Forensic Toxicology Kits

 

For Hospitals and Sexual Assault Nurse Examiners (SANE): Sexual Assault Sample Collection Kit Ordering

 

The Wisconsin State Laboratory of Hygiene does NOT provide collection kits nor testing for sexual assault cases. To order sexual assault sample collection kits, please contact Dan Campbell with the Wisconsin Crime Laboratory at 608-266-2031 . Thank you.

 

The Toxicology section provides the following kits free of charge. To order any of these kits, call 608-224-6257. You can also call our toll free number, 800-442-4618, select kits from the list of options and then select alcohol and blood lead kits. Information you need to provide when you call includes your name and phone number, the agency name, agency account number, and the number and kind of kits you need.

Forensic Toxicology Coroner Kit Order Form

Forensic Toxicology Impaired Driving Kit Order Form

Kit #33 Coroner Blood Toxicology

Kit #34 Coroner Blood & Urine Toxicology

Kit #46 Legal Blood Alcohol

Kit #47 Legal Urine Alcohol


Kit # 33 Coroner Blood Toxicology

 

Each specimen should be labeled with the patient’s name and accompanied by either Form MV 1238 (Coroner’s Report of Motor Vehicle Death), or Form C-92 IC (Toxicology Request Form). These forms must be requested separately.

Kit Contents:

  • Cardboard mailer, pre-addressed
  • 30 mL screw-cap blood vial, labeled Sodium Fluoride
  • Kit shipping seal
  • Absorbent material
  • Foam specimen holder
  • Biohazard bag
  • FDA insert

Printable Form MV 1238 – Coroner’s Report of Motor Vehicle Death


Kit # 34 Coroner Blood & Urine Toxicology

 

Each specimen should be labeled with the patient’s name and accompanied by either Form MV 1238 (Coroner’s Report of Motor Vehicle Death), or Form C-92 IC (Toxicology Request Form). These forms must be requested separately.

Kit Contents:

  • Cardboard mailer, pre-addressed
  • 30 mL screw-cap blood vial, labeled Sodium Fluoride
  • 60 mL screw-cap urine bottle
  • Specimen containers, labels and seals
  • Kit shipping seal
  • Absorbent material
  • Foam specimen holder
  • Biohazard bag
  • FDA insert

Kit # 46 – Legal Blood Alcohol and Drugs

 

These kits are for law enforcement agencies or hospital collections under Wis. 343.305.

Kit Contents:

  • Styrofoam mailer
  • Collated packet containing:
  • Blood alcohol return label (red)
  • Blood alcohol direction sheet
  • Blood/urine alcohol analysis sheet
  • Tube labels and seals
  • Absorbent material
  • Shipping bag
  • Towelette
  • 2 Vacutainers (gray top)

Directions for drawing blood for implied consent purposes–Wis. 343.305

This kit is prepared for use by law enforcement agencies or hospitals collecting specimens under Wisconsin Statute 343.305. The kit may also be used for other situations where testing for alcohol and/or other drugs is necessary. Specimens collected with this kit may not be suitable for other analysis.

Specimen Collector Instructions
  1. Prepare the venipuncture site using the antiseptic skin prep provided in the kit (benzalkonium chloride in water). If the kit prep is unavailable, you may substitute another non-ethanol antiseptic, such as povidone-iodine.
  2. Collect the specimen according to your institution’s protocol. Use a disposable, sterile needle and holder of your choice. Use the blood collection vials provided in this kit.
  3. After completing the specimen collection, place the seal strips provided in the kit over the rubber stopper.
  4. Write the subject’s name on the label and wrap this label around the tube, covering the ends of the seal strip.
  5. Complete items in section “D” (Specimen Collection) and sign the form.
  6. Discard all disposable collection materials (skin prep, needle, etc.). Do not pack these materials with the specimens or send them to the testing laboratory.
Officer Instructions
  1. Complete sections “A” through “E” of the submission form. Verify that the information provided by the specimen collector in section “D” is accurate. Note that blood may be withdrawn by any person qualified to perform phlebotomy (phlebotomist, nurse, medical technologist, etc.).
  2. If medical intervention has occurred, document the use of anesthetic gases and/or drugs that have been administered on the specimen submission form.
  3. Place the blood tube(s) along with the absorbent material into the main compartment of the plastic shipping bad and seal the bag.
    Place the completed form in the exterior pocket of the shipping bag.
  4. Place the packaged blood tube(s) and form into the polystyrene mailing container and securely close it with packing tape or similar material.
  5. To mail to WSLH, use the mailing label provided otherwise address the container to the laboratory of your choice.
  6. Affix proper postage to the container and place in mail.

Do Not Store In Extremely Hot or Cold Temperatures.
Extended storage in these conditions may render the blood specimen unusable.

 


Kit # 47 – Legal Urine Alcohol

 

These kits are for law enforcement agencies or hospital collections under Wis. 343.305.

If submitting a specimen for clinical metals testing, please call 608-224-6257.

Kit Contents:

  • Styrofoam container (MRM)
  • 250 mL plastic bottle
  • Collated packet containing:
    • Blood/urine alcohol analysis sheet
    • Return label with large red seal
    • Instruction sheet
    • Specimen container label and seal
  • Desiccant package (absorbent) – Drimop
  • Shipping bag

 

General instructions:

Note: The Wisconsin State Laboratory of Hygiene requires blood specimens for drug analysis performed under Wis. 343.305(6).

The specimen may be collected directly into the container provided in this kit. The arresting officer or his/her designee is responsible for supervising the collection, ensuring that the specimen container is tightly capped, affixing labels and seal strips, completing the form, and mailing or delivering the specimen to the laboratory.

 

Urine collection:

A valid specimen under Wis. 343.305(6). will be obtained if the following instructions are followed:

  1. Have the subject void (empty bladder) as soon as possible. DO NOT COLLECT THIS SPECIMEN.
  2. Approximately a half hour later (time not critical), collect a second specimen directly into the container provided in the kit. The subject does not need to fill the container completely. One ounce (30 mL), or about a half inch of specimen measured from the bottom of the container, is sufficient.
  3. Observe the subject during collection to ensure that the specimen is not adulterated or diluted.
  4. Take the specimen container from the subject, screw the cap on tightly and affix the label and seal as directed below.
Specimen identification, official seal, shipment:
  1. Seal urine container by centering the seal strip over the cap and affixing it to the sides of the container.
  2. Write the subject’s name on the label and affix it so that it encircles the container and overlaps both ends of the seal strip. Do not affix the label to the cap.
  3. Complete and sign all applicable sections of the request/report form included in this kit.
  4. Place the specimen container in the plastic biohazard bag along with the absorbent material and seal the bag. Insert the request/report form in the pouch on the OUTSIDE of the biohazard bag.
  5. Place the biohazard bag into half of the polystyrene mailing container and place the other half on top of it. Seal the mailing container; two bands of tape across the seams of the box at its ends are sufficient.
  6. Mail or deliver the specimen to an approved laboratory for analysis.
  7. If the specimen is to be mailed to the Wisconsin State Laboratory of Hygiene, use the pre-addressed mailing label included in the kit. For other laboratories, indicate the correct address. Affix proper postage and mail.