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Standardized 12 Step Protocol

The 12-Step Protocol

The core of a Drug Recognition Expert's work is a systematic process designed to be thorough, standardized, and objective. The provides this framework through its 12-step Drug Influence Evaluation (DIE). This isn't a random checklist; it's a logical progression that moves from general observations to specific clinical evidence. Following these steps in order ensures that every evaluation is comprehensive and legally defensible.

The strength of the process lies in its systematic nature. Each step builds upon the last, creating a comprehensive picture of the subject's condition.

Initial Observations

The evaluation begins by ruling out alcohol as the primary cause of impairment and gathering initial context.

Step 1: Breath Alcohol Test First, the subject provides a breath sample to measure their Breath Alcohol Concentration (BrAC). If the BrAC level is high enough to explain the observed impairment, the DRE process might not be necessary. If the BrAC is low or zero, but the impairment is clear, you proceed.

Step 2: Interview of the Arresting Officer Next, you'll interview the arresting officer. You need to know what they saw. What was the subject's driving like? How did they behave during the traffic stop? This information provides crucial context for your own evaluation.

Step 3: Preliminary Examination This is a critical step. You'll ask the subject a series of standard questions about their health and recent food, drug, and alcohol consumption. You're looking for any signs that a medical condition, rather than drugs, could be causing the impairment. This is also where you take the first of three pulse readings to establish a baseline.

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Clinical Indicators

With alcohol ruled out and immediate medical issues considered, the evaluation moves to a series of psychophysical and physiological tests. These steps gather the clinical evidence needed to form an opinion.

StepActionPurpose
4Eye ExaminationCheck for Horizontal Gaze Nystagmus (HGN), Vertical Gaze Nystagmus (VGN), and lack of convergence.
5Divided Attention TestsAdminister standardized field sobriety tests like the Walk-and-Turn and One-Leg Stand to assess cognitive and physical impairment.
6Vital Signs & 2nd PulseMeasure blood pressure, temperature, and take the second pulse reading. This tracks physiological changes.
7Dark Room ExaminationsExamine pupil size under near-total darkness, indirect light, and direct light to assess reactions.
8Muscle ToneCheck for flaccidity or rigidity in the arms, a common indicator for certain drug categories.
9Injection Sites & 3rd PulseLook for evidence of recent drug administration and take the third and final pulse reading.
10Subject's StatementsConduct a final interview with the subject regarding their drug use, now that they are aware of the evidence gathered.

Notice the three pulse checks are taken at different points in the evaluation: at the beginning (Step 3), during the vital signs check (Step 6), and near the end (Step 9). This systematic approach tracks how the subject's heart rate changes over time, which can be a key indicator of the drug category involved. Some drugs cause an initial spike that later subsides, while others lead to a steady increase or decrease.

Forming the Opinion

The final steps involve synthesizing the collected data and seeking scientific confirmation.

Step 11: Opinion of the Evaluator Based on the totality of the evidence from all previous steps, you will form a professional opinion. You will determine whether the subject is impaired and, if so, which drug category (or categories) is the likely cause. You must be able to articulate the specific evidence that led to your conclusion.

Step 12: Toxicological Examination Finally, you'll request a blood, urine, or saliva sample from the subject. A chemical analysis of this sample is used to confirm or refute your opinion. A positive toxicology result that matches your assessment provides powerful corroborating evidence for legal proceedings.

Let's review the core components of the DRE evaluation.

Now, test your knowledge of the sequence and purpose of the 12 steps.

Quiz Questions 1/5

What is the primary purpose of Step 1, the Breath Alcohol Test, in the Drug Influence Evaluation?

Quiz Questions 2/5

Which of the following steps occurs immediately after the arresting officer is interviewed?

This structured, 12-step process is the foundation of every Drug Influence Evaluation. Mastering it ensures every case is handled consistently, professionally, and justifiably.