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. Which of the following actions should a phlebotomy technician take when collecting a urine specimen?A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take? Verify that the specimen contains at least 45 mL of urine. A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting.
Which of the following types of urine specimen should a phlebotomy technician instruct the patient to collect for a pregnancy test?First morning specimens are the best for pregnancy testing because the urine is more concentrated. No special sample preparation is required.
When collecting a routine blood sample which of the following veins should a phlebotomy technician attempt to draw first?median cubital should always be the first attempt to draw the blood first. prior to transport, which of the following specimen should a phlebotomy technician place in an ice bath within 30 min after collection?
Which of the following action should a phlebotomy technician take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient?Phlebotomy Practice. |