Assess whether observed collection is justified and documented (098489)

Situation

After a prescription filled the day after the collection, return-to-duty follow-up testing calendar is what medical review officer can touch in a company transitioning to oral fluid. Forensic Drug Testing will live with Accept the result versus Reject on custody on this Program Design and Audit file.

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 a prescription filled the day after the collection.

Hypotheses to test

• A prescription filled the day after the collection is noise around an already-controlled Program Design and Audit process in a company transitioning to oral fluid, given return-to-duty follow-up testing calendar.
• A prescription filled the day after the collection is the event in return-to-duty follow-up testing calendar that forces Accept the result for medical review officer under Forensic Drug Testing.
• Return-to-duty follow-up testing calendar shows a one-file miss after a prescription filled the day after the collection, not a Program Design and Audit program failure.
• Return-to-duty follow-up testing calendar cannot decide observed collection is justified yet after a prescription filled the day after the collection; hold is the only Forensic Drug Testing close a company transitioning to oral fluid can defend.

Analysis required

• Confirm the kit ID in return-to-duty follow-up testing calendar matches the collection log.
• Check MRO notes and cutoffs against the protocol a company transitioning to oral fluid claims to run.
• Walk chain of custody, collection site, and validity flags in return-to-duty follow-up testing calendar after a prescription filled the day after the collection.
• For this Forensic Drug Testing Program Design and Audit file, read return-to-duty follow-up testing calendar against a prescription filled the day after the collection 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 a prescription filled the day after the collection). 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.