Whether the site should be suspended from collections from oral-fluid cutoff

SITUATION An MRO reviewing a prescription-explained positive cannot treat a prescription filled the day after the collection as incidental context on oral-fluid cutoff and collection-device validation. Oral-fluid implementation lead must close the site should be suspended from that extract under Forensic Drug Testing / Specimen Validity.

DECISION Oral-fluid implementation lead in an MRO reviewing a prescription-explained positive must choose Accept the result / Reject on custody / Recollect / Hold using oral-fluid cutoff and collection-device validation after a prescription filled the day after the collection.

HYPOTHESES TO TEST 1. The population in oral-fluid cutoff and collection-device validation is the one a prescription filled the day after the collection named, so Accept the result follows for this Specimen Validity file. 2. The population in oral-fluid cutoff and collection-device validation is adjacent only to a prescription filled the day after the collection; Reject on custody is the honest Forensic Drug Testing call. 3. An MRO reviewing a prescription-explained positive already contained a prescription filled the day after the collection before oral-fluid cutoff and collection-device validation arrived; no new Specimen Validity path. 4. Provenance on oral-fluid cutoff and collection-device validation after a prescription filled the day after the collection is broken; do not pick Accept the result or Reject on custody yet.

ANALYSIS REQUIRED 1. Check MRO notes and cutoffs against the protocol an MRO reviewing a prescription-explained positive claims to run. 2. Walk chain of custody, collection site, and validity flags in oral-fluid cutoff and collection-device validation after a prescription filled the day after the collection. 3. Name the step oral-fluid implementation lead cannot reconstruct from oral-fluid cutoff and collection-device validation. 4. For this Forensic Drug Testing Specimen Validity file, read oral-fluid cutoff and collection-device validation against a prescription filled the day after the collection and write the one fact that would move the site should be suspended for oral-fluid implementation lead.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Specimen Validity packet (oral-fluid cutoff and collection-device validation after a prescription filled the day after the collection). Lead with the Forensic Drug Testing option oral-fluid cutoff and collection-device validation can support after a prescription filled the day after the collection, then the two facts that force it, then the Monday action for oral-fluid implementation lead in an MRO reviewing a prescription-explained positive.