Assess whether to report a refusal for shy bladder from prescription that

SITUATION Specimen Validity work in a return-to-duty file with incomplete follow-up tests now turns on to report a refusal because an oral-fluid device the lab has not validated for this cutoff put prescription that could explain an opioid positive in play. SAP program manager should say what prescription that could explain an opioid positive proves.

DECISION SAP program manager in a return-to-duty file with incomplete follow-up tests 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 Specimen Validity extract. 3. Recollect is still live in prescription that could explain an opioid positive for SAP program manager in a return-to-duty file with incomplete follow-up tests. 4. Prescription that could explain an opioid positive is missing the fact SAP program manager needs after an oral-fluid device the lab has not validated for this cutoff; stop this Forensic Drug Testing close.

ANALYSIS REQUIRED 1. Check MRO notes and cutoffs against the protocol a return-to-duty file with incomplete follow-up tests claims to run. 2. Walk chain of custody, collection site, and validity flags in prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff. 3. Name the step SAP program manager cannot reconstruct from prescription that could explain an opioid positive. 4. For this Forensic Drug Testing Specimen Validity 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 to report a refusal for SAP program manager.

RECOMMENDATION Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Specimen Validity packet (prescription that could explain an opioid positive after an oral-fluid device the lab has not validated for this cutoff). The follow-on Specimen Validity action is what SAP program manager does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Forensic Drug Testing option on to report a refusal, then the evidence in prescription that could explain an opioid positive, then the action for SAP program manager - Hypothesis scorecard against prescription that could explain an opioid positive: supported / rejected / untestable - What changes to report a refusal if an oral-fluid device the lab has not validated for this cutoff is later withdrawn - Named option among Accept the result, Reject on custody, Recollect and the fact that kills the others