MRO Performance Monitoring & QA 3

Question 1

Which document provides the primary federal quality standards that HHS-certified laboratories must follow for workplace drug testing?

Accepted Answer

HHS Mandatory Guidelines for Federal Workplace Drug Testing Programs

Answer

The HHS Mandatory Guidelines for Federal Workplace Drug Testing Programs establish the specific quality standards laboratories must meet.

Question 2

An MRO receives a laboratory report indicating a specimen was positive for amphetamines but the laboratory's quantitative result was just above the confirmation cutoff. The MRO should:

Accepted Answer

Conduct the standard interview and make a final determination based on all evidence

Answer

Even results near the cutoff are handled through the standard MRO interview process; the MRO may not unilaterally reject a valid laboratory-confirmed positive.

Question 3

A key QA indicator for split specimen testing performance is monitoring the rate of:

Accepted Answer

Split specimens confirmed at the retest laboratory vs. those that fail reconfirmation

Answer

Tracking the confirmation vs. non-reconfirmation rate of split specimens helps identify potential laboratory performance or procedural issues.

Question 4

Under DOT 49 CFR Part 40, how long must an MRO retain records of positive, adulterated, substituted, and invalid test results?

Accepted Answer

5 years

Answer

DOT requires MROs to retain records of positive, adulterated, substituted, and invalid results for a minimum of 5 years.

Question 5

When an MRO's QA review identifies a pattern of collector errors at a specific site, the MOST appropriate action is to:

Accepted Answer

Coordinate with the DER to arrange corrective training for the collectors

Answer

Coordinating corrective training through the Designated Employer Representative (DER) is the appropriate channel for addressing collector performance deficiencies.

(MRO) Medical Review Officer Certification Practice Test

(MRO) Medical Review Officer Certification Practice Test

MRO Performance Monitoring & QA 3