Assess whether a prescription legitimately explains the positive (c50516)

Situation

Dilute-specimen creatinine and specific-gravity pair arrived with an oral-fluid device the lab has not validated for this cutoff for custody-and-control specialist. That is a Forensic Drug Testing Collection and Custody decision on a prescription legitimately explains in an MRO reviewing a prescription-explained positive.

Decision

Custody-and-control specialist in an MRO reviewing a prescription-explained positive must choose Accept the result / Reject on custody / Recollect / Hold using dilute-specimen creatinine and specific-gravity pair after an oral-fluid device the lab has not validated for this cutoff.

Hypotheses to test

• An oral-fluid device the lab has not validated for this cutoff is noise around an already-controlled Collection and Custody process in an MRO reviewing a prescription-explained positive, given dilute-specimen creatinine and specific-gravity pair.
• An oral-fluid device the lab has not validated for this cutoff is the event in dilute-specimen creatinine and specific-gravity pair that forces Accept the result for custody-and-control specialist under Forensic Drug Testing.
• Dilute-specimen creatinine and specific-gravity pair shows a one-file miss after an oral-fluid device the lab has not validated for this cutoff, not a Collection and Custody program failure.
• Dilute-specimen creatinine and specific-gravity pair cannot decide a prescription legitimately explains yet after an oral-fluid device the lab has not validated for this cutoff; hold is the only Forensic Drug Testing close an MRO reviewing a prescription-explained positive can defend.

Analysis required

• Test whether a broken seal, timing miss, or donor explanation changes a prescription legitimately explains.
• Confirm the kit ID in dilute-specimen creatinine and specific-gravity pair matches the collection log.
• Check MRO notes and cutoffs against the protocol an MRO reviewing a prescription-explained positive claims to run.
• For this Forensic Drug Testing Collection and Custody file, read dilute-specimen creatinine and specific-gravity pair against an oral-fluid device the lab has not validated for this cutoff and write the one fact that would move a prescription legitimately explains for custody-and-control specialist.

Recommendation