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TYPES AND COLLECTION OF URINE SPECIMEN.pptx
- 1. TYPES AND COLLECTION OFURINE SPECIMEN Ms. Alma Susan Lecturer MTCON
- 2. TYPES ◦ ROUTINE URINEANALYSIS ◦ CLEAR CATCH OR MIDSTREAM URINE ◦ STERILE SPECIMEN ◦ 24 HOURS URINE SPECIMEN
- 3. ROUTINE URINALYIS ◦ STERILESPECIMEN IS NOT REQUIRED ◦ URINE IS COLLECTED FROM BED PANS, URINALS, OR RECEPTACLES ◦ AVOID CONTAMINATION WITH STOOL ◦ CARE TO BE TAKEN IF WOMEN IS MENSURATING ◦ PROCEDURE ◦ USING ASCEPTIC TECHNIQUES POUR THE URINE INTO AN APPROPRIATE CONTAINER ◦ LABEL IT WITH PATIENTS NAME, HOSPITAL NUMBER,DATE, TIME OF COLLECTION ◦ SEND TO LABORATORY
- 4. CLEAR CATCH ORMID STREAM URINE ◦ This means that the patient voids and discards a small amount of urine: continues voiding in a sterile specimen container to collect the urine: stops voiding into the container: removes container and continues voiding; then discard the urine that is remaining in the bladder ◦ The first small amount of urine helps to flush away any organisms near the meatus. ◦ Additionally, midstream urine is most characteristics of urine that the body is producing ◦ This method allows the specimen which is not contaminated from external sources to be obtained without catheterization
- 5. PROCEDURE ◦ SUPPLIES ANDEQUIPMENTS NEEDED STERILE SPECIMEN CUP SOAP SOLUTION COTTON BALLS LABORATORY REQUSITION FORM GLOVES
- 6. PROCEDURE ◦ Perform Handhygiene ◦ Wear gloves ◦ Instruct the patient to clean the urethral area. This will prevent the external bacteria from entering the specimen. ◦ The female should wipe from front to back to avoid contaminating the vaginal and urethral area from the anal area. She should clean each area with a separate cotton ball. ◦ Males should cleanse the penis with cotton balls ◦ Instruct the patient to void a small amount of urine into the toilet to rinse out urethra, void midstream urine into the specimen cup and the last of the stream into the toilet. ◦ Complete the lab forms, label the specimen and send to lab. ◦ Wash hands ◦ Record the procedure ◦ Note for abnormal appearance
- 7. 24 HOURS URINESPECIMEN ◦ A 24 HOURS URINE SPECIMEN ALWAYS BEGINS WITH AN EMPTY BLADDER SO THAT THE URINE COLLECTED IS NOT “LEFT OVER” FROM THE PREVIOUS HOURS. ◦ THIS SPECIMEN SHOWS THE TOTAL AMOUNT OF WASTES THE KIDNEYS ARE ELIMINATING AND THE AMOUNT OF EACH. ◦ SUPPLIES AND EQUIPMENTS ◦ LARGE, CLEAN BOTTLE WITH A CAP ◦ MEASURING GRADUATE ◦ BEDPAN OR URINAL ◦ REFRIDGERATED STORAGE AREA ◦ GLOVES
- 8. PROCEDURE ◦ Label thebottle with patients identification data, collection starting and ending time ◦ Instruct the patient to void all urine into a bedpan or urinal ◦ Measure each specimen of urine voided and pour into refrigerated bottle ◦ Wash hands before and after each collection ◦ Record the amount on the intake output sheet ◦ Exactly 24 hours after beginning the collection, ask the patient to void . This will complete the specimen collection ◦ Send the bottle and laboratory request form to lab.
- 10. STERILE SPECIEMEN ◦ COLLECTINGURINE SPECIMEN FROM CATHETER
- 11. COLLECTING FROM ACATHETER ◦ EQUIPMENTS NEEDED ◦ Container with label ◦ Disposable gloves ◦ Sprit swabs ◦ 10 to 20 ml syringe with 21-25 gauge needle ◦ Clamp ◦ Pen and lab forms
- 12. PROCEDURE ◦ Assemble equipment's ◦Label the container ◦ Explain the procedure to the patient ◦ Perform hand hygiene ◦ Clamp the tubing's
- 13. • You shouldnot clamp more than 15 minutes • Cleanse the aspiration port with a spirit swab or another disinfectant • Withdrawing urine: Insert needle into the aspiration port Withdraw sufficient amount of urine gently into the syringe • Transfer the urine to the labeled container • The container should be clean for analysis and sterile for culture • Unclamp the catheter • Dispose used equipment's • Sent the specimen to lab immediately • Remove gloves and perform hand hygiene • Document the procedure in the designated place.
- 15. COLLECTING URINE CULTURE ◦COLLECTING URINE CULTURE IS THE PROCESS THAT OBTAINS SPECIMEN OF URINE WITH STERILE TECHNIQUE. ◦ EQUIPMENTS NEEDED. ◦ Sterile gloves ◦ Sterile culture bottle with label ◦ Sterile kidney tray ◦ Bed pan if needed ◦ Paper tissues ◦ Lab forms
- 16. PROCEDURE ◦ Assemble equipment'sand check the specimen form with clients name, date and content of urine analysis ◦ Label the container ◦ Explain the procedure and provide privacy ◦ Instruct the client ◦ Instruct the client to clean the perineum with soap and water ◦ Open sterilized container and leave the cover facing inside up ◦ Instruct the client to void into sterile kidney tray or sterilized container with a wide mouth
- 17. ◦ Remove thespecimen immediately after the client has voided. Obtain 30-50 ml at midstream point of voiding. Emphasize that the first and last portion of urine should be discarded. ◦ Close the container securely without touching inside of the cover ◦ Dispose off used equipment's or clean them. ◦ Remove gloves and perform hand hygiene ◦ Send specimen to the lab ◦ Document the procedure.
- 18. URINE TESTING Urine test for SUGAR Urinetest for ALBUMIN Urine test for ACETONE 242
- 19. URINE TEST FORSUGAR
- 20. URINE TEST FORALBUMIN
- 21. URINE TEST FORACETONE
- 22.