DOT Shy Bladder Situations: A few things Collectors and Employers Need to Know
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- Опубліковано 27 лип 2024
- www.NationalDrugScreening.com | 866-843-4545
In this video of the NDS Video Blog series, Joe Reilly discusses DOT Drug and Alcohol Testing Shy Bladder Process.
Shy Bladder
A shy bladder can occur in the urine specimen collection process for drug testing. This is when the donor cannot provide enough urine for the drug test. It is important the collector fully document all the steps in the shy bladder which starts when the donor (employee or applicant) returns from the rest room with not enough urine or no urine.
What is enough urine?
30mL for a single split specimen collection and 45mL for a split specimen collection. The split specimen collection is required for DOT testing.
What’s next when there is a shy bladder?
Inform the donor:
• Donor cannot leave the facility until a specimen is complete or until 3 hours later
• Donor has up to 3 hours to provide a specimen
• Donor is given up to 40 ounces of water to consume over the 3 hours
• After 3 hours the donor if not enough specimen is provided the donor is released
• Designated Employer Representative (DER) is called to be informed of what happened
More Details on the DOT Shy bladder
In a DOT collection, the donor is always required to make an attempt to void a specimen. If thy say
they cannot go right now, they are required to try anyway. Once an unsuccessful attempt is made this starts the shy bladder process.
A Shy Bladder Log is used to document the shy bladder process. When you start the Shy Bladder Log you stay on the log until it is complete. Then you go back to custody and control form.
Instruct the donor to not drink any fluids except the water provided (NO MORE THAN 40 OUNCES).
A clinic employee must monitor the donor during the three-hour period or until an appropriate
specimen is provided, whichever comes first. All fluids provided and collection attempts made after the initial attempt must be documented. Be prepared to stay after-hours if the three-hour interval extends beyond your shift.
Note: A refusal to drink fluids is not a refusal to test. Make a remark and proceed with the collection. Specimens are never combined to get the 45ml needed for a successful collection.
Each insufficient quantity of specimen is discarded unless it appears to be tampered or temperate out of range - these are packaged up with a complete custody and control form for testing at the laboratory. The second collection is performed under direct observation procedures. Both specimens are sent to the lab with one referencing the other.
Also, in the remarks area write “Spec 1 of 2 - (123).” The (123) should be the specimen ID number from the second custody and control form you will be using. The specimen ID number for each collection must be cross referenced on the other custody and control form.
Once the first collection is complete, you will start the second collection under direct observation.
All of the information in Step 1 of the second collection will be the same as in Step 1 of the first collection, just copy it over.
At the three hour mark, if the donor could not provide a specimen, the collector notifies the DER and makes a note in the remarks section of the custody and control form. Attach the Shy Bladder Log to your collector copy so it is available upon request to the MRO or employer.
Review Shy Bladder Procedure:
• Provide instructions to donor and document
• Instruct donor to drink up to 40 oz. of fluid, reasonably distributed - Refusal to drink fluids is
not a refusal to test
• Donor has 3 hours to provide a sufficient specimen
• Donor cannot leave collection site before the collection process is completed - this is a Refusal
to Test • If no specimen is provided, immediately notify the DER, mark “None-Provided” box on CCF & note on “Remarks” line that additional notes are on the Shy Bladder Log. Send the CCF copies
to MRO & Employer. Keep the shy bladder log for your collection site records.
For more info on the drug testing industry, drug and alcohol testing regulations and upcoming changes, and a whole lot more, visit the NDS Blog regularly: www.NationalDrugScreening.com
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Shy bladder is a major disorder for some people, and a Urine test may be impossible to Provide if the donor is feeling pressured.
offer a blood test Or other options seems like a lot of wasted time on both ends for some pee.
Everyone I have come in contact with who has paruresis and has had to undergo a urine drug test has told the testers that they wanted an alternate form of testing since we couldn't urinate on demand. When that was refused ("no pee, no job"), we all actually offered to *pay* for an alternate form of testing, just so we can be tested the same as everyone else, and even this was refused! As far as those who were dirty? Well, they were able, in the privacy of the toilet, to substitute another person's clean urine for their own. I once had a conversation with the head of the drug testing policy for the United States, and when I asked him if those with paruresis were marked as dirty to make up for the people who were dirty but used another's urine, he replied: "Next question".
These videos are the best educational videos for DOT Collection, hands down. I've watched more than 7 others and this is A1.
What happens when the collector doesn’t read the tempt with the 4 mins they’re given??
I have a bladder obstruction so I always have a shy bladder it's really hard for me to go to the bathroom 40 oz of water in 3 hours is usually not enough for me to go to the bathroom
Last time I had a DOT drug test I drank a gallon of water before the test and I brought a gallon jug in with me and I was drinking it I pissed it came out clear as water I got a negative dilute in my company didn't care
What is a negative dilute? Thanks
@@george.s.8491 a negative dilute is urine specimen that has a greater concentration of water than that of a normal urine specimen. Dilution is the process of reducing the concentration of drug or drug metabolites. This can be either purposeful or accidental.
This is my situation. I was scheduled for a drug test (urine). I went to the clinic and was not able to have enough specimen for the minimum sample mark. It has nothing to do with a condition ( I had to pee like 40 minutes before the test, when you have to pee yo have to pee). I drank a water bottle before the test but like I said it wasn’t enough. The lady told me I could test again with in 3 hours to drink plenty of water. So I went across the street to buy a coke/eat and came back. I was never told that I was not allowed to leave. I don’t know how the test was labeled if incomplete or if that is an automatic positive. I’m waiting on my employer to determine the situation. I have not found any information regarding this specific situation on the internet. I will comment on what ended happening if I got disqualified or if I was able to retest. No shy bladder form or none of that on my situation, I do not have any conditions.
Well you can't leave the lab until your test is expired that is for dot drug test or fta 45ml of urine I pissed 7am before going to do my test and couldn't piss until my 6 attempt with 17 minutes left until my test is expired thank god i did it because I would have to see the doctor the next following day for no reason
Can the employee conduct safety sensitive functions after leaving facility having completed the process?? While waiting for the MRO process?? (Random Test)
Yes
some facilities can do cheek swab or hair follicle test if you can’t pee so if it’s happening to you just ask for those other test.
A lot of places aren't that accomadating
Most places don't do that
What happens if the only way you can pee is if you also poop??
Should the donor use a new cup each time?
Yes that is what they do in my company when they call me
Can humans pee on demand?.. No they can not. This is not "shy bladder" or paruresis.
You are not eligible for a Drug program until you test positive for Alcohol or Drugs..
So what happens if you just flat out refuse to test on a random?? I know you’ll lose your job! But since you don’t have a negative test, what’s next
Well, I tried what I read the other day and it felt like the biggest relief of my life when I suddenly realized I was effortlessly flowing, it all started when something struck me after I go'ogled Beck Reznark's guide and now it's on demand for me lol