Skill 13[1]..Collection of a Midstream.pdf

SKILL 13

Collection of a Midstream, Clean Catch Urine

Specimen on Older Child

EQUIPMENT

Urine specimen container, sterile

Washcloths, cotton balls, or softnets

Antiseptic solution or soap

Sterile water

Bedpan or urinal if child on bedrest

Gloves, nonsterile

2. Repeat process with water to rinse away all soap.

Removes soap or antiseptic solution, which could

contaminate the specimen.

NOTE: Older children can clean themselves. They

should be instructed to wash their hands and then

clean in manner as described above.

GENERAL GUIDELINES FOR SPECIMEN

COLLECTION

1. Check physician’s order. Ensures appropriate specimen

obtained from the correct child.

2. Check child for allergies to any materials used, e.g.,

povidone-iodine.

3. Prepare child and family. Enhances cooperation/partici-

pation; reduces anxiety/fear.

5. Have child start to void into a receptacle (e.g., bedpan,

hat); after a few drops, stop flow, then urinate into ster-

ile container. Collect enough urine for a specimen,

approximately 30–50 cc.

6. Allow child to finish voiding in receptacle.

7. Label specimen and place in appropriate bag or con-

tainer along with laboratory requisition slip. Ensures

specimen is properly identified and correct test is per-

formed.

8. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

9. Send specimen to lab.

NOTE: Have an assistant hold/comfort the child as nec-

essary and in accordance with agency policy.

4. Gather equipment. Promotes organization and effi-

ciency.

5. Wash hands. Don gloves. Reduces transmission of

microorganisms.

DOCUMENTATION FOR SPECIMEN

COLLECTION

1. Time specimen collected.

2. Amount of urine collected.

3. Color of urine.

4. Type of test to be performed.

5. Condition of skin of perineal area.

PROCEDURE

1. Steps 1–5 of General Guidelines.

2. Moisten half of washcloths, cotton balls, or softnets with

soap solution and half with water.

3. Put on nonsterile gloves. Protects from contact with

body fluids.

4. Cleanse area.

a. Male.

1. Wipe tip of penis in circular motion downward

toward shaft. Wipe only once with each cloth or

cotton ball. Repeat until comes away clean. If

uncircumcised, retract foreskin before cleansing.

Retract only if it retracts easily and replace fore-

skin after cleansing. Maintains asepsis by cleaning

from least to most contaminated area.

2. Repeat process using water to rinse away all soap.

Removes soap or antiseptic solution, which could

contaminate the specimen.

b. Female.

1. Spread the labia major with one hand and wipe

from front to back once with each cloth or cotton

ball. Repeat until comes away clean. Maintains

asepsis by cleaning from least contaminated to

most contaminated area.

OBTAINING A CATHETERIZED

URINE SPECIMEN

See Skill 29, Urinary Catheterization.

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