Assess whether observed collection is justified and documented (33614a)

Situation

A return-to-duty file with incomplete follow-up tests cannot treat a donor claiming the seal was already broken as color commentary on prescription that could explain an opioid positive. Return-to-duty coordinator must close observed collection is justified from that extract under Forensic Drug Testing / Program Design and Audit.

Decision

Return-to-duty coordinator in a return-to-duty file with incomplete follow-up tests must choose Accept the result / Reject on custody / Recollect / Hold using prescription that could explain an opioid positive after a donor claiming the seal was already broken.

Hypotheses to test

• Prescription that could explain an opioid positive reads as Accept the result once a donor claiming the seal was already broken is lined up to the same Forensic Drug Testing population.
• Prescription that could explain an opioid positive is closer to Reject on custody after a donor claiming the seal was already broken; Accept the result would over-claim this Program Design and Audit extract.
• Recollect is still live in prescription that could explain an opioid positive for return-to-duty coordinator in a return-to-duty file with incomplete follow-up tests.
• Prescription that could explain an opioid positive is missing the fact return-to-duty coordinator needs after a donor claiming the seal was already broken; stop this Forensic Drug Testing close.

Analysis required

• Confirm the kit ID in prescription that could explain an opioid positive 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 prescription that could explain an opioid positive after a donor claiming the seal was already broken.
• For this Forensic Drug Testing Program Design and Audit file, read prescription that could explain an opioid positive against a donor claiming the seal was already broken and write the one fact that would move observed collection is justified for return-to-duty coordinator.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Program Design and Audit packet (prescription that could explain an opioid positive after a donor claiming the seal was already broken). Lead with the Forensic Drug Testing option prescription that could explain an opioid positive can support after a donor claiming the seal was already broken, then the two facts that force it, then the Monday action for return-to-duty coordinator in a return-to-duty file with incomplete follow-up tests.