Assess whether the result is a refusal, a negative dilute, or a recollect

SITUATION Prescription that could explain an opioid positive arrived with an oral-fluid device the lab has not validated for this cutoff for medical review officer. That is a Forensic Drug Testing Collection and Custody decision on the result is a in a return-to-duty file with incomplete follow-up tests.

DECISION Medical review officer in a return-to-duty file with incomplete follow-up tests must choose The result is a refusal, a negative dilute, / A recollect using prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff.

HYPOTHESES TO TEST 1. Medical review officer can defend The result is a refusal, a negative dilute, from prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff in a Forensic Drug Testing challenge. 2. Medical review officer cannot defend The result is a refusal, a negative dilute, from prescription that could explain an opioid positive; A recollect is what the extract actually supports after an oral-fluid device the lab has not validated for this cutoff. 3. An oral-fluid device the lab has not validated for this cutoff never reached the population in prescription that could explain an opioid positive — reopen intake, do not close the result is a. 4. Two facts in prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff conflict for medical review officer; hold this Collection and Custody file.

ANALYSIS REQUIRED 1. Check MRO notes and cutoffs against the protocol a return-to-duty file with incomplete follow-up tests claims to run. 2. Walk chain of custody, collection site, and validity flags in prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff. 3. Name the step medical review officer cannot reconstruct from prescription that could explain an opioid positive. 4. For this Forensic Drug Testing Collection and Custody file, read prescription that could explain an opioid positive against an oral-fluid device the lab has not validated for this cutoff and write the one fact that would move the result is a for medical review officer.

RECOMMENDATION Choose The result is a refusal, a negative dilute, / A recollect on this Forensic Drug Testing / Collection and Custody packet (prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff). 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 an oral-fluid device the lab has not validated for this cutoff cannot support The result is a refusal, a negative dilute, versus A recollect 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.