Whether an audit finding is a program-wide failure from oral-fluid cutoff

Situation

After a collector who skipped the bluing agent, oral-fluid cutoff and collection-device validation is what collection-site auditor can touch in a clinic with shy-bladder protocol gaps. Forensic Drug Testing will live with Accept the result versus Reject on custody on this Specimen Validity file.

Decision

Collection-site auditor in a clinic with shy-bladder protocol gaps must choose Accept the result / Reject on custody / Recollect / Hold using oral-fluid cutoff and collection-device validation after a collector who skipped the bluing agent.

Hypotheses to test

• Oral-fluid cutoff and collection-device validation reads as Accept the result once a collector who skipped the bluing agent is lined up to the same Forensic Drug Testing population.
• Oral-fluid cutoff and collection-device validation is closer to Reject on custody after a collector who skipped the bluing agent; Accept the result would over-claim this Specimen Validity extract.
• Recollect is still live in oral-fluid cutoff and collection-device validation for collection-site auditor in a clinic with shy-bladder protocol gaps.
• Oral-fluid cutoff and collection-device validation is missing the fact collection-site auditor needs after a collector who skipped the bluing agent; stop this Forensic Drug Testing close.

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 oral-fluid cutoff and collection-device validation after a collector who skipped the bluing agent.
• Name the step collection-site auditor cannot reconstruct from oral-fluid cutoff and collection-device validation.
• For this Forensic Drug Testing Specimen Validity file, read oral-fluid cutoff and collection-device validation against a collector who skipped the bluing agent and write the one fact that would move an audit finding is for collection-site auditor.

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 collector who skipped the bluing agent). The follow-on Specimen Validity action is what collection-site auditor does next: implement the option, assign an owner, and log the missing fact.