Assess whether an audit finding is a program-wide failure (dfc52c)

Situation

An audit finding is sits with oral-fluid implementation lead because a donor claiming the seal was already broken hit a clinic with shy-bladder protocol gaps. Evidence is chain-of-custody seal-and-annotation defects; write the Forensic Drug Testing Collection and Custody option that extract can carry.

Decision

Oral-fluid implementation lead in a clinic with shy-bladder protocol gaps must choose Accept the result / Reject on custody / Recollect / Hold using chain-of-custody seal-and-annotation defects after a donor claiming the seal was already broken.

Hypotheses to test

• A donor claiming the seal was already broken is noise around an already-controlled Collection and Custody process in a clinic with shy-bladder protocol gaps, given chain-of-custody seal-and-annotation defects.
• A donor claiming the seal was already broken is the event in chain-of-custody seal-and-annotation defects that forces Accept the result for oral-fluid implementation lead under Forensic Drug Testing.
• Chain-of-custody seal-and-annotation defects shows a one-file miss after a donor claiming the seal was already broken, not a Collection and Custody program failure.
• Chain-of-custody seal-and-annotation defects cannot decide an audit finding is yet after a donor claiming the seal was already broken; hold is the only Forensic Drug Testing close a clinic with shy-bladder protocol gaps can defend.

Analysis required

• Check MRO notes and cutoffs against the protocol a clinic with shy-bladder protocol gaps claims to run.
• Walk chain of custody, collection site, and validity flags in chain-of-custody seal-and-annotation defects after a donor claiming the seal was already broken.
• Name the step oral-fluid implementation lead cannot reconstruct from chain-of-custody seal-and-annotation defects.
• For this Forensic Drug Testing Collection and Custody file, read chain-of-custody seal-and-annotation defects against a donor claiming the seal was already broken and write the one fact that would move an audit finding is for oral-fluid implementation lead.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Collection and Custody packet (chain-of-custody seal-and-annotation defects after a donor claiming the seal was already broken). If chain-of-custody seal-and-annotation defects cannot force a Forensic Drug Testing label under Collection and Custody, stop. If chain-of-custody seal-and-annotation defects after a donor claiming the seal was already broken cannot support Accept the result versus Reject on custody on this Forensic Drug Testing Collection and Custody close, oral-fluid implementation lead must do not accept, reject, or recollect beyond what custody and validity support.