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This session provides an overview of the 12-step Drug Evaluation and Classification (DRE) process, discussing its components, purposes, and systematic approach for evaluating drug influence. Topics covered include appearance, behavior, psychophysical testing, autonomic responses, breath alcohol test, eye examinations, balance tests, divided attention tests, vital signs examination, darkroom examinations, muscle tone examination, injection site examination, suspect's statements, evaluator's opinion, and toxicological examination.
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Session 2 60 Minutes Overview of the Drug Evaluation and Classification Procedures
Learning Objectives • Identify the 12 components of the DRE drug influence evaluation • Discuss the purposes of each component
The Drug Influence Evaluation A Systematic and Standardized Method
The Systematic Process • Appearance • Behavior • Psychophysical Testing
Components of the Process • Autonomic responses of the body • Standardization of evaluation
Step 1 Breath Alcohol Test
Step 2 Interview of the Arresting Officer
Step 3 Preliminary Examination
Step 4 Examination of the Eyes
One Leg Stand: Right Left Draw lines to spots touched Balance Eyes Closed 2 1 L R 4 Sways while balancing. Uses arms to balance. Hopping. Puts foot down. 3 5 6 Internal Clock: ______Estimated as 30 sec. Type of Footwear Cannot keep balance___________ Starts too soon _______________ Stops Walking Misses Heel-Toe Steps Off Line Raises Arms Actual Steps Taken Walk And Turn Test 1st Nine 2nd Nine Describe TurnCannot Do Test (explain) Step 5 Divided Attention Tests
Step 6 Examination of Vital Signs Pulse & Time 1. ________bpm / __________ 2. ________bpm / __________ 3. ________bpm / __________ • Blood Pressure Temp • _____ /_____mmHg ________
Step 7 Darkroom Examinations Oral Cavity
Step 7 Darkroom Examinations (Cont.) Oral Cavity
Step 8 Examination for Muscle Tone MUSCLE TONE: Near Normal Flaccid Rigid Comments:
RIGHT ARM LEFT ARM ATTACH PHOTOS OF FRESH PUNCTURE MARKS Step 9 Examination for Injection Sites
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 Stimulant D/A Inhalant Medical Depressant Hallucinogen Narcotic Analgesic Cannabis Step 10 Suspect’s Statements and Other Observations
Step 11 Opinion of the Evaluator
Step 12 Toxicological Examination
Drug Influence Evaluation Checklist • Breath alcohol test • Interview of arresting officer (Note: gloves must be worn from this point on) • Preliminary examination and first pulse • Eye Examinations • Divided attention tests: • Modified Romberg Balance • Walk and Turn • One Leg Stand • Finger to Nose
Drug Influence Evaluation Checklist (Cont.) • Vital signs and second pulse • Dark room examinations and ingestion examination • Check for muscle tone • Check for injection sites and third pulse • Interrogation, statements and other observations • Opinion of evaluator • Toxicological examination
QUESTIONS? 2-23
