Medical review officer must resolve whether hair testing can be used for this

Situation

The desk packet is dilute-specimen creatinine and specific-gravity pair after a hair result the labor counsel wants to use in a termination. Medical review officer in a DOT-covered motor carrier after a fatal crash has to name Accept the result or Reject on custody for this Forensic Drug Testing Specimen Validity file.

Decision

Medical review officer in a DOT-covered motor carrier after a fatal crash must choose Accept the result / Reject on custody / Recollect / Hold using dilute-specimen creatinine and specific-gravity pair after a hair result the labor counsel wants to use in a termination.

Hypotheses to test

• Authorize Accept the result now; dilute-specimen creatinine and specific-gravity pair already has the discriminator after a hair result the labor counsel wants to use in a termination.
• Keep Reject on custody in force until dilute-specimen creatinine and specific-gravity pair is completed after a hair result the labor counsel wants to use in a termination for medical review officer.
• Treat dilute-specimen creatinine and specific-gravity pair as Recollect because both readings appear after a hair result the labor counsel wants to use in a termination.
• Refuse a Forensic Drug Testing close: medical review officer does not have the page hair testing can be used turns on in dilute-specimen creatinine and specific-gravity pair.

Analysis required

• Check MRO notes and cutoffs against the protocol a DOT-covered motor carrier after a fatal crash claims to run.
• Walk chain of custody, collection site, and validity flags in dilute-specimen creatinine and specific-gravity pair after a hair result the labor counsel wants to use in a termination.
• Name the step medical review officer cannot reconstruct from dilute-specimen creatinine and specific-gravity pair.
• For this Forensic Drug Testing Specimen Validity file, read dilute-specimen creatinine and specific-gravity pair against a hair result the labor counsel wants to use in a termination and write the one fact that would move hair testing can be used for medical review officer.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Specimen Validity packet (dilute-specimen creatinine and specific-gravity pair after a hair result the labor counsel wants to use in a termination). The follow-on Specimen Validity action is what medical review officer does next: implement the option, assign an owner, and log the missing fact.