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The page below is a sample from the LabCE course Department of Transportation (DOT) and Department of Health and Human Services (DHHS) Urine Specimen Collection Training. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Shy Bladder Procedures, continued

If the donor refuses to make the attempt to provide a new urine specimen or leaves the collection site before the collection process is completed, the collector must discontinue the collection, note the fact that a specimen was not provided in Step 2 on the CCF, make a notation as to why no specimen was provided under Remarks, and immediately notify the designated employee representative (DER). This is a refusal to test.
Note: As with other collections situations, there is no requirement for the collector to inform the donor in a shy bladder situation that failure to remain at the collection site or otherwise fails to cooperate with the testing process constitutes a refusal. It is a best practice for the collector to inform the donor that such behavior could lead an employer to determine that a refusal occurred.