Assess whether the SAP follow-up plan meets return-to-duty rules (604562)

SITUATION The working file is prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff. Medical review officer in a company transitioning to oral fluid has to name Accept the result or Reject on custody for this Forensic Drug Testing Program Design and Audit file.

DECISION Medical review officer in a company transitioning to oral fluid must choose Accept the result / Reject on custody / Recollect / Hold 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. Prescription that could explain an opioid positive reads as Accept the result once an oral-fluid device the lab has not validated for this cutoff is lined up to the same Forensic Drug Testing population. 2. Prescription that could explain an opioid positive is closer to Reject on custody after an oral-fluid device the lab has not validated for this cutoff; Accept the result would over-claim this Program Design and Audit extract. 3. Recollect is still live in prescription that could explain an opioid positive for medical review officer in a company transitioning to oral fluid. 4. Prescription that could explain an opioid positive is missing the fact medical review officer needs after an oral-fluid device the lab has not validated for this cutoff; stop this Forensic Drug Testing close.

ANALYSIS REQUIRED 1. Name the step medical review officer cannot reconstruct from prescription that could explain an opioid positive. 2. Test whether a broken seal, timing miss, or donor explanation changes the SAP follow-up plan. 3. Confirm the kit ID in prescription that could explain an opioid positive matches the collection log. 4. For this Forensic Drug Testing Program Design and Audit 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 SAP follow-up plan for medical review officer.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Program Design and Audit packet (prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff). Lead with the Forensic Drug Testing option prescription that could explain an opioid positive can support after an oral-fluid device the lab has not validated for this cutoff, then the two facts that force it, then the Monday action for medical review officer in a company transitioning to oral fluid.

COMMAND RETURNS - Bottom-line Forensic Drug Testing option on the SAP follow-up plan, then the evidence in prescription that could explain an opioid positive, then the action for medical review officer - Hypothesis scorecard against prescription that could explain an opioid positive: supported / rejected / untestable - Named option among Accept the result, Reject on custody, Recollect and the fact that kills the others - Owner and next date for medical review officer in a company transitioning to oral fluid