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The most sophisticated drug-testing approach is gas chromatography coupled with mass spectrometry (GC/MS), which is regarded as a gold standard; it is used in confirmatory testing.
External contact with a drug or even the smoke from a drug can throw a false positive. Its worth noting that all the options above have high levels of accuracy. Still, if you want the most accurate option available, a blood test is the way to go.
GCMS has been regarded as a gold standard for forensic substance identification because it is used to perform a 100% specific test, which positively identifies the presence of a particular substance. A nonspecific test merely indicates that any of several in a category of substances is present.
In most clinical laboratories the drug testing progresses in two stages: Initial screening with laboratory based immunoassays or point of care (POC) devices. Confirmation by gas chromatography/mass spectrometry (GC/MS) or liquid chromatography/tandem mass spectrometry (LC/MS/MS )
The most commonly used drug tests require that you give a urine sample. You will be given instructions for how to collect your sample. In certain cases, a health care professional or other person may need to be present while you provide your sample.
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The State Departments Foreign Affairs Manual dictates that all department employees with a secret level or above should be subject to random drug tests because they posses sensitive information and mandates that the State Department have a detailed plan for drug testing.
These agencies have the highest requirements for their employees, and pre-employment drug testing is mandatory for all government employees. The DOT also requires the drug testing process to be completed before the employee begins work.
GC-MS is the gold standard of drug detection.

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