domain Private Public Participation “Voluntary” Mandatory Notification Announced Unannounced Urine Oral Fluid Illicit & BZO Illicit Days Hours AS 4308 AS 4760 Area Specimen Drug Classes Detection Window Standard © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Harmonisation Drug Testing Today® AS 4308 AS 4760 At last, two standards, relying on different specimens, revealing different pictures, serving different purposes, can be applied in unison - complimenting each other. © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Synchronisation Drug Testing Today® Clarity ∙ Simplicity Consistency ∙ Stability On the road and at work For employers and employees - is one small step away which you can take today .. © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Mission Drug Testing Today® ESTABLISHMENT OF Uniform Standards © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Mission Drug Testing Today® AKA OPERATION “Double Standards” © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. ® Drug Testing Invitation Drug Testing Today® Workplaces, employer associations, trade unions and other organisations with an interest in Uniform Drug Testing Standards please register here Thank You Drug Testing Today® www.drugtesting.org.au © Copyright 2012 AIDAT ® Drug Testing Today ® Australasian Institute of Drug & Alcohol Testing Inc. All rights reserved.