Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Jerking
of the eyes as they look straight
ahead
• Presence
usually indicates a pathological
disorder or high doses of a Dissociative
Anesthetic drug such as PCP
• If
detected, take OFFICER SAFETY
precautions
Resting Nystagmus
8-27
Resting
Nystagmus is referred to as a jerking of the eyes as they look straight ahead.
Its
presence
usually indicates a pathological disorder or high doses of a Dissociative
Anesthetic
drug such as PCP. If detected, take precautions. (OFFICER SAFETY.)
Nystagmus
may also be caused by certain pathological disorders. They include brain
tumors
and other brain damage or some diseases of the inner ear. These pathological
disorders
occur in very few people and in even fewer drivers.
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Brain
tumors and other brain damage
• Some
inner ear diseases
• Rare
in the driving population
Pathological Disorder Nystagmus
8-28
Nystagmus
may also be caused by certain pathological disorders. They include brain
tumors
and other brain damage or some diseases of the inner ear. These pathological
disorders
occur in very few people and in even fewer drivers.
Notes:_______________________________________________
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HS
178 R5/13 17 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Equal
pupil size
• Resting
nystagmus
• Equal
tracking
Medical Impairment
8-29
Medical Impairment
The
examinations that you conduct to assess possible medical impairment include:
•
Equal pupil size
•
Resting nystagmus
•
Equal tracking
Pupil
size will be affected by some medical conditions or injuries. If the two pupils
are
distinctly
different in size, it is possible that the subject:
•
Has a prosthetic eye
•
Is suffering from a head injury
•
Has a neurological disorder
Resting
nystagmus is referred to as jerking as the eyes look straight ahead. This
condition
is not frequently seen. Its presence usually indicates a pathology or high
doses
of a drug such as a Dissociative Anesthetic like PCP.
Resting
nystagmus may also be a medical problem.
Tracking
ability will be affected by certain medical conditions or injuries involving
the
brain.
This
observation is a medical assessment. If the two eyes do not track together, the
possibility
of a serious medical condition or injury is present.
Notes:_______________________________________________
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HS
178 R5/13 18 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
Even though the possibility of alcohol
and/or drug impairment exists, be aware of
medical conditions having symptoms in
common with alcohol influence.
Medical Impairment (Cont.)
8-30
By
passing a stimulus across both eyes, you can check to see if both eyes are
tracking
equally.
If they don't (i.e., if one eye tracks the stimulus, but the other fails to
move, or
lags
behind the stimulus) there is the possibility of a neurological disorder.
If
a person has sight in both eyes, but the eyes fail to track together, there is
a possibility
that
the person is suffering from an injury or illness affecting the brain.
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Check
eyes for:
• Equal
pupil size
• Resting
nystagmus
• Equal
tracking
• If
eyes do not track together, or pupils are
noticeably unequal in size, medical disorders
or injuries may be present
HGN Medical Impairment
Assessment Procedures
8-31
Procedures to Assess Possible Medical Impairment
Prior
to administration of HGN, the eyes are checked for equal pupil size, resting
nystagmus,
and equal tracking (can they follow an object together). If the eyes do not
track
together, or if the pupils are noticeably unequal in size, the chance of
medical
disorders
or injuries causing the nystagmus may be present.
Notes:_______________________________________________
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HS
178 R5/13 19 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Lack
of smooth pursuit
• Distinct
and sustained Nystagmus at
maximum deviation
• Onset
of Nystagmus prior to 45 degrees
HGN Testing: Three Clues
8-32
Procedures of Horizontal Gaze Nystagmus Testing: The Three Clues
The
test you will use at roadside is "Horizontal Gaze Nystagmus" -- an
involuntary
jerking
of the eyes occurring as the eyes gaze to the side. When a person is impaired
by
alcohol or certain drugs, some jerking will be seen if the eyes are moved far
enough
to
the side.
•
The Lack of Smooth Pursuit (Clue Number One) - The eyes can be observed to jerk
or
"bounce"
as they follow a smoothly moving stimulus, such as a pencil or penlight. The
eyes
of an impaired person will not follow smoothly, i.e., a marble rolling across
sand
paper,
or windshield wipers moving across a dry windshield.
•
Distinct and Sustained Nystagmus At Maximum Deviation (Clue Number Two) -
Distinct
and sustained nystagmus is evident when the eye is held at maximum
deviation
for a minimum of four seconds and continues to jerk toward the side.
•
Onset of Nystagmus Prior To 45 Degrees (Clue Number Three) - The point at which
the
eye is first seen jerking. If the jerking begins prior to 45 degrees it is
evident that
the
person has a BAC above 0.08, as shown by recent research.
The
higher the degree of impairment, the sooner the nystagmus will be observable.
Notes:_______________________________________________
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HS
178 R5/13 20 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Check
for eyeglasses
• Verbal
instructions
• Position
stimulus (12-15 inches and slightly above
eye level)
• Check
for equal pupil size and resting nystagmus
• Check
for equal tracking
• Lack
of smooth pursuit
• Distinct
and sustained nystagmus at maximum
deviation
• Onset
of nystagmus prior to 45 degrees
• Total
the clues
• Check
for vertical nystagmus
Administrative Procedures
8-33
Horizontal
and Vertical Gaze Nystagmus can be observed directly and does not require
special
equipment. You will need a contrasting stimulus for the subject to follow with
their
eyes. This can be a penlight or pen. The stimulus used should be held slightly
above
eye level, so that the eyes are wide open when they look directly at it. It
should
be
held approximately 12 - 15 inches in front of the nose. Remain aware of your
position
in
relation to the subject at all times.
•
Check for eyeglasses
•
Verbal instructions
•
Position stimulus (12-15 inches and slightly above eye level)
•
Check for equal pupil size and resting nystagmus
•
Check for equal tracking
•
Lack of smooth pursuit
•
Distinct and sustained nystagmus at maximum deviation
•
Onset of nystagmus prior to 45 degrees
•
Total the clues
•
Check for vertical nystagmus
Notes:_______________________________________________
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HS
178 R5/13 21 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
1. Check for eyeglasses
HGN Procedures
8-34
Administrative Procedures for Horizontal Gaze Nystagmus
It
is important to administer the Horizontal Gaze Nystagmus test systematically
using
the
following steps, to ensure that nothing is overlooked.
There
are 10 steps in the systematic administration of the Horizontal Gaze Nystagmus
test.
Step
1: Check for Eyeglasses.
Begin
by instructing the subject to remove eyeglasses, if worn.
It
does not matter whether the subject can see the stimulus with perfect clarity,
as long
as
subject can see it at all.
Notes:_______________________________________________
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HS
178 R5/13 22 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
1. Check for eyeglasses
2. Verbal instructions
3. Position stimulus
HGN Procedures (Cont.)
8-35
Step
2: Verbal Instructions.
Give
the subject the appropriate verbal instructions:
Point
out that officers’ should note whether subject sways, wobbles, etc. while trying
to
balance.
•
Put feet together, hands at the side
•
Keep head still
•
Look at the stimulus
•
Follow movement of the stimulus with the eyes only
•
Keep looking at the stimulus until told the test is over
Step
3: Position the Stimulus.
Position
the stimulus approximately 12 - 15 inches (30 - 38 cm) in front of subject's
nose,
and slightly above eye level to commence the test.
Resting
Nystagmus may be observed at this time. Officers should note whether the
subject
displays Resting Nystagmus.
Notes:_______________________________________________
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HS
178 R5/13 23 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
4. Pupil size and resting nystagmus
5. Equal tracking
HGN Procedures (Cont.)
8-36
Step
4: Equal Pupil Size and Resting Nystagmus. Check for equal pupil size and
resting
nystagmus.
Step
5: Equal Tracking.
Check
for equal tracking. Move the stimulus rapidly from center to far right, to far
left
and
back to center.
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
6. Check for lack of smooth pursuit
7. Check for distinct and sustained
nystagmus at maximum deviation
8. Check for onset of nystagmus prior to 45
degrees
HGN Procedures (Cont.)
8-37
Step
6: Lack of Smooth Pursuit. Check the left eye for lack of the "Smooth
Pursuit"
clue.
If the eye is observed to jerk while moving, that is one clue.
Check
the right eye for lack of the "Smooth Pursuit" clue and compare.
Step
7: Check the right and left eye for the "distinct and sustained nystagmus
at
maximum
deviation" clue. If the jerkiness is distinct and sustained, that is one
clue.
Step
8: Onset of Nystagmus Prior to 45 Degrees. Check the left eye for the
"onset of
nystagmus
prior to 45 degrees" clue. If the jerking begins prior to 45 degrees, that
is
one
clue.
Check
the right eye for "onset of nystagmus prior to 45 degrees" clue, and
compare.
Notes:_______________________________________________
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HS
178 R5/13 24 of 62
HS
178 R5/13 25 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
9. Total the clues
10. Check for Vertical Gaze Nystagmus
HGN Procedures (Cont.)
8-38
Step
9: Total the clues
Maximum
number of clues possible for each eye: 3
Total
maximum number of clues possible for both eyes: 6.
Step
10: Check for Vertical Nystagmus
It
is possible that all three clues definitely will be found in one eye, while
only two (or
sometimes
only one) will show up in the other eye. It is always necessary to check both
eyes,
and to check them independently. Notwithstanding, it is unlikely that the eyes
of
someone
under the influence of alcohol will behave totally different.
Thus,
if one eye shows all three clues distinctly while the other eye gives no
evidence of
nystagmus,
the person may be suffering from one of the pathological disorders covered
previously.
Notes:_______________________________________________
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HS
178 R5/13 26 of 62
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
Look for three clues of nystagmus in each
eye:
• Lack
of smooth pursuit
• Distinct
and sustained Nystagmus at
maximum deviation
• Onset
of Nystagmus prior to 45 degrees
Test Interpretation
8-39
Test Interpretation
You
should look for three clues of nystagmus in each eye.
Lack
of Smooth Pursuit (The eye cannot follow a moving object smoothly)
Distinct
and Sustained Nystagmus at Maximum Deviation (Nystagmus is distinct and
sustained
when the eye is held at maximum deviation for a minimum of four seconds)
Onset
of Nystagmus Prior to 45 Degrees.
Based
on recent research, if you observe four or more clues it is likely that the
subject's
BAC
is at or above 0.08. Using this criterion you will be able to classify about
88% of
your
subjects accurately. This was determined during laboratory and field testing
and
helps
you weigh the various Standardized Field Sobriety Tests in this battery as you
make
your arrest decision.
Session
8 - Concepts and Principles of the Standardized Field Sobriety Tests (SFST)
DWI
Detection and Standardized Field Sobriety Testing
• Lack
of smooth pursuit
• Distinct
and sustained nystagmus at
maximum deviation
• Onset
of nystagmus prior to 45 degrees
Three Clues of Horizontal Gaze
Nystagmus
8-40
When
we administer the Horizontal Gaze Nystagmus test, we look for three specific
clues
as evidence of alcohol influence.
We
check each eye independently for each clue.
For
standardization, begin with the subject's left eye. Check for the first clue.
Next,
check
right eye for same clue. Repeat this procedure for each clue starting with left
eye,
then right eye. Compare and document the results.
When
we are checking an eye, it is good practice to administer the test by the
numbers
each
time, to make sure that no step is overlooked.
Notes:_______________________________________________
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Notes:_______________________________________________
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HS
178 R5/13 27 of 62 Source: DWI Detection and
Standardized Field
Sobriety Testing
March 2013 Edition
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