Assess whether a split request was handled inside required time (3d4cf9)

Situation

Medical review officer owns a split request was inside a return-to-duty file with incomplete follow-up tests with dilute-specimen creatinine and specific-gravity pair as the only packet. A grievance on observed collection without a documented reason is what changed the clock 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 grievance on observed collection without a documented reason.

Hypotheses to test

• A grievance on observed collection without a documented reason 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 grievance on observed collection without a documented reason 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 grievance on observed collection without a documented reason, not a Collection and Custody program failure.
• Dilute-specimen creatinine and specific-gravity pair cannot decide a split request was yet after a grievance on observed collection without a documented reason; hold is the only Forensic Drug Testing close a return-to-duty file with incomplete follow-up tests can defend.

Analysis required

• 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 grievance on observed collection without a documented reason.
• Name the step medical review officer cannot reconstruct from dilute-specimen creatinine and specific-gravity pair.
• For this Forensic Drug Testing Collection and Custody file, read dilute-specimen creatinine and specific-gravity pair against a grievance on observed collection without a documented reason and write the one fact that would move a split request was for medical review officer.

Recommendation