Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Involuntary jerking of the eyes, occurring
as the eyes gaze to the side
Horizontal Gaze Nystagmus
Review
15-3
A. Review of Horizontal Gaze Nystagmus
Involuntary
jerking of the eyes, occurring as the eyes gaze to the side.
The
subject is generally unaware of the nystagmus.
Nystagmus
is caused by alcohol and/or other drugs and some medical conditions.
Session
15 - Review and Proficiency Examinations
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
15-4
Three specific clues of Horizontal Gaze Nystagmus.
Look
for these clues in each eye:
•
Lack of smooth pursuit
•
Distinct and sustained nystagmus at maximum deviation
•
Onset of nystagmus prior to 45 degrees
Notes:_______________________________________________
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HS
178 R5/13 3 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Lack of smooth pursuit
Clue Number 1
15-5
Clue No. 1: Lack of Smooth Pursuit
Position
stimulus approximately 12 - 15 inches (30 - 38 cm) in front of subject's nose,
slightly
above eye level.
Start
with the left eye.
Move
the stimulus smoothly all the way to the right side (checking subject's left
eye)
then
all the way to the left side (across subject's nose) to the left side (checking
subject's
right eye).
Make
at least two complete passes.
Observe
eyes for signs of nystagmus as they move side to side.
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Distinct and sustained nystagmus
at maximum deviation
Clue Number 2
15-6
Clue No. 2: Distinct and Sustained Nystagmus at Maximum Deviation
Move
the stimulus to the right until the subject's left eye reaches maximum
deviation.
Verify
that no white is showing in the corner of the eye.
Hold
the stimulus steady for a minimum of four seconds, and watch for distinct and
sustained
nystagmus.
Repeat
for right eye.
Check
each eye twice for each clue.
Notes:_______________________________________________
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HS
178 R5/13 4 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Onset of nystagmus prior to 45 degrees.
Clue Number 3
15-7
Clue No. 3: Onset of Nystagmus prior to 45 Degrees
Position
stimulus approximately 12 - 15 inches (30 - 38 cm) in front of subject's nose,
slightly
above eye level.
Begin
to make a slow pass in front of the left eye.
When
you see nystagmus, stop the stimulus.
Hold
the stimulus steady and verify that the nystagmus continues.
Verify
that there is still some white showing in the corner of the eye.
Check
the alignment of the object with the subject's shoulder.
Repeat
for right eye
Check
each eye twice for each clue.
Notes:_______________________________________________
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HS
178 R5/13 5 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Eyeglasses
• Verbal
instructions
• Feet
together, hands at sides
• Head
still
• Look
at stimulus
• Follow
movement with eyes
• Position
stimulus(12-15 inches)(30-38 cm)
• Pupil
size and resting nystagmus
• Equal
tracking
Administrative Procedures
15-8
Nystagmus Administrative Procedures
Step
1: Check for Eyeglasses.
Step
2: Verbal Instructions.
•
Feet together, hands at sides
•
Head still
•
Look at stimulus
•
Follow movement with eyes
Step
3: Positioning the Stimulus.
Step
4: Pupil Size and Resting Nystagmus.
Step
5: Check for Equal Tracking.
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Check
for Lack of Smooth Pursuit
• Check
for distinct and sustained
nystagmus at maximum deviation
• Check
for onset of nystagmus prior to 45
degrees
• Total
the clues
• Check
for Vertical Gaze Nystagmus
Administrative Procedures (Cont.)
15-9
Step
6: Check for Lack of Smooth Pursuit.
Step
7: Check for Distinct and Sustained Nystagmus at Maximum Deviation.
Step
8: Check for Onset of Nystagmus Prior to 45 Degrees.
Step
9: Total the clues.
Step
10: Check for Vertical Gaze Nystagmus.
Check
each eye independently beginning with the subject’s left and compare.
Notes:_______________________________________________
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HS
178 R5/13 6 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
4 or more clues indicates BAC
above 0.08 (88% accurate).
Horizontal Gaze Nystagmus
Test Criterion
15-10
Test Interpretation
Maximum
possible number of clues is 6.
Test
criterion is 4 or more.
Test
is 88% accurate.
Based
on the San Diego validation study.
Participant Led Demonstration
Test Administration
Verbal Instructions
Initial
positioning of stimulus.
Check
for each clue.
Estimate
a 45 degree angle.
Critique
Notes:_______________________________________________
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HS
178 R5/13 7 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Divided Attention
Mental Task and Physical Task
• Instructions
stage
• Walking
stage
Walk and Turn
15-11
B. Review Walk and Turn
Two Stage Test
•
Instructions stage.
•
Walking stage.
Instructions Stage Positioning
Place
your right foot on the line ahead of the left foot, with the heel of your right
foot
against
the toe of the left foot, keeping the arms at the sides.
Maintain
this position until I have completed the instructions. Do not start to walk
until
told
to do so.
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Verbal
instructions:
•
Assume heel toe stance
•
Arms down at sides
•
Don’t start until told
• 9
heel to toe steps turn, 9 heel to toe steps
• Turn
procedures:
•
Turn around on line
•
Several small steps
Administrative Procedures
15-12
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• While
walking:
•
Keep watching feet
•
Arms down at sides
•
Count steps out loud
•
Don’t stop during walk
Administrative Procedures (Cont.)
15-13
Notes:_______________________________________________
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HS
178 R5/13 8 of 15
Walk and Turn Administrative Procedures
Initial
verbal instructions (instructions stage).
Basic
test requirements (nine steps, turn, nine steps).
Specific
turn procedures (front foot on line, series of small steps with other foot).
Final
verbal instructions.
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Cannot
keep balance (feet break away
from the heel to toe stance)
• Starts
too soon (subject starts walking
before told to do so)
• Stops
while walking
• Does
not touch heel to toe
Walk and Turn Test Clues
15-14
There are eight possible clues for the Walk and Turn test:
•
Cannot keep balance
•
Starts too soon
•
Stops while walking
•
Does not touch heel to toe
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Steps
off line
• Uses
arms to balance
• Improper
turn
• Incorrect
number of steps
Walk and Turn Test Clues (Cont.)
15-15
•
Steps off line
•
Uses arms to balance
•
Improper turn
•
Incorrect number of steps
Notes:________________________________________________
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HS
178 R5/13 9 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
2 or more clues indicates BAC
above 0.08 (79% accurate).
Walk and Turn Test Criterion
15-16
Test Interpretation
Eight
specific clues of impairment.
Test
criterion is 2 or more.
Test
is 79% accurate.
Based
on the San Diego validation study.
Participant Led Demonstration
Test Administration
Critique
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Divided Attention Test
Mental Task and Physical Task
• Instructions
stage
• Balance
and counting stage
One Leg Stand
15-17
C. Review of One Leg Stand
Two Stage Test
Instructions
stage.
Balance
and Counting stage.
Notes:_______________________________________________
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HS
178 R5/13 10 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Instructions stage:
• Stand
straight, feet together
• Keep
arms at sides
• Maintain
position until told otherwise
Administrative Procedures
15-18
Stand
with your feet together with your arms down at your sides.
Hold
position until told to begin.
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Balance and counting stage:
• Raise
either leg
• Keep
raised foot approximately six
inches (15 cm) off ground, foot parallel to
the ground
• Keep
both legs straight and arms at your
side
• Keep
eyes on raised foot
• Count
out loud in the following manner:
“One thousand one, one thousand two,
one thousand three and so on”, until told
to stop
Administrative Procedures (Cont.)
15-19
Simple verbal instructions:
When
I tell you to start, raise either leg with the foot approximately six inches
off the
ground,
keeping your raised foot parallel to the ground.
Keep
both legs straight and your arms at your side.
Keep
both legs straight and to look at elevated foot.
Count
out loud in the following manner: “one thousand one, one thousand two, one
thousand
three,” and so on until told to stop.
Simple
physical demonstrations:
Demonstrate
One Leg Stand.
Demonstrate
counting.
Notes:_______________________________________________
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HS
178 R5/13 11 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Sways
while balancing
• Uses
arms to balance
• Hopping
• Puts
foot down
One Leg Stand Test Clues
15-20
Test Interpretation
There
are four specific clues of impairment for the One Leg Stand test
•
Sways while balancing
•
Uses arms to balance
•
Hopping
•
Puts foot down
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Two or more clues indicates BAC above
0.08 (83% accurate)
One Leg Stand Test Criterion
15-21
•
Test criterion is 2 or more.
•
Test is 83% accurate.
•
Based on the San Diego validation study
Participant Led Demonstration
Test Administration
Critique
D. Video Demonstrations (Second Showing) IF TIME PERMITS
Notes:_______________________________________________
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HS
178 R5/13 12 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Demonstrate
the ability to administer
properly the three SFSTs
Proficiency Examination
15-23
E. Proficiency Examination
Procedures
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
• Horizontal
Gaze Nystagmus
• Walk
and Turn
• One
Leg Stand
Administer Tests
15-24
Horizontal Gaze Nystagmus
Demonstrate
ability to give proper verbal instructions.
Demonstrate
ability to carry out the mechanics of testing for each clue.
Demonstrate
ability to estimate a 45 degree angle.
Walk and Turn
Demonstrate
ability to give proper verbal instructions.
Demonstrate
ability to carry out appropriate physical demonstrations to support the
verbal
instructions.
One Leg Stand
Demonstrate
ability to give proper verbal instructions.
Demonstrate
ability to carry out appropriate physical demonstrations to support the
verbal
instructions.
Notes:_______________________________________________
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HS
178 R5/13 13 of 15
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing 15-25
Group Assignments
Group Assignments
Conduct Examinations
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
Re-Examinations
15-26
Re-examinations (as necessary)
Session
15 - Review and Proficiency Examinations
DWI
Detection and Standardized Field Sobriety Testing
QUESTIONS?
Session
15 # 15-27
Notes:_______________________________________________
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HS
178 R5/13 14 of 15 Source: DWI Detection and
Standardized Field
Sobriety Testing
March 2013 Edition
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