Shy Bladder

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.).


·    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.


·    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.