Assess whether the SAP follow-up plan meets return-to-duty rules (a19e51)

SITUATION Medical review officer in a return-to-duty file with incomplete follow-up tests has one working extract — prescription that could explain an opioid positive — after a prescription filled the day after the collection. If prescription that could explain an opioid positive cannot support the SAP follow-up plan, the only defensible Forensic Drug Testing output is hold.

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 prescription that could explain an opioid positive after a prescription filled the day after the collection.

HYPOTHESES TO TEST 1. Authorize Accept the result now; prescription that could explain an opioid positive already has the discriminator after a prescription filled the day after the collection. 2. Keep Reject on custody in force until prescription that could explain an opioid positive is completed after a prescription filled the day after the collection for medical review officer. 3. Treat prescription that could explain an opioid positive as Recollect because both readings appear after a prescription filled the day after the collection. 4. Refuse a Forensic Drug Testing close: medical review officer does not have the decision the SAP follow-up plan turns on in prescription that could explain an opioid positive.

ANALYSIS REQUIRED 1. Name the step medical review officer cannot reconstruct from prescription that could explain an opioid positive. 2. Test whether a broken seal, timing miss, or donor explanation changes the SAP follow-up plan. 3. Confirm the kit ID in prescription that could explain an opioid positive matches the collection log. 4. For this Forensic Drug Testing Collection and Custody file, read prescription that could explain an opioid positive against a prescription filled the day after the collection and write the one fact that would move the SAP follow-up plan for medical review officer.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Collection and Custody packet (prescription that could explain an opioid positive after a prescription filled the day after the collection). If prescription that could explain an opioid positive cannot force a Forensic Drug Testing label under Collection and Custody, stop. If prescription that could explain an opioid positive after a prescription filled the day after the collection cannot support Accept the result versus Reject on custody on this Forensic Drug Testing Collection and Custody close, medical review officer must do not accept, reject, or recollect beyond what custody and validity support.