Urine Collection Procedure URINE SPECIMENS I. PRINCIPLE Collection and transportation of urine specimens to the clinical laboratory are important because II. SPECIMEN REQUIREMENTS A. Specimen types 1. Random specimen 2. First morning specimen or 8-hour specimen 3. Fasting specimen 4. 2-Hour postprandial specimen 5. 24-hour (or timed) specimen 6. Catheterized specimen 7. Midstream “clean catch” specimen 8. Suprapubic aspiration 9. Pediatric specimens B. Transportation of specimens Urine specimens should be delivered to the within 2 hours of collection or refrigerated III. REAGENTS AND SUPPLIES (for collection of “clean catch” specimens) A. Disposable, clean, dry, leak-proof container (sterile container with lid required for B. Screw top specimen tube C. Disposable gloves D. Betadine swabs (Hibiclens if allergic to betadine) E. Dry, clean gauze F. Patient’s bedpan or urinal, if patient is unable to go the bathroom. IV. CALIBRATION No calibration is required for this procedure. V. QUALITY CONTROL Identification of the patient must be performed by asking a conscious patient his or her full name VI. PROCEDURE A. Patient preparation: For FEMALE patients: 1. Wash hands thoroughly before beginning the procedure and put on disposable 2. Use betadine swabs or Hibiclens to cleanse the perineal area. a. Separate the folds of the labia and wipe the betadine swab or Hibiclens from For MALE patients: 1. Wash hands thoroughly before beginning the procedure and put on disposable 2. If the patient is not circumcised, pull the foreskin back (retract the foreskin) on 3. Using a circular motion, clean the head of the penis with betadine swabs or B. Urination should begin, passing the first portion into the bedpan, urinal, or toilet. C. After the flow of urine has started, the urine specimen container should be placed under D. Any excess urine can pass into the bedpan, urinal, or toilet. E. Cover the urine container immediately with the lid being careful not to touch the inside of F. Transfer urine to specimen tube if tubes are used for transport instead of urine containers. G. Attach label to tube or container and place specimen in the transport bag. H. Remove gloves and wash hands. I. Record date and time of collection and initials of the person collecting (or submitting) the VII. CALCULATIONS Not applicable. VIII. REPORTING RESULTS Not applicable. IX. PROCEDURAL NOTES Specimens submitted for routine urinalysis should be collected in clean, dry containers. The The specimen containers must be properly labeled with appropriate patient identification A minimum of 12 ml of urine should be submitted for analysis. Smaller sample quantities will be SPECIMENS FOR PREGNANCY TESTING First morning specimens are the best for pregnancy testing because the urine is more concentrated. SPECIMENS FOR OSMOLALITY No special sample preparation is required. Whole blood, serum, plasma, or urine may be used. X. LIMITATIONS OF PROCEDURE A. Specimens submitted in syringes will not be accepted. How do you instruct a patient in collecting urine?Urine Specimen Collection. Clean genital area with the wipes. ... . Allow first urine flow to go into the commode.. Catch the "mid-stream" of the urine in the sterile container.. Replace lid firmly on the container.. Label specimen with name, date and time of collection.. Place the specimen in the transport bag.. When a urine specimen is needed How should the nurse instruct the stuff to collect it?When a urine specimen is needed, how should the nurse instruct the staff to collect it? Place a collection hat to the front of the toilet., Use a bedside commode., Place a collection hat to the back of the toilet., Use a bedpan or fracture pan.
When a stool specimen is needed How should the nurse instruct the staff to collect it?Collecting a stool sample
It should be collected in a clean, dry screw-top container. Your doctor or a member of staff at the hospital will give you a plastic (specimen) container to use, although you can use any clean container as long as you can seal it.
What should the nurse instruct the patient to do before obtaining the urine specimen for a urine culture?Urinate a small amount into the toilet bowl, and then stop the flow of urine. Then collect a sample of urine into the clean or sterile cup, until it is half full. You may finish urinating into the toilet bowl.
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