1. DRE 12 Step Process

2. 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

3. 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.

4. The Drug Influence Evaluation 1.Breath alcohol test 2.The interview of the arresting officer 3.Preliminary examination 4.Examinations of the eyes 5.Divided attention tests 6.Examination of vital signs

5. 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

6. 1. Breath Alcohol Test

7. 2. Interview of the Arresting Officer

8. 3. Preliminary Examination

10. 4. Examinations of the Eyes

11. HGN LEFTRIGHT Vertical Gaze Nystagmus? Yes No Lack of Smooth Pursuit Convergence Right Eye Left Eye Max. Deviation Angle of Onset 4. Examinations of the Eyes

14. 5. Divided Attention Tests

15. 5. Divided Attention Tests (Cont.) Right left Draw lines to spots touched 2 4 5 1 3 6 Balance Eyes Closed Internal Clock: ____Estimated as 30 sec. One Leg Stand: Sways while balancing. Uses arms to balance. Hopping. Puts foot down. L R Type of Footwear

17. 6. Examination of Vital Signs

18. Pulse & Time 1. ________bpm / __________ 2. ________bpm / __________ 3. ________bpm / __________ Blood Pressure Body Temp ______ /____mmHg ______

19. 7. Dark Room Examinations

20. Pupil SizeRoom LightDarknessDirectNasal Area Left EyeOral Cavity Right Eye Rebound Dilation: Yes No Reaction to Light

21. 8. Examination of Muscle Tone

22. 8. Muscle Tone Examination MUSCLE TONE: Near Normal Flaccid Rigid Comments:

23. 9. Examination for Injection Sites

24. RIGHT ARM LEFT ARM ATTACH PHOTOS OF FRESH PUNCTURE MARKS

25. 10. Subject's Statements and Other Observations

26. What medicine or drug have you been using? How much?Time of use?Where were the drugs used? (Location) Date/Time of ArrestTime DRE NotifiedEval. Start TimeTime 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 10. Subject's Statements and Other Observations

27. 11. Opinion of Evaluator

28. 12. Toxicological Examination

29. Questions?

30. Mike Pappas 618-218-3736 mike_pappas@isp.state.il.us Scott Wobbe 618-977-7281 Scott_wobbe@isp.state.il.us