MRO Review

  1. Print the report MRO Analysis Form for yesterday’s results, or work from the MRO Analysis PDF. (If you created an order to alert the MRO of the need for review, the MRO Analysis PDF would have been attached to the order for the MRO’s convenience.) Use the report or form to record all the MRO’s activities on each case. Record the information in SYSTOC as described below.
  2. Document the MRO’s attempted or actual interactions with the employee in the MRO Memo (Alt+M).
  3. If the preliminary result was positive, use the Results (Alt+U) button to enter the MRO’s findings for each non-negative metabolite.
  4. If the preliminary result was adulterated, substituted, or invalid, enter the findings directly on the main Drug Test screen in the Final field; do not use the Results button.
  5. If the employee requests a Split specimen test, enter the Split Specimen Request Date and Lab ID in the lower right-hand corner of the main screen. To enter the split result finding for a test that was Positive at the preliminary level, fill in the Results date for the split, then use the Results button. If the preliminary result was Adulterated or Substituted, do not use the Results button. Instead, enter the Final result manually (R - Refusal to Test) and in the Remarks field, type (at the end of the previous comment) the word Reconfirmed to indicate the split findings. The Results field prints on the result reports for the company.
  6. Final results may be any of the following:
    1. Negative
    2. Positive
    3. Refusal to Test – use for Adulteration or Substitution
    4. Canceled – use for tests that were rejected by the laboratory, when the split did not confirm the metabolite, when there is a legitimate medical explanation for the metabolite, etc.
      • If the preliminary result was Invalid (X), the final result will be Canceled (C), however a repeat test may be required depending on circumstances (§40.159); indicate whether direct observation collection is required in Remarks.
      • If preliminary was Rejected for Testing (X), the final result will be Canceled (C); indicate reason in Remarks.