specimen collections. urine specimens random specimen clean-voided or midstream specimen sterile...
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Urine Specimens
Random specimen
Clean-voided or midstream specimen
Sterile specimen
Timed urine specimen
Urine Collection in Children
Urine Specimens
Clean catch midstreamExplain procedureOpen kit – surgical asepsisFemale: clean front to back, hold labia apart for collectionMale: cleanse end of penis, circular motionInitiate stream, then collect specimen
Urine Specimens
Clean catch midstream (cont.)
Label on specimen
Biohazard bag
Requisition on outside of bag
Urine Specimens
Sterile (from catheter)
Clamp below port
Wipe port with antimicrobial swab
Insert needle (3ml; 23-25g)
Aspirate 3-5 ml.
Transfer urine aseptically to container
Label, bag, requisition
Urine Specimens
Timed Specimens
creatinine clearance
protein quanitification
adrenocortical steroids
Urine Specimens
Timed Specimens (cont.)
Begins: after client voids
Discard sample and indicate starting time on:
1) Collection container
2) Lab requisition slip
3) Bathroom or bedside
Urine Specimens
Timed Specimens (cont.)
Collect in clean container
Empty into large container immediately
On ice or preservative
Void at end of time & send to lab
Urine Specimens
Collection in children
Clear plastic single use bags
Do not squeeze urine from diaper
Urinalysis(normal values)
pH (4.8-8.0) average 6.0Protein (none)Glucose (none)Ketones (none)Blood (up to 2 RBC’S)Specific gravity (1.010-1.025)WBC’S (0-4)Bacteria (none)Casts (none)
Fecal Specimens
Collection:
Pt. instruction
Can not be mixed with water or urine
1 inch formed stool
15-30 ml liquid, diarheal stool
Avoid delays in sending
Ova and Parasites: require keeping warm
Fecal Specimens
Guaiac
Fecal occult blood FOBT
Hemacult – most common
Microscopic amounts of blood
Screening for: colon ca, anticoagulants, GI disorders
Sputum Specimens
Collection:
Teach to cough effectively
Keep inside of container sterile
Document: color, consistency, amt, odor
Early morning specimen
Review Questions
In a timed urine collection, any missed specimens will extend the end time.
TRUE OR FALSE?
Review Questions
When collecting a urine specimen from an infant – it is OK to squeeze urine from the diaper?
TRUE OR FALSE?
Review Questions
If a client is taking iron supplements, the hemacult test will show a false positive.
TRUE OR FALSE?
Review Questions
When collecting a stool specimen for ova a parasites, the nurse should refrigerate the specimen untill it can be transported to the lab
TRUE OR FALSE?