State of Tennessee v. Shirley Larhonda Gagne ( 2011 )


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  •         IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE
    AT KNOXVILLE
    February 15, 2011, Session
    STATE OF TENNESSEE v. SHIRLEY LARHONDA GAGNE
    Direct Appeal from the Criminal Court for Campbell County
    No. 13654 E. Shayne Sexton, Judge
    No. E2009-02412-CCA-R3-CD-FILED-MAY 31, 2011
    A Campbell County jury convicted the Defendant, Shirley LaRhonda Gagne, of driving
    under the influence (“DUI”), third offense; driving on a suspended license, second offense;
    possession of drug paraphernalia; violation of the seatbelt law; and violation of the open
    container law. The trial court sentenced the Defendant to eleven months and twenty-nine
    days, with 130 days to be served in confinement and the remainder to be served on probation.
    On appeal, the Defendant contends that: (1) the trial court erred when it admitted into
    evidence testimony pertaining to a blood sample taken from her; and (2) the evidence is
    insufficient to support her conviction for DUI, third offense. After a thorough review of the
    record and applicable law, we affirm the trial court’s judgments.
    Tenn. R. App. P. 3 Appeal as of Right; Judgments of the Criminal Court Affirmed
    R OBERT W. W EDEMEYER, J., delivered the opinion of the court, in which D AVID H. W ELLES
    and T HOMAS T. W OODALL, JJ., joined.
    Michael G. Hatmaker, Jacksboro, Tennessee, for the Appellant, Shirley LaRhonda Gagne.
    Robert E. Cooper, Jr., Attorney General and Reporter; John H. Bledsoe, Assistant Attorney
    General; William Paul Phillips, District Attorney General; and LaTosha Wassom, Assistant
    District Attorney General, for the Appellee, State of Tennessee.
    OPINION
    I. Facts
    This case arises from a two-vehicle accident involving the Defendant. After this
    accident, the investigating officer obtained a toxicology report that revealed the presence of
    intoxicants in the Defendant’s bloodstream. Based on this incident, a Campbell County
    grand jury indicted the Defendant for: DUI, third offense; driving on a suspended license,
    second offense; possession of cocaine; possession of drug paraphernalia; violation of the
    seatbelt law; violation of the open container law; and violation of the registration law. The
    Defendant proceeded to trial, wherein the following evidence was presented:
    Donald Ditty testified that between 6:30 a.m. and 7:00 a.m. on November 12, 2006,
    as he was driving to work on a Campbell County highway, he saw a car come around a curve
    in the highway traveling in his lane. The car struck him head-on. After gathering himself,
    he got out of his car to check on the other driver, whose air bag had deployed. At trial, he
    identified the Defendant as the driver. Ditty described the conversation he had with the
    Defendant as “not good,” recalling that she was angry and repeatedly told him that her child
    had been killed on the same highway. After the Defendant began to yell at Ditty, Ditty
    walked away. Ditty recalled seeing the Defendant get out of her car but testified that she
    immediately said, “Oh, I’ve gotta sit down,” and sat down on the curb. Ditty never saw the
    Defendant stand back up.
    Trooper Rick Woodward, of the Tennessee Highway Patrol, testified that he had been
    a trooper since 1989 and that he had received DUI detection training, for which he received
    updated training yearly. Trooper Woodward was summoned to the scene of the accident in
    this case, and he described the roadway where the accident occurred as two curves leading
    into a “straightaway” portion of the highway. Campbell County Sheriff’s Deputy Darrell
    Mongar was already present when Trooper Woodward arrived. From what the trooper could
    gather at the scene, Ditty was traveling in his proper lane of travel when the Defendant’s car
    struck his car, knocking it partially off the roadway. The Defendant’s car was stopped,
    blocking the southbound lane of traffic.
    When the trooper arrived, the Defendant was speaking with Deputy Mongar on the
    passenger side of her vehicle. The trooper recalled that the Defendant’s erratic behavior
    prompted the trooper to ask her whether she had been drinking: “[H]er behavior, her ability
    to stand, her balance, you know, the bloodshot eyes, the slurred speech, the jumping back and
    forth, one minute hysterical, the next minute crying. The next minute she would be
    indifferent.” The Defendant admitted to the trooper that she had been drinking at a friend’s
    house. When he asked her why her eyes were bloodshot and watery, she responded that she
    had been “partying” at a friend’s house the night before, and she had not slept in a day and
    a half. The Defendant also admitted to the trooper that she had taken “pills” before the wreck
    and, specifically, that she had taken a hydrocodone an hour to an hour and a half before the
    wreck. She also admitted that she was not wearing her seatbelt at the time of the wreck.
    The trooper testified that, due to the Defendant’s slurred speech, bloodshot eyes, and
    2
    general demeanor, he believed the Defendant was under the influence of an intoxicant at the
    time of the collision. He testified that her statements that she had been drinking, had taken
    medications, and had not slept in a day and a half confirmed his suspicion. Trooper
    Woodward testified that, although under normal circumstances he would have required the
    Defendant to perform field sobriety tests, he declined to do so because the Defendant began
    to complain of chest pain and requested to be transported to the hospital. The trooper alerted
    emergency medical personnel, who were already on the scene, to the Defendant’s condition,
    and an ambulance transported the Defendant to the hospital.
    As the Defendant was transported to the hospital, Trooper Woodard stayed behind to
    arrange for the wrecked vehicles, which were blocking traffic, to be towed. Upon
    performing an inventory search of the Defendant’s car, he noticed that the Defendant’s purse
    had fallen into the passenger-side floorboard and that two amber-colored pill bottles had
    apparently rolled out of the purse. The trooper opened the larger pill bottle first and found
    that it held a plastic baggie containing a white, powdery substance. The trooper next opened
    the second pill bottle, which he described as a small “nitro pill bottle . . . about as long as my
    finger.” This bottle also contained white powder. The trooper seized both bottles and began
    to inventory the items within the Defendant’s purse. Inside the Defendant’s purse, he found
    a glass tube with a screen at one end, which he recognized as a “crack pipe.” The trooper
    also observed an open, half-empty can of beer, which was still cold to the touch, lying in the
    floorboard. The trooper seized the beer can as well as the crack pipe.
    Trooper Woodward was soon called away to another incident, and he sent Deputy
    James Skeans to the hospital where the Defendant was being treated. Deputy Skeans later
    provided Trooper Woodward with a “TBI blood kit” taken from the Defendant. The trooper
    turned this, as well as the items seized from the Defendant’s car, over to the TBI on
    November 15, 2006. Two days after the accident, the trooper obtained the Defendant’s
    “certified driver record” from the Tennessee Department of Safety, which indicated that the
    Defendant’s license was suspended. This record was entered into evidence at trial.
    Deputy James Skeans of the Jacksboro Police Department testified that on November
    12, 2006, he was dispatched to St. Mary’s Hospital to inquire whether the Defendant would
    submit to a blood alcohol test. When he arrived, he found the Defendant lying in a hospital
    bed, and he perceived her to be “disoriented”stating, “Her speech was a little bit slurred.
    Kind of seemed like she wasn’t all there, wasn’t really able to focus, answer a lot of
    questions. Just kind of seemed as if she wasn’t quite herself.” The deputy asked the
    Defendant to give a statement about her involvement in the collision, and the Defendant,
    whose I.V. tubes made writing difficult, dictated the following statement to the deputy:
    I was driving down the road, and I was thinking about my husband and my
    3
    husband getting out of prison and him being charged with vehicular homicide.
    And then thinking of my daughter and her being dug out of the ground, and it
    made me feel helpless. I just don’t care anymore. I was driving and just quit
    thinking about driving and started thinking about my daughter, and I just
    drifted away.
    While at the hospital, the deputy requested that the Defendant submit to an alcohol/drug
    screen, and the Defendant acquiesced to this request. The defense objected at this point,
    requesting proof that the Defendant had signed an implied consent form. The deputy
    acknowledged that, although his “standard procedure” under these circumstances is to ask
    a motorist to sign a Tennessee Implied Consent Form, he did not obtain an implied consent
    form from the Defendant and could not recall whether he read aloud the provisions of the
    form to the Defendant. The trial court overruled the defense objection.
    The State introduced a document from St. Mary’s Hospital, and Deputy Skeans
    confirmed that this document was a consent for blood withdrawal form signed by the
    Defendant and dated November 12, 2006. The deputy testified that, after the Defendant
    consented to an alcohol/drug screen, a nurse drew the Defendant’s blood and packaged the
    samples in the TBI blood sample kit box. The deputy then filled out a form that accompanied
    the kit, placed the form within the box, and sealed the box. Deputy Skeans confirmed that
    he later gave this blood kit to Trooper Woodward.
    On cross-examination, Deputy Skeans confirmed that the Defendant was in the
    emergency room when he interviewed her and obtained her blood sample. The deputy
    testified that, although he did not bring an implied consent form to the hospital or read its
    provisions to the Defendant, he informed the Defendant that she had “the right to refuse” and
    that “if she did refuse, that it could result in suspension of the license.”
    Special Agent Stephanie Dotson with the TBI Investigation Crime Lab in Knoxville
    testified that on November 16, 2006, the Knoxville crime lab received the Defendant’s blood
    samples. On December 5, 2006, Agent Dotson was instructed to test the blood-alcohol
    content of the blood samples. She analyzed the samples and issued a report, which was
    introduced into evidence, and she discussed the results of that report at trial. The report
    indicated that the Defendant’s blood sample was “negative” for ethyl alcohol, but Agent
    Dotson explained that ethyl alcohol was present in the blood sample at a level below .01, the
    level which yields a “positive” result. The samples were then passed on to the Nashville
    Crime Lab for drug analysis.
    Special Agent Jeff Crews of the TBI Investigation Crime Lab in Nashville testified
    that he received the Defendant’s blood samples for drugs screen analysis. On February 23,
    4
    2007, the agent analyzed the samples and issued a report, which the State introduced at trial,
    and the agent explained the results at trial. The agent testified that the sample was “positive”
    for cocaine; that diazepam was present at 0.05 micrograms per milliliter; and that the sample
    was “negative” for barbiturates, marijuana, and opiates.
    Agent Crews testified that cocaine is a stimulant that can cause impairment. He
    explained that the body metabolizes or “breaks down” all drugs from their compound form
    into metabolites in order to “get [the drug] out of the body.” He testified that cocaine,
    however, is one of the few drugs that continues to metabolize or “break down” once inside
    a test tube. Because cocaine does not stop breaking down once it leaves the body, it is
    known as an “unstable” drug. He testified that, despite this high-metabolic rate, cocaine was
    still present in its compound form in the Defendant’s blood sample over two months after the
    sample was collected.
    The agent testified that diazepam is the generic name for Valium, a central nervous
    system depressant with sedative, tranquilizing effects. He explained that a “therapeutic
    range” of a substance is the amount of the substance one would expect to find in a person’s
    body who is taking the substance for medicinal reasons. He also explained that, when a
    substance is present at the therapeutic range, one can assume the drug is having its “desired
    effect.” As the therapeutic range for diazepam is 0.02 to 4.9 micrograms per milliliter, the
    Defendant’s 0.05 level of Diazepam was within the therapeutic range. Agent Crews testified
    that both cocaine and diazepam are “impairing” in the sense that each causes an increase in
    reaction time and a decrease in critical thinking.
    Jacob White of the drug identification section of the TBI Crime Laboratory in
    Knoxville testified that on November 16, 2006, he received the pill bottles and crack pipe
    seized from the Defendant’s car. The agent performed a variety of tests upon the items to
    determine whether the items contained controlled substances. His analysis revealed that the
    large pill bottle containing a baggie of white powder did not contain a controlled substance.
    Tests performed upon the white powder residue within the crack pipe were “inconclusive.”
    His examination of the small plastic pill bottle, however, revealed the presence of cocaine.
    On cross-examination, Agent White testified that the small pill bottle contained only
    “residue” of cocaine.
    At the conclusion of evidence, the State retired its charge against the Defendant for
    violation of the registration law, and the remaining charges were submitted to the jury. The
    jury convicted the Defendant of DUI, third offense; second offense driving on a suspended
    license; possession of drug paraphernalia; violation of the open container law; and violation
    of the seat belt law. The jury acquitted her of simple possession of cocaine.
    5
    The trial court later held a sentencing hearing, wherein the parties submitted an agreed
    sentence: eleven months and twenty nine days, with 130 days to be served in confinement
    and the remainder to be served on probation. The trial court approved this sentence,
    suspended the Defendant’s driver’s license for three years, and ordered her to complete
    alcohol and drug treatment.
    The Defendant filed a motion for new trial, arguing that the trial court erred when it
    admitted TBI analysis of the Defendant’s blood sample and that the evidence was insufficient
    to support her convictions. The trial court denied this motion, and the Defendant filed a
    timely notice of appeal.
    II. Analysis
    A. Admission of TBI Analysis of the Defendant’s Blood Sample
    The Defendant first contends that the trial court erred when it admitted the results of
    the toxicology analysis of a blood sample taken from the Defendant while she was being
    treated at a hospital after this accident. She attacks the admission of this evidence on a
    number of bases, which can be consolidated into two basic arguments: first, that the tests
    were admitted in violation of her Fourth Amendment right against unreasonable search and
    seizure; and second, that the tests were admitted in violation of Tennessee Code Annotated
    section 55-10-406 because the investigating officer did not obtain an implied consent form
    from the Defendant before he ordered the collection of her blood sample.
    The Fourth Amendment of the U.S. Constitution sets out the minimum protection
    from unreasonable search and seizure a state must afford a defendant in a criminal
    prosecution. State v. Humphreys, 
    70 S.W.3d 752
    , 760-61 (Tenn. Crim. App. 2001). The
    Tennessee Implied Consent statute, insofar as it provides procedural barriers to the admission
    of biological evidence collected from a defendant, expands this protection. Id. However,
    this expanded protection is not of constitutional proportion. Id. In order to facilitate review
    of this issue, we will address the issue of the admissibility of the toxicology analysis in light
    of the Fourth Amendment separately from the issue of its admissibility in light of the Implied
    Consent statute. First, however, we will address whether the Defendant has waived review
    of this issue.
    The State contends that, by failing to move to suppress the admissibility of the reports
    before trial, the Defendant waived review of this issue. The Defendant in his brief does not
    explain why he did not move to suppress the report before trial.
    The Defendant in this case did not move pre-trial to suppress the toxicology reports.
    6
    She did, however, object contemporaneously to the State’s introduction of the reports at trial
    based upon the Deputy Skeans’s failure to obtain an implied consent form from the
    Defendant. The trial court overruled her objection, finding that the absence of an implied
    consent form did not render the reports inadmissible.
    Tennessee Rule of Criminal Procedure 12(b)(2) provides that a motion to suppress
    “must” be filed prior to trial. Rule 12(f) provides that the failure to filed such a pretrial
    motion constitutes a waiver thereof unless cause is shown for noncompliance with the rule.
    Tenn. R. Crim. P. 12(f).
    We conclude that, in this case, the Defendant has waived the issue of the admissibility
    of the reports by failing to file a pretrial motion to suppress. See Tenn. R. Crim. P. 12(b)(2).
    However, because the Defendant contemporaneously objected to the reports’ admission and
    because we deem the interests of justice to require consideration of the admissibility of the
    reports, we elect to review the issue despite the Defendant’s waiver. See State v. Johnson,
    
    673 S.W.2d 877
    , 883 (Tenn.Crim . App.1984). In reviewing the trial court’s decision to
    admit the reports, “[t]he prevailing party in the trial court is afforded the ‘strongest legitimate
    view of the evidence and all reasonable and legitimate inferences that may be drawn from
    that evidence.’” State v. Carter, 
    16 S.W.3d 762
    , 765 (Tenn. 2000) (quoting State v. Keith,
    
    978 S.W.2d 861
    , 864 (Tenn. 1998)). This Court conducts its own apprisal of the
    constitutional questions presented by reviewing the law and applying it to the specific facts
    of the particular case. State v. Henning, 
    975 S.W.2d 290
    , 297 (Tenn. 1998).
    1. Whether the Fourth Amendment Requires the Exclusion of the Reports
    The Defendant argues the admission of the toxicology reports in this case violated her
    right against unreasonable search and seizure because she was not under arrest when her
    blood sample was taken and did not meaningfully consent to the sample being taken. In its
    brief, the State does not respond to the Defendant’s argument that the Fourth Amendment
    bars admission of the toxicology reports.
    Both the United States and Tennessee Constitutions protect against unreasonable
    searches and seizures. U.S. Const. amend. IV; Tenn. Const. art. I, § 7. The Fourth
    Amendment of the U.S. Constitution proclaims that “the right of the people to be secure . .
    . against unreasonable searches and seizures, shall not be violated, and no warrants shall
    issue, but upon probable cause.” U.S. Const. amend. IV. The Tennessee Constitution
    provides “people shall be secure in their persons, houses, and papers and possessions, from
    unreasonable searches and seizures.” Tenn. Const. art. I, § 7. The sampling of a person’s
    blood for the detection of the presence of intoxicants is a “seizure” within the meaning of the
    Fourth Amendment. Schmerber v. California, 
    384 U.S. 757
    , 770 (1966); State v. Blackwood,
    7
    
    713 S.W.2d 677
    , 679 (Tenn. Crim. App. 1986).
    Generally, to search a person’s property, a warrant is needed, and, if a search is
    conducted without a warrant, “evidence discovered as a result thereof is subject to
    suppression unless the State demonstrates that the search or seizure was conducted pursuant
    to one of the narrowly defined exceptions to the warrant requirement.” State v. Yeargan, 958
    S.W.2d at 629. A trial court accordingly presumes that a warrantless search or seizure is
    unreasonable unless the State demonstrates that one of the exceptions to the warrant
    requirement applies to the search. Id.
    One exception to the warrant requirement includes “exigent circumstances.”
    Schmerber, 384 U.S. at 770. Because evidence of an intoxicating substance in a person’s
    blood diminishes shortly after consumption, a compulsory breath or blood test, taken with
    or without the consent of the donor, falls within this “exigent circumstances” exception.
    Humphreys, 70 S.W.3d at 760-61 (citing Schmerber, 384 U.S. at 770). Thus, under this
    exception, due to the nature of evidence in cases involving intoxicated motorists, the State
    need not procure a motorist’s consent in order to collect a blood sample for the purpose of
    detecting the presence of intoxicants. Id. If probable cause exists to believe that (a) the
    motorist has consumed an intoxicant; and (b) testing of the motorist’s blood will reveal
    evidence of his or her intoxication, law enforcement need not obtain the voluntary consent
    of the motorist before collecting his or her blood sample. Humphreys, 70 S.W.3d at 761
    (citing Schmerber, 384 U.S. at 768-72).
    Another well established exception to the warrant requirement is where a search or
    seizure is conducted pursuant to the subject’s consent. Schneckloth v. Bustamonte, 
    412 U.S. 218
     (1973); Rippy v. State, 
    550 S.W.2d 636
     (Tenn. 1977). “The sufficiency of the consent
    depends largely upon the facts and circumstances presented by each particular case. The
    burden is on the prosecution to prove that the consent was given freely and voluntarily.”
    State v. Blackwood, 
    713 S.W.2d 677
    , 680 (Tenn. Crim. App. 1986).
    In this case, Trooper Woodward ordered the collection of the Defendant’s blood
    without first obtaining a search warrant. He did so, however, after having formed a suspicion
    that the Defendant, who had recently been in operation of a vehicle involved in traffic
    accident, was under the influence of intoxicants. This suspicion was based partially upon the
    defendant’s bloodshot eyes, slurred speach, and disoriented demeanor. The Defendant
    herself confirmed the deputy’s suspicion by admitting that she had been “partying” the night
    before, had consumed alcohol, and had taken “pills,” admitting to having taken Hydrocodone
    as little as an hour and a half before the accident. Also, the deputy knew that the Defendant
    had been traveling in the opposite lane of traffic when she struck Ditty’s car. Based on the
    deputy’s observations and the Defendant’s admission, we conclude that Trooper Woodard’s
    8
    request for the Defendant’s blood sample was based upon “probable cause” to believe the
    Defendant was intoxicated. See Humphreys, 70 S.W.3d at 761. As such, and because the
    Defendant’s blood was collected in order to detect the presence of intoxicants in her
    bloodstream, the collection of her blood sample falls within the “exigent circumstances”
    exception to the bar on warrantless seizures. The Fourth Amendment poses no barrier to the
    admission of the chemical analysis of the sample. See id.; Schmerber, 384 U.S. at 770.
    Moreover, we conclude the evidence proves the Defendant consented to the seizure
    within the meaning of the Fourth Amendment. The Defendant argues her consent was not
    valid because: an ambulance rather than a police cruiser had transported her to the hospital;
    she was disoriented at the time she agreed to give a blood sample; and she did not understand
    she was under suspicion of DUI. She also asserts on appeal that “no field sobriety tests were
    given” at the scene of the accident. The evidence, however, shows that Deputy Skeans asked
    the Defendant for a blood sample and informed her of the repercussions of refusing to submit
    to a blood sample. Nothing in the record suggests either that the officer forcefully extracted
    the Defendant’s blood or that the Defendant lacked the capacity to consent to give blood
    sample. We conclude that “the facts and circumstances” of this case indicate that the
    Defendant consented to the blood sample “freely and voluntarily.” See Blackwood, 713
    S.W.2d at 680. Thus, the collection of the Defendant’s blood sample also fell within the
    “consent” exception to the rule against warrantless seizures. See Rippy, 550 S.W.2d at 636.
    Having determined that the collection of the Defendant’s blood sample fell within two
    separate exceptions to the Fourth Amendment’s bar on warrantless searches and seizures, we
    conclude that the Fourth Amendment did not bar the admission of the toxicology reports
    concerning the sample. We turn to examine whether the Tennessee Implied Consent statute
    afforded the Defendant additional protection from the State’s collection of her blood sample.
    2. Whether Tennessee’s Implied Consent Statute Requires Exclusion of the Reports
    The Defendant contends that Tennessee’s Implied Consent statute requires an officer
    to obtain an implied consent form in order to collect a motorist’s blood sample and that,
    because no such form was collected in this case, the toxicology reports analyzing the
    Defnedant’s blood sample were inadmissible. The Defendant further contends that, even if
    an implied consent form is not strictly necessary, the results of her toxicology reports were
    nonetheless inadmissible because Deputy Skeans failed to adequately explain her right under
    the Implied Consent statute to refuse to give a blood sample.
    The State responds that the Tennessee Code does not require an officer to obtain an
    implied consent form in order to collect a blood sample. The State contends that the statute
    requires only that a motorist have completed an implied consent form in order to be
    9
    prosecuted for violation of the implied consent law. The State argues that, once a motorist
    consents to give a blood sample, the Implied Consent statute has no bearing on the
    admissibility of evidence relating to the blood sample.
    In Tennessee, “[i]n addition to the exigent circumstances established by the nature of
    the evidence in cases involving intoxicated motorists, the statutorily created implied consent
    of the motorist permits the warrantless search of the motorist’s breath or blood.” State v.
    Humphreys, 
    70 S.W.3d 752
    , 761 (Tenn. Crim. App. 2001). Tennessee Code Annotated
    section 55-10-406(a)(1) provides that anyone who drives a vehicle in Tennessee “is deemed
    to have given consent” to a test for alcohol or drug content in the blood, provided that
    “reasonable grounds to believe such a person was driving under the influence of an intoxicant
    or drug” exist. The Tennessee Code thereby supplements the constitutional basis for a
    warrantless drug or alcohol test by deeming a motorist to have “consented” to such a test.
    A motorist need not be under arrest or in physical police custody in order for his or
    her implied consent to arise under the terms of the Implied Consent statute. State v. Kelly
    A. Hancock, No. 01C01-9804-CC-00191, 
    1999 WL 298219
    , *6 (Tenn. Crim. App., at
    Nashville, May 12, 1999). Under the statute, once a law enforcement officer has reasonable
    grounds to believe a motorist is under the influence of an intoxicant, the officer may
    administer a drug or alcohol test without further ascertaining whether the motorist consented
    in a subjective sense to the test. See State v. Michael A. Janosky, No. M1999-02574-CCA-
    R3-CD, 
    2000 WL 1449367
    , at *4 (Tenn. Crim. App. At Nashville, Sept. 29, 2000), no Tenn.
    R. App. P. 11 application filed.
    “In order to avoid potentially violent confrontations between private citizens and law
    enforcement officers,” however, the Implied Consent Statute allows a motorist to “refuse”
    to submit to an alcohol or drug screen, with a resulting loss of his or her driver’s license for
    one year. T.C.A. § 50-10-406(a)(3). In such a case, a defendant may execute an “implied
    consent form,” indicating that he has been informed that his refusal will result in the one-year
    loss of his license. T.C.A. § 55-10-406(a)(2). With proof that the motorist was “advised of
    the consequences of such a refusal,” which usually consists of an implied consent form
    signed by the motorist, the State may prosecute the Defendant for “violation of the implied
    consent law,” which, if successful, results in the loss of the motorist’s license for one year.
    See T.C.A. § 55-10-406(b).
    The Implied Consent statute’s refusal provision does not affect the constitutional and
    statutory bases for performing a warrantless search of a motorist’s blood. Rather, it allows
    law enforcement to avoid a dangerous confrontation with an unruly motorist while also
    penalizing the motorist for refusing to comply with the test. “[T]o carve out a rule of
    exclusion where the [refusal] provisions . . . have not been followed” is not the purpose of
    10
    the Implied Consent statute. Hancock, 
    1999 WL 298219
    , *7. Therefore, a motorist’s
    consent to a drug or alcohol screen is not contingent upon whether he has executed an
    implied consent form; it is present from the moment “reasonable grounds [exist] to believe
    such a person was driving under the influence of an intoxicant or drug.” T.C.A. § 50-10-
    406(a)(1). Only a motorist’s “express refusal” affects the admissibility of a drug or alcohol
    screen performed upon a motorist suspected of driving under the influence; the absence of
    his subjective consent does not affect such a test’s admissibility. See Humphreys, 
    2001 WL 844400
    , at *7; Janosky, 
    2000 WL 1449367
    , at *4.
    In this case, the Defendant chose to operate a vehicle and thereby subjected herself
    to the Implied Consent statute. The Defendant’s driving behavior, her demeanor, and her
    own admissions provided Trooper Woodward with “reasonable grounds” to believe the
    Defendant was “driving under the influence of an intoxicant.” T.C.A. § 55-10-406(a)(1).
    Further, nothing in the record suggests that the Defendant expressly refused to submit to the
    blood collection. Though he did not bring, read, or have the Defendant sign an implied
    consent form, Deputy Skeans informed the Defendant of her right to refuse a blood sample
    and explained the repercussions of refusing to give such a sample. Contrary to the
    Defendant’s arguments on appeal, the Implied Consent statute requires law enforcement
    neither to read aloud the exact language of the implied consent form nor to obtain a signed
    implied consent form in order to collect a motorist’s blood sample. Rather, the statute
    requires only that an officer advise a motorist that refusal to submit to blood testing may
    result in a one-year loss of driver’s license. See, e.g., State v. Kain, 
    24 S.W.3d 816
    , 820
    (Tenn. Crim. App. 2000).
    The Defendant’s contention that her consent was involuntary because she merely was
    responding to the Deputy Skeans’s request is misplaced. As discussed above, a motorist’s
    subjective consent is unnecessary because a motorist has already consented by driving a
    vehicle upon the public roads of Tennessee. See Humphreys, 
    2001 WL 844400
    , at *7;
    Janosky, 
    2000 WL 1449367
    , at *4. Only a motorist’s express refusal bars collection of a
    blood sample under the Implied Consent statute. Id. In this case, nothing in the record
    suggests that the Defendant made any express refusal to submit to the blood sample that
    Deputy Skeans requested. As such, the Implied Consent Statute did not bar collection of the
    Defendant’s blood sample, and the trial court properly admitted the results of the TBI’s
    analysis of her blood sample at her trial. The Defendant is not entitled to relief on this issue.
    B. Sufficiency of the Evidence to Support DUI, Third Offense
    The Defendant contends that, even if the TBI reports were properly admitted, its
    contents were insufficient to support the jury’s finding that the Defendant operated her
    vehicle “under the influence of an intoxicant” within the meaning of Tennessee Code
    11
    Annotated section 55-10-401(a)(1) (2009). She argues that, because the report revealed the
    presence of diazepam at or below therapeutic level and indicated only that cocaine was
    “present,” the report did not contain enough information upon which a jury could conclude
    that the Defendant was “under the influence of an intoxicant.”
    The State responds that, given Agent Crews’s testimony that the combination of
    diazepam and cocaine has an intoxicating effect, the report alone was enough to support the
    Defendant’s conviction. Further, the State argues, Agent Crews testified that, because the
    sample was tested for cocaine two months after being collected, the fact that cocaine was
    present at all speaks to the likely high levels of cocaine that were originally present in the
    blood sample. The State argues that the Defendant’s own admission that she had taken pills
    before driving and witnesses’ testimony that the Defendant appeared intoxicated also support
    the Defendant’s conviction for driving under the influence.
    When an accused challenges the sufficiency of the evidence, this Court’s standard of
    review is whether, after considering the evidence in the light most favorable to the State,
    “any rational trier of fact could have found the essential elements of the crime beyond a
    reasonable doubt.” Jackson v. Virginia, 
    443 U.S. 307
    , 319 (1979); see Tenn. R. App. P.
    13(e), State v. Goodwin, 
    143 S.W.3d 771
    , 775 (Tenn. 2004) (citing State v. Reid, 
    91 S.W.3d 247
    , 276 (Tenn. 2002)). This rule applies to findings of guilt based upon direct evidence,
    circumstantial evidence, or a combination of both direct and circumstantial evidence. State
    v. Pendergrass, 
    13 S.W.3d 389
    , 392-93 (Tenn. Crim. App. 1999). A conviction may be
    based entirely on circumstantial evidence where the facts are “so clearly interwoven and
    connected that the finger of guilt is pointed unerringly at the Defendant and the Defendant
    alone.” State v. Smith, 
    868 S.W.2d 561
    , 569 (Tenn. 1993). The jury decides the weight to
    be given to circumstantial evidence, and “[t]he inferences to be drawn from such evidence,
    and the extent to which the circumstances are consistent with guilt and inconsistent with
    innocence, are questions primarily for the jury.” State v. Rice, 
    184 S.W.3d 646
    , 662 (Tenn.
    2006) (citations omitted). In determining the sufficiency of the evidence, this Court should
    not re-weigh or re-evaluate the evidence. State v. Matthews, 
    805 S.W.2d 776
    , 779 (Tenn.
    Crim. App. 1990). Nor may this Court substitute its inferences for those drawn by the trier
    of fact from the evidence. State v. Buggs, 
    995 S.W.2d 102
    , 105 (Tenn. 1999); Liakas v.
    State, 
    286 S.W.2d 856
    , 859 (Tenn. 1956). “Questions concerning the credibility of the
    witnesses, the weight and value of the evidence, as well as all factual issues raised by the
    evidence are resolved by the trier of fact.” State v. Bland, 
    958 S.W.2d 651
    , 659 (Tenn.
    1997); Liakas, 286 S.W.2d at 859. “A guilty verdict by the jury, approved by the trial judge,
    accredits the testimony of the witnesses for the State and resolves all conflicts in favor of the
    theory of the State.” State v. Cabbage, 
    571 S.W.2d 832
    , 835 (Tenn. 1978); State v. Grace,
    
    493 S.W.2d 474
    , 479 (Tenn. 1973). The Tennessee Supreme Court stated the rationale for
    this rule:
    12
    This well-settled rule rests on a sound foundation. The trial judge and the jury
    see the witnesses face to face, hear their testimony and observe their demeanor
    on the stand. Thus, the trial judge and jury are the primary instrumentality of
    justice to determine the weight and credibility to be given to the testimony of
    witnesses. In the trial forum alone is there human atmosphere and the totality
    of the evidence cannot be reproduced with a written record in this Court.
    Bolin v. State, 
    405 S.W.2d 768
    , 771 (Tenn. 1996) (citing Carroll v. State, 
    370 S.W.2d 523
    (Tenn. 1963)). This Court must afford the State of Tennessee the strongest legitimate view
    of the evidence contained in the record, as well as all reasonable inferences which may be
    drawn from the evidence. Goodwin, 143 S.W.3d at 775 (citing State v. Smith, 
    24 S.W.3d 274
    , 279 (Tenn. 2000)). Because a verdict of guilt against a defendant removes the
    presumption of innocence and raises a presumption of guilt, the convicted criminal defendant
    bears the burden of showing that the evidence was legally insufficient to sustain a guilty
    verdict. State v. Carruthers, 
    35 S.W.3d 516
    , 557-58 (Tenn. 2000).
    The Defendant in this case contests the sufficiency of the evidence to support her
    conviction for DUI, third offense. A person commits the offense of DUI when he or she
    drives an automobile while “[u]nder the influence of any intoxicant, marijuana, narcotic drug,
    or drug producing stimulating effects on the central nervous system . . . .” T.C.A. §
    55-10-401 (2009). The statute imposes strict liability without reference to a culpable mental
    state. See State v. Turner, 
    953 S.W.2d 213
    , 216 (Tenn. Crim. App. 1996).
    First, our review of the record reveals that, contrary to the Defendant’s assertion on
    appeal, the Defendant had a level of diazepam within the therapeutic level. Agent Crews
    testified that diazepam’s therapeutic range is between 0.02 and 0.4 ml/mg, and that the
    Defendant’s blood contained 0.05 ml/mg of diazepam. The Defendant, therefore, had a
    therapeutic level of diazepam, which, according to the agent’s testimony, was sufficient to
    have the “desired effects” of sedation and tranquilization. Thus, the presence in the
    Defendant’s blood of diazepam at the therapeutic level was evidence supporting the jury’s
    finding that the Defendant was operating a vehicle under the influence of an “intoxicant”
    within the meaning of the DUI statute. See T.C.A. § 55-10-401.
    The level of diazepam present in the Defendant’s bloodstream was not the only
    evidence that the Defendant was under the influence of an intoxicant. Agent Crews’s
    analysis of the Defendant’s blood sample also revealed the presence of cocaine compounds.
    This discovery was important in light of the continued metabolic breakdown of cocaine once
    cocaine enters a test tube. The presence of cocaine in the blood sample over two months
    after the sample’s collection also supports the jury’s finding that the Defendant was under
    the influence of an intoxicant.
    13
    Finally, the Defendant’s behavior and admissions corroborate the results of the
    alcohol and drug screens of the Defendant’s blood sample. The Defendant was driving in
    the wrong lane of traffic when she struck Ditty’s car. Both Ditty and Trooper Woodward
    testified that the Defendant displayed erratic behavior, including slurred speech, bloodshot
    eyes, and an unpredictable temperament. Considering these observations, in conjunction
    with her admissions that she spent the previous night “partying,” consuming alcohol, and
    taking “pills,” the evidence was more than sufficient to support the jury’s verdict that the
    Defendant operated her vehicle while under the influence of an intoxicant. Goodwin, 143
    S.W.3d at 775. We conclude the evidence is sufficient to support her conviction for DUI,
    third offense. The Defendant is not entitled to relief on this issue.
    III. Conclusion
    After a thorough review of the record and applicable law, we conclude the trial court
    did not err in admitting into evidence the toxicology reports, and the evidence sufficiently
    supports the Defendant’s conviction for driving under the influence, third offense. As such,
    we affirm the trial court’s judgments.
    ___________________________________
    ROBERT W. WEDEMEYER, JUDGE
    14