Assess whether observed collection is justified and documented (ccdd99)

SITUATION An HHS inspection in 10 days put return-to-duty follow-up testing calendar in front of medical review officer in a company transitioning to oral fluid. This Forensic Drug Testing / Program Design and Audit close is observed collection is justified from return-to-duty follow-up testing calendar, and the live options are Accept the result, Reject on custody, Recollect.

DECISION Medical review officer in a company transitioning to oral fluid must choose Accept the result / Reject on custody / Recollect / Hold using return-to-duty follow-up testing calendar after an HHS inspection in 10 days.

HYPOTHESES TO TEST 1. Authorize Accept the result now; return-to-duty follow-up testing calendar already has the discriminator after an HHS inspection in 10 days. 2. Keep Reject on custody in force until return-to-duty follow-up testing calendar is completed after an HHS inspection in 10 days for medical review officer. 3. Treat return-to-duty follow-up testing calendar as Recollect because both readings appear after an HHS inspection in 10 days. 4. Refuse a Forensic Drug Testing close: medical review officer does not have the decision observed collection is justified turns on in return-to-duty follow-up testing calendar.

ANALYSIS REQUIRED 1. Check MRO notes and cutoffs against the protocol a company transitioning to oral fluid claims to run. 2. Walk chain of custody, collection site, and validity flags in return-to-duty follow-up testing calendar after an HHS inspection in 10 days. 3. Name the step medical review officer cannot reconstruct from return-to-duty follow-up testing calendar. 4. For this Forensic Drug Testing Program Design and Audit file, read return-to-duty follow-up testing calendar against an HHS inspection in 10 days and write the one fact that would move observed collection is justified for medical review officer.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Program Design and Audit packet (return-to-duty follow-up testing calendar after an HHS inspection in 10 days). The follow-on Program Design and Audit action is what medical review officer does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Forensic Drug Testing option on observed collection is justified, then the evidence in return-to-duty follow-up testing calendar, then the action for medical review officer - Hypothesis scorecard against return-to-duty follow-up testing calendar: supported / rejected / untestable - Owner and next date for medical review officer in a company transitioning to oral fluid - What changes observed collection is justified if an HHS inspection in 10 days is later withdrawn