A shy bladder refers to a person who is unable to provide a specimen either upon
demand or when someone is nearby during the attempted urination (AFI44-107, 1.17.).
Civilian
· The collection process will start regardless if an employee notifies the DTPAM / DRPM that they have a “Shy Bladder”.
· The employee is required to try to give a specimen. The member demonstrates that they have attempted to give an specimen when they came out of the bathroom with an empty bottle.
o The employee is directed to drink water during a three hour period.
o The DTPAM / DRPM makes a record of each attempt.
· After three hours, if employee still cannot provide an adequate specimen, testing is discontinued.
o Notify civilian personnel that there is a potential “Shy Bladder” situation.
o Complete the CCF form and annotate “Shy Bladder” on the “Remark” section.
Military
· The collection process will start regardless if a member has asserted they have a “Shy Bladder.” Failure to provide a specimen is considered refusing to take a test by the member. The procedures to follow when a member is unable to provide a sample are as follows:
o The DRPM notifies the member’s commander that the member is unable to provide a sample after a reasonable time.
o The commander must make arrangements to have the member evaluated by a civilian physician (member’s expense) as soon as possible.
o The military physician reviews the civilian physician’s notes on the patient and makes a determination based on his or her reasonable judgment, whether the medical condition has or with a high degree of probability could preclude the member from providing an adequate amount of urine.
o If the military physician determines there is no medical reason preventing the member from giving a urine specimen as required, the member’s last urine attempt will be consider refusal to take a test. The commander is notified by the DRPM.
o The Commander determines disciplinary action.