c. Procedure.
(1)
Read physician's orders.
(2)
Collect supplies.
(3)
Introduce yourself to the patient.
(4)
Identify patient by identification band.
(5)
Explain procedure to patient.
(6)
Wash hands and don clean gloves.
(7) If patient is able, allow patient to cleanse perineum with antiseptic
solution. Separate the labia well on a female patient. Retract foreskin of an
uncircumcised male. Use each cotton ball that is saturated with antiseptic solution one
time only. If patient is unable to cleanse area, the nurse will assist with procedure.
(8)
Assist the patient.
(a) Begin to void into container about 30 ml; then place the sterile
specimen container so the sides of the labia of the female do not touch;
(b) To stop flow, void a small amount into specimen cup; and
(c)
Without stopping flow, finish voiding into toilet seat collector.
(9)
Secure the lid on the container.
(10) Cleanse and return toilet seat collector, if applicable.
(11) Label specimen appropriately.
(12) Ensure that specimen is taken to laboratory with requisition.
4-4.
COLLECTING A TWENTY-FOUR HOUR URINE SPECIMEN
a. General. Some tests require that the entire volume of urine from a 24-hour
period be collected. The procedure for ensuring that the test can be performed
accurately should be followed carefully.
b. Important Points. Use strict sterile technique to prevent infection in the
urinary system. Insert the catheter gently to prevent pain or discomfort, as
catheterization should not be painful. Teach the patient to relax by deep breathing
during catheterization. Answer the patient's questions about the procedure.
MD0556
4-7