Specimen Collection Procedures: Urology Urine Collection Procedure Show
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. What is the importance of using the most appropriate specimen in urinalysis?Proper collection of urine specimens is important to avoid contamination of the specimen or deterioration of urine constituents. Ensure the urine collection container is clean and the container manufacturer has guaranteed that interfering substances will not leach into the specimen.
What is urinalysis when is this used what is the importance of this test?A urinalysis is a test of your urine. It's used to detect and manage a wide range of disorders, such as urinary tract infections, kidney disease and diabetes. A urinalysis involves checking the appearance, concentration and content of urine.
Why is it important that a urine sample that will be used to identify the organism causing a UTI be from a clean catch?The clean catch method aims to prevent bacteria from the skin of the penis or vagina from contaminating the urine specimen. It's important to follow the clean catch process to have accurate results from an uncontaminated sample.
What is the most desirable specimen for routine urinalysis?First morning urine specimen is most desirable in all manner of collection. Formed elements in the urine including casts disintegrate rapidly; therefore, the specimen should be analyzed as soon as possible after collection.
|