Assess whether oral-fluid cutoffs are scientifically and legally aligned

SITUATION In a company transitioning to oral fluid, a donor producing a sample in 47 seconds put shy-bladder timed-collection log in play. Medical review officer should decide whether oral-fluid cutoffs are scientifically and legally aligned without filling gaps shy-bladder timed-collection log does not contain.

DECISION Medical review officer in a company transitioning to oral fluid must choose Accept the result / Reject on custody / Recollect / Hold using shy-bladder timed-collection log after a donor producing a sample in 47 seconds.

HYPOTHESES TO TEST 1. Shy-bladder timed-collection log reads as Accept the result once a donor producing a sample in 47 seconds is lined up to the same Forensic Drug Testing population. 2. Shy-bladder timed-collection log is closer to Reject on custody after a donor producing a sample in 47 seconds; Accept the result would over-claim this Program Design and Audit extract. 3. Recollect is still live in shy-bladder timed-collection log for medical review officer in a company transitioning to oral fluid. 4. Shy-bladder timed-collection log is missing the fact medical review officer needs after a donor producing a sample in 47 seconds; stop this Forensic Drug Testing close.

ANALYSIS REQUIRED 1. Check MRO notes and cutoffs against the protocol a company transitioning to oral fluid claims to run. 2. Walk chain of custody, collection site, and validity flags in shy-bladder timed-collection log after a donor producing a sample in 47 seconds. 3. Name the step medical review officer cannot reconstruct from shy-bladder timed-collection log. 4. For this Forensic Drug Testing Program Design and Audit file, read shy-bladder timed-collection log against a donor producing a sample in 47 seconds and write the one fact that would move oral-fluid cutoffs are scientifically for medical review officer.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Program Design and Audit packet (shy-bladder timed-collection log after a donor producing a sample in 47 seconds). 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.

COMMAND RETURNS - Bottom-line Forensic Drug Testing option on oral-fluid cutoffs are scientifically, then the evidence in shy-bladder timed-collection log, then the action for medical review officer - Hypothesis scorecard against shy-bladder timed-collection log: supported / rejected / untestable - Program Design and Audit finding in shy-bladder timed-collection log that a second reviewer can re-perform - Missing page in shy-bladder timed-collection log after a donor producing a sample in 47 seconds, if any