a. Review patient’s clinical record to verify physician’s order for a clean catch urine specimen.<\/p>\n
b. Assemble the necessary equipment.<\/p>\n
(1) Antiseptic towelettes.<\/p>\n
(2) Disposable gloves for nurse if assisting a female patient.<\/p>\n
(3) Sterile specimen container.<\/p>\n
c. Approach and identify the patient.<\/p>\n
d. Explain the procedure to the patient. Patient will be asked to collect a virtually uncontaminated midstream urine specimen. (This is commonly referred to as a “clean-catch” urine specimen.) Because the urethra orifice is colonized by bacteria, urine readily becomes contaminated during voiding.<\/p>\n
e. Instruct the male patient in the steps of collecting a clean-catch urine specimen.<\/p>\n
(1) Instruct the patient to expose glands and cleanse area around meatus. Wash area with a mild antiseptic solution (towelettes).<\/p>\n
(2) Allow the initial urinary flow to escape into toilet or urinal.<\/p>\n
(3) Collect the midstream urine specimen in a sterile container.<\/p>\n
(4) Avoid collecting the last few drops of urine. (Prostatic secretions may be introduced into urine at the end of the urinary stream.)<\/p>\n
f. Instruct the female patient in the steps of collecting a clean catch urine specimen.<\/p>\n
(1) Ask the patient to separate her labia to expose the urethra orifice. Keeping the labia separated prevents labial or vaginal contamination of the urine specimen.<\/p>\n
(2) Cleanse the area around the urinary meatus with antiseptic towelettes.<\/p>\n
(3) While the patient keeps her labia separated, instruct her to void forcibly. This helps wash away urethra contaminants.<\/p>\n
(4) Allow initial urinary flow to drain into bedpan (toilet) and catch the midstream specimen in a sterile container.<\/p>\n
g. Instruct the patient to repeat the steps of the procedure. Correct misinformation\/understanding as needed.<\/p>\n
h. Instruct patient to obtain the required specimen. (Assist as necessary.)<\/p>\n
i. Send the specimen to the laboratory immediately.<\/p>\n
j. Record the procedure in the patient’s clinical records and report significant observation to the Charge Nurse.<\/p>\n","protected":false},"excerpt":{"rendered":"
a. Review patient’s clinical record to verify physician’s order for a clean catch urine specimen. b. Assemble the necessary equipment. (1) Antiseptic towelettes. (2) Disposable gloves for nurse if assisting a female patient. (3) Sterile specimen container. c. Approach and identify the patient. d. Explain the procedure to the patient. Patient will be asked to … Continue reading 2-11. COLLECTING A CLEAN CATCH URINE SPECIMEN<\/span>