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Specimen collection

Specimen collection. Role of the Nurse. Nurses often assume the responsibility of specimen collection. Specimens consist Urine Stool Sputum Wound drainage Blood. What about the client?. Comfort Privacy Questions Clear, concise directions NPO. The Nurse. Check physician orders

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Specimen collection

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  1. Specimen collection Role of the Nurse

  2. Nurses often assume the responsibility of specimen collection • Specimens consist • Urine • Stool • Sputum • Wound drainage • Blood

  3. What about the client? • Comfort • Privacy • Questions • Clear, concise directions • NPO

  4. The Nurse • Check physician orders • Keep it Simple directions to client • Standard precautions • Label specimen • Timely • C&S to lab ASAP or refrigerated • Documentation

  5. Urine Specimen • Random • Clean • Female ? Menses (make note) • Tested for: • Specific gravity • pH • Albumin • Glucose • Microscopic exam

  6. Urine for C&S • Culture = ? Bacteria growing • Sensitivity = which antibiotics are effective • Readings after 24; 48; 72 hrs. Midstream Urine Sterile Catheter Specimen (never from bag)

  7. Why a urine specimen for C&S • ? Urinary Tract Infection (UTI) • Frequency • Urgency • Dysuria • Hematuria • Flank pain • Fever • Cloudy, malodorous urine

  8. Obtaining specimen • Wash hands • Clean meatus, female front to back • Start stream, then stop, collect specimen • Aseptic technique • Bedpan/mexican hat • To lab 15-20min post collection

  9. Children • Pediatric bags ( u Bag) • Never squeeze diaper

  10. Characteristics of Urine • Color • Clarity • Odor

  11. Specimen Collection • Random Specimens • Clean-not sterile • Ordered for • Urinalysis testing • Measurement of specific gravity • pH • Glucose levels

  12. Urine specimen collection • Midstream Specimen • Clean voided • C&S • 30-60 mls urine • Sterile Specimen • Indwelling catheter • Drainage bag

  13. Urine collection • Timed urine specimens • 2-72 hr intervals (24hr most common) • Begin after urinating • Note start time on container & requisition • Collect all urine in timed period Post Reminder Signs

  14. Indwelling Catheter • Strict aseptic technique • Only from Bag if Brand new • Sampling Port? • Clamp 30 min. prior • Wash hands – Glove • Cleanse port with alcohol swab • Sterile needle • To lab 30 min (may refridge 2hrs)

  15. Common Urine Lab Tests • Routine Urinalysis • Examine within 2hrs • 1st voided specimen in AM • Reagent strip • Specific Gravity • Concentration • 1.010-1.025 • Urine glucose • Diabetics • Reagent strips • Double void

  16. Measuring chemical properties of urine=Urinalysis • Glucose • Ketones • Protein • Blood- hematuria • pH • Specific gravity • Microscopic examination

  17. Stool Specimen Analysis of fecal material can detect pathological conditions ie: tumors, hemorrhage, infection • Tests • OB • Pus • Ova & Parasites

  18. URINE COLLECION

  19. URINE COLLECION

  20. URINE COLLECION

  21. URINE COLLECION 24 hours urine container

  22. URINE COLLECION

  23. URINE COLLECION MEXICAN HAT

  24. High quality plastic leg bags with lever action tap. Individually wrapped, sterile, with high quality leg straps. Available in a variety of sizes, 350ml, 500ml, 750ml, with long or short tube lengths LEG BAG

  25. BED BAGS UN2 - Economical non-drainable closed drainage bag: 2000ml capacity, non-return valve and a universal connector. Can also be hung from a bedside stand or frame. Supplied individually wrapped in cartons of 250 BED BAG

  26. MID STREAM URINE COLLECTORS The laboratory analysis of urine specimens from hospital and home based patients represents an important part of 'first line' diagnosis for the patient. It is therefore important to gain the specimen effectively and easily.Universal offer a range of mid-stream urine collector kits to accomadate all catergories of patient. Available with Boric Acid to prolong the life of the sample

  27. INTERMITTENT CATHETERS The Universal intermittent female catheter is a clear 20cm long medical grade PVC tube. Available in sizes 10fg - 14fg. The distal tip is rounded with two smooth polished staggered eyes and the proximal end has a funnel connector. Supplied individually wrapped and sterile

  28. URINE DRAINAGE BAG HANGERS The Universal wire self-standing hanger can be adapted to fit most designs of 2000ml drainage bag. Stable yet lightweight design, supplied singly

  29. Stool Specimen Analysis of fecal material can detect pathological conditions ie: tumors, hemorrhage, infection Tests OB Pus Ova & Parasites

  30. Fecal specimens • ? Chemical preservatives • Medical aseptic technique • To lab on time • Labelling • Documentation Guaiac Test Colorectal cancer screening test FOBT Hemoccult slide test

  31. Fecal Characteristics • Color • melena • Odor • Consistency • Frequency • Amount • Shape • Constituents

  32. Guaiac Test • Single positive test result does not confirm bleeding or colorectal cancer. • Repeat test 3X • Meat free, high residue diet

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