If a donor provides a specimen of insufficient amount, you would normally discard the specimen. However, if the temperature reads outside the acceptable range or the specimen shows evidence of adulteration or tampering (unusual coloring, especially blue dye, excessive foaming when shaken, smell of bleach, etc.), the specimen should not be discarded.  If the specimen shows any of these unusual characteristics, complete the collection, seal the bottles, complete the CCF, and set this aside as “Collection 1”. An immediate observed recollection is required.

Begin the new collection (documented on a new CCF as “Collection 2”).  Advise the donor that he/she may drink up to 40 ounces of fluid, reasonably distributed through the testing time period.  Advise the donor that he/she will have up to three hours to provide an acceptable specimen from the time of the initial collection attempt of “Collection 1”.   Advise the donor that if (s)he leaves the collection site without being dismissed, it will be considered a refusal to test and treated the same as a positive result.

If the donor has not provided an acceptable specimen by the end of the three hour period, the collector must discontinue the collection.  Document the following items on the CCF:  1) mark the “None Received” box, 2) write the event details in the remarks section, 3) ensure the donor's name is printed on the CCF.  If there is not enough room on the CCF for the full event details, document the events on a separate piece of paper.

The employer should be notified of the shy bladder event immediately, either by a phone call or by a secure fax.  The employer will need to consult with the MRO for handling the event (Shy Bladder Evaluation).

A copy of the CCF (Copy 2) should be sent to the MRO, and a copy of the CCF (Copy 4) should be sent to the employer.  A copy of the CCF (Copy 3) should be retained in the collection site's records.