This guide is specifically referring to DOT requirements for Shy Bladder. Non-DOT employers may elect to use the same process. The term Shy Bladder refers to a situation in which a donor (your employee or applicant) has an inability to provide the urine specimen required, a volume of 45 ml. The shy bladder process starts after the donor makes the initial attempt to provide the specimen required for the DOT drug test. The donor is required to make an initial attempt to provide the specimen even if they believe they cannot void a specimen at this time.<\/p>\n\n\n\n
In the shy bladder process, the donor is provided water to consume: a maximum of 40 ounces distributed over a 3-hour period. For example, providing 8 ounces of water every 20 minutes. The donor has up to three hours to provide a specimen of adequate volume and can make as many attempts as needed to provide the specimen. No specimens can be combined to make the adequate quantity of 45 ml; this amount must come from on void. The donor cannot leave the facility until an adequate specimen is provided or the three hours expires.<\/p>\n\n\n\n
If the donor leaves the facility prior to providing the 45 ml of specimen for testing or prior to the three-hour time limit without providing an adequate specimen; this is considered a REFUSAL to test. Based on the documentation from the collector, the employer designated employer representative (DER) must make the official determination of the REFUSAL to test.<\/p>\n\n\n\n
Urine specimen collectors are encouraged to use a form to document the shy bladder process, this is called the Shy Bladder Log<\/a>.<\/p>\n\n\n\n