Assess whether to report a refusal for shy bladder (878e08)

SITUATION Medical review officer in a return-to-duty file with incomplete follow-up tests has one working extract — collector error log that repeats at one site — after a B bottle that arrived warm and unlabeled. Medical review officer in a return-to-duty file with incomplete follow-up tests has collector error log that repeats at one site after a B bottle that arrived warm and unlabeled. If that extract cannot support to report a refusal, the only defensible Forensic Drug Testing Collection and Custody 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 collector error log that repeats at one site after a B bottle that arrived warm and unlabeled.

HYPOTHESES TO TEST 1. Authorize Accept the result now; collector error log that repeats at one site already has the discriminator after a B bottle that arrived warm and unlabeled. 2. Keep Reject on custody in force until collector error log that repeats at one site is completed after a B bottle that arrived warm and unlabeled for medical review officer. 3. Treat collector error log that repeats at one site as Recollect because both readings appear after a B bottle that arrived warm and unlabeled. 4. Refuse a Forensic Drug Testing close: medical review officer does not have the decision to report a refusal turns on in collector error log that repeats at one site.

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 collector error log that repeats at one site after a B bottle that arrived warm and unlabeled. 3. Name the step medical review officer cannot reconstruct from collector error log that repeats at one site. 4. For this Forensic Drug Testing Collection and Custody file, read collector error log that repeats at one site against a B bottle that arrived warm and unlabeled and write the one fact that would move to report a refusal for medical review officer.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Collection and Custody packet (collector error log that repeats at one site after a B bottle that arrived warm and unlabeled). Lead with the Forensic Drug Testing option collector error log that repeats at one site can support after a B bottle that arrived warm and unlabeled, then the two facts that force it, then the Monday action for medical review officer in a return-to-duty file with incomplete follow-up tests.

COMMAND RETURNS - Bottom-line Forensic Drug Testing option on to report a refusal, then the evidence in collector error log that repeats at one site, then the action for medical review officer - Hypothesis scorecard against collector error log that repeats at one site: supported / rejected / untestable - Regulatory or exam hook Collection and Custody would cite - Collection and Custody finding in collector error log that repeats at one site that a second reviewer can re-perform