Transcript DRE 12 Step Process

DRE 12 Step Process
The Drug Influence Evaluation
Systematic and Standardized Process
The DEC procedure is a systematic and standardized method
of examining a subject to determine:
• Whether the subject is impaired, and if so
• Whether the impairment is caused by drugs or a medical
condition
• And if drugs, the category (or categories) of drugs that is/are
the likely cause of the subject’s impairment
The Drug Influence Evaluation
Systematic and Standardized Process
There may be times when the DRE may be unable to complete
each step of the evaluation, i.e., injuries, uncooperative
subject, equipment failure, etc.
The Drug Influence Evaluation
1.
2.
3.
4.
5.
6.
Breath alcohol test
The interview of the arresting officer
Preliminary examination
Examinations of the eyes
Divided attention tests
Examination of vital signs
The Drug Influence Evaluation
7. Dark room examinations
8. Examination of muscle tone
9. Examination for injection sites
10. Subject's statements and other observations
11. Opinion of Evaluator
12. Toxicological examination
1. Breath Alcohol Test
2. Interview of the Arresting Officer
3. Preliminary Examination
3. Preliminary Examination
4. Examinations of the Eyes
4. Examinations of the Eyes
HGN
LEFT
RIGHT
Vertical Gaze Nystagmus?
Yes
No
Convergence
Lack of Smooth Pursuit
Max. Deviation
Angle of Onset
Right Eye
Left Eye
5. Divided Attention Tests
5. Divided Attention Tests (Cont.)
Balance Eyes Closed
Internal Clock:
____Estimated as 30 sec.
One Leg Stand:
Right
left
Draw lines to spots touched
L
R
Sways while balancing.
Uses arms to balance.
Hopping.
Puts foot down.
Type of Footwear
2
1
4
3
5
6
6. Examination of Vital Signs
6. Examination of Vital Signs
Pulse & Time
1. ________bpm / __________
2. ________bpm / __________
3. ________bpm / __________
Blood Pressure
Body Temp
______ /____mmHg
______
7. Dark Room Examinations
7. Dark Room Examinations
Pupil Size
Room Light
Darkness
Direct
Left Eye
Nasal Area
Oral Cavity
Right Eye
Rebound Dilation:
Reaction to Light
Yes
No
8. Examination of Muscle Tone
8. Muscle Tone Examination
MUSCLE TONE:
Near Normal
Comments:
Flaccid
Rigid
9. Examination for Injection Sites
9. Examination for Injection Sites
RIGHT ARM
LEFT ARM
ATTACH PHOTOS OF FRESH PUNCTURE MARKS
10. Subject's Statements
and Other Observations
10. Subject's Statements
and Other Observations
What medicine or drug
have you been using?
How much?
Time of use?
Where were the drugs
used? (Location)
Date/Time of Arrest
Time DRE Notified
Eval. Start Time
Time Completed
Member Signature
(Include Rank)
ID No.
Reviewed By
Opinion of Evaluator:
Rule Out
Alcohol
Medical
CNS Stimulant
CNS Depressant
Hallucinogen
Dissociative Anesthetic
Narcotic Analgesic
Inhalant
Cannabis
Narcotic Analgesic
11. Opinion of Evaluator
12. Toxicological Examination
Questions?
Mike Pappas
618-218-3736
[email protected]
Scott Wobbe
618-977-7281
[email protected]