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The document provides instructions for collecting a clean catch midstream urine specimen for urinalysis and culture. Key steps include: 1) Identifying the patient and explaining the procedure. 2) Having the patient clean the genital area with a towelette or washcloth from front to back. 3) Collecting a midstream sample of 10-20mL of urine after the patient begins voiding and stops briefly before finishing. 4) Labeling the specimen container with patient information and transporting it promptly to the laboratory.
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0% found this document useful (0 votes)
55 views2 pages

Lynn18 5

The document provides instructions for collecting a clean catch midstream urine specimen for urinalysis and culture. Key steps include: 1) Identifying the patient and explaining the procedure. 2) Having the patient clean the genital area with a towelette or washcloth from front to back. 3) Collecting a midstream sample of 10-20mL of urine after the patient begins voiding and stops briefly before finishing. 4) Labeling the specimen container with patient information and transporting it promptly to the laboratory.
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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SKILL 18-5 Collecting a Urine Specimen (clean catch, midstream) for Urinalysis and Culture Goal: An adequate amount

of urine is obtained from the patient without contamination. 1. Identify the patient. Explain procedure to patient. 2. Perform hand hygiene and put on nonsterile gloves. Have patient perform hand hygiene, if performing self collection. 3. Close curtains around bed and close door to room if possible. 4. Assist the patient to the bathroom, onto the bedside commode or bedpan. Instruct patient not to defecate or discard toilet paper into the urine, which may contaminate the specimen. 5. Instruct the female patient to separate the labia for cleaning of the area and during collection of urine. Female patients should use the towelettes or wet washcloth to clean each side of the urinary meatus, then the center over the meatus, from front to back, using a new wipe for each stroke. Male patients should use a towlette to clean the tip of the penis, wiping in a circular motion away from the urethra. Instruct male patient who is not circumcised to retract foreskin before cleaning and during collection. 6. Have patient void about 25 mL into toilet, bedpan, or commode. The patient
should then stop urinating briefly, then void into collection container. Collect specimen (1020 mL is enough), and then finish voiding. Do not touch the inside of the container or the lid.

7. Place lid on container. If necessary, transfer specimen to appropriate containers for ordered test, according to facility policy. 8. Assist the patient from the bathroom, off the commode, or off the bedpan. Provide perineal care if necessary.

9. Remove gloves. Perform hand hygiene. 10. Check specimen label with patient identification bracelet. Label should include patients name and identification number, time specimen was collected, route of collection, identification for person obtaining sample, and any other information required by agency policy. Place label on the container per facility policy. Place container in plastic sealable biohazard bag. 11. Transport specimen to laboratory as soon as possible. If unable to take specimen to laboratory immediately, refrigerate it.

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