15 Urine Test Collection Female

URINE SPECIMEN COLLECTION,
PEDIATRIC FEMALE.
Prepared by: Rami Mchawrab ,Clinical Educator.

OUTLINE
I. Introduction.
II. Equipment.
III. Preparation of Equipment.
IV. Implementation.
V. Completing the procedure.
VI. Special Considerations.
VII. Complications.
VIII. Documentation
IX. References.
OBJECTIVES
At the end of the presentation, the learner will be able to:

I. Take urine specimen from female .
II. Know the equipment needed to take urine sample.
III. Know how to prepare the equipment.
IV. Know the complications that may result from sample collection.
V. Know how to document the temperature.
3
INTRODUCTION
• Collecting a urine specimen for laboratory analysis enables screening for
urinary tract infection (UTI) and renal disorders, evaluation of treatment, and
detection of systemic and metabolic disorders.
• A first-voided morning urine specimen is best for culture and sensitivity
testing, if possible to obtain.
INTRODUCTION
Children who can't provide a clean-catch midstream urine specimen

because of lack of bladder control, the use of a pediatric urine
collection bag serves as an alternative.
EQUIPMENT
Sterile pediatric urine collection bag Sterile urine specimen container

EQUIPMENT
Laboratory biohazard transport bag Two disposable diapers of appropriate size

EQUIPMENT
Sterile gloves Gloves

PREPARATION OF EQUIPMENT
• Inspect all equipment and supplies. If a product is expired, is defective, or has compromised
integrity, remove it from patient use, label it as expired or defective, and report the expiration or
defect as directed by your facility.
ICE BREAK
IMPLEMENTATION
•Verify the practitioner's order for the type of specimen needed.

•Check the child's medical record for any allergies (such as iodine and latex).
•Gather the necessary equipment and supplies.
•Perform hand hygiene.
•Confirm the child's identity using at least two patient identifiers.
•Provide privacy, especially if the child is beyond infancy.
•Explain the procedure to the child and parents or guardians according to their individual communication and
learning needs to increase their understanding, allay their fears, and enhance cooperation.
•Elicit the assistance of a child life specialist, as necessary.
•Raise the bed to waist level before providing care to prevent caregiver back strain.
IMPLEMENTATION
Using scissors, create a 2" (5-cm) slit in a disposable diaper, cutting from the center point toward one of
the shorter edges.
•Place a fluid-impermeable pad under the child.
•Pour sterile water into a sterile bowl.
•Open several packages of sterile 4" × 4" (10-cm × 10-cm) gauze pads.
• Put on sterile gloves.
•Separate the child's labia.
•Using the sterile 4" × 4" (10-cm × 10-cm) gauze pads, wipe the child's perineal area with antiseptic skin
cleaner or mild soap and water, working from the urinary meatus outward to prevent contamination of the
urine specimen. Wipe only once with each gauze pad before discarding it.
IMPLEMENTATION
Rinse the child's perineal area thoroughly with sterile water, and dry it with a sterile 4" × 4" (10-cm ×
•
10-cm) gauze pad. Ensure that the child's skin is completely dry before attaching the sterile pediatric
urine collection bag to ensure a secure fit. Don't use powders, lotions, or creams on the child's skin
because these substances may counteract the adhesive on the flaps used to secure the collection bag.
•Place the child in the frog-leg position with her legs separated and knees flexed. If necessary, instruct
the child's parents or guardians to hold her while you attach the urine collection bag. Encourage the
parents or guardians to distract the child by reading or providing a toy during the procedure.
•Remove the protective coverings from the urine collection bag's adhesive flaps.
•Attach the urine collection bag following these steps: •Separate the child's labia.
•Press the urine collection bag's lower rim gently to the child's perineum.
•Working upward toward the child's pubis, attach the rest of the adhesive rim inside her labia majora.
IMPLEMENTATION
•If getting the urine collection bag to adhere to the child's skin is difficult, apply a skin preparation
product to her perineal area according to the manufacturer's instructions so that the collection bag
will adhere better and you won't have to reattach it during the urine collection period. Allow the
skin preparation product to dry.
•After you've attached the urine collection bag, pull it gently through the slit in the diaper to
prevent the diaper from compressing the collection bag and enable observation of the urine
specimen immediately after the child has voided. Fasten the diaper on the child.
•Remove and discard your gloves.
•Return the bed to the lowest position to prevent falls and maintain the child's safety.23
COMPLETING THE PROCEDURE.
• Perform hand hygiene.

• Document the procedure.
SPECIAL CONSIDERATIONS
• Don't force fluids to prevent dilution of the

specimen, which may alter test results.
• Urine specimen containers without
preservatives must be transported to the
laboratory immediately or refrigerated if
transportation is delayed to ensure a valid
sample.
COMPLICATIONS
• Adhesive from the flaps used to secure the urine collection bag may cause skin excoriation.
Improper technique may cause contamination of the specimen and affect the validity of the
results.
DOCUMENTATION
• Record the date, time, and method of urine specimen collection.

• Record the name of the test, amount of urine you collected (if necessary), and time that you sent
the specimen to the laboratory.
• Document any complications and the child's tolerance of the procedure.
• Document teaching provided to the child (if applicable) and parents or guardians, their
understanding of that teaching, and any need for follow-up teaching.
REFERENCES
• Lippincott

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URINE SPECIMEN COLLECTION,

Prepared by: Rami Mchawrab ,Clinical Educator.

At the end of the presentation, the learner will be able to:

Children who can't provide a clean-catch midstream urine specimen

Sterile pediatric urine collection bag Sterile urine specimen container

Laboratory biohazard transport bag Two disposable diapers of appropriate size

Sterile gloves Gloves

•Verify the practitioner's order for the type of specimen needed.

• Perform hand hygiene.

• Don't force fluids to prevent dilution of the

• Record the date, time, and method of urine specimen collection.

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