Assess whether hair testing can be used for this employment action (d0ab8c)

Situation

The desk packet is dilute-specimen creatinine and specific-gravity pair after a donor producing a sample in 47 seconds. Medical review officer in a return-to-duty file with incomplete follow-up tests has to name Accept the result or Reject on custody for this Forensic Drug Testing Collection and Custody file.

Decision

Medical review officer in a return-to-duty file with incomplete follow-up tests must choose Accept the result / Reject on custody / Recollect / Hold using dilute-specimen creatinine and specific-gravity pair after a donor producing a sample in 47 seconds.

Hypotheses to test

• A donor producing a sample in 47 seconds is noise around an already-controlled Collection and Custody process in a return-to-duty file with incomplete follow-up tests, given dilute-specimen creatinine and specific-gravity pair.
• A donor producing a sample in 47 seconds is the event in dilute-specimen creatinine and specific-gravity pair that forces Accept the result for medical review officer under Forensic Drug Testing.
• Dilute-specimen creatinine and specific-gravity pair shows a one-file miss after a donor producing a sample in 47 seconds, not a Collection and Custody program failure.
• Dilute-specimen creatinine and specific-gravity pair cannot decide hair testing can be used yet after a donor producing a sample in 47 seconds; hold is the only Forensic Drug Testing close a return-to-duty file with incomplete follow-up tests can defend.

Analysis required

• Confirm the kit ID in dilute-specimen creatinine and specific-gravity pair matches the collection log.
• Check MRO notes and cutoffs against the protocol a return-to-duty file with incomplete follow-up tests claims to run.
• Walk chain of custody, collection site, and validity flags in dilute-specimen creatinine and specific-gravity pair after a donor producing a sample in 47 seconds.
• For this Forensic Drug Testing Collection and Custody file, read dilute-specimen creatinine and specific-gravity pair against a donor producing a sample in 47 seconds and write the one fact that would move hair testing can be used for medical review officer.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Collection and Custody packet (dilute-specimen creatinine and specific-gravity pair after a donor producing a sample in 47 seconds). The follow-on Collection and Custody action is what medical review officer does next: implement the option, assign an owner, and log the missing fact.