LABORATORIES:

1.) Urinalysis

1. Instruct the patient to use the cotton ball or towelette to clean urethral area thoroughly to prevent
external bacteria from entering the specimen.
2. Let the patient void into the container.
3. Label the specimen container with patient identifying information, and send to the lab immediately.
A delay in examining the specimen may cause a false result when bacterial determinations are to be
made.
4. Wash your hands and instruct the patient to do it as well.
5. Note that the sample was collected.
6. Transport the specimen to the laboratory as quickly as possible.

2.) CBC

1. cleans your skin with an antiseptic wipe

2. places an elastic band, or tourniquet, around your upper arm to help the vein swell with blood

3. inserts a needle in the your and collects a blood sample in one or more vials

4. removes the elastic band

5. covers the area with a bandage to stop any bleeding

6. Label your sample and send it to a lab for analysis

3.) Coagulation
PROCEDURES:

1.) Chest Portable

1. Remove all metallic objects. Items such as jewelry, pins, buttons etc can hinder the visualization of
the chest.
2. No preparation is required. Fasting or medication restriction is not needed unless directed by the
health care provider.
3. Ensure the patient is not pregnant or suspected to be pregnant. X-rays are usually not
recommended for pregnant women unless the benefit outweighs the risk of damage to the mother and
fetus.
4. Assess the patient’s ability to hold his or her breath. Holding one’s breath after inhaling enables
the lungs and heart to be seen more clearly in the x-ray.
5. Provide appropriate clothing. Patients are instructed to remove clothing from the waist up and put
on an X-ray gown to wear during the procedure.
6. Instruct patient to cooperate during the procedure. The patient is asked to remain still because
any movement will affect the clarity of the image.

2.) Chest APL

3.) Whole Abdominal Ultrasound

1. Positively identify the patient using at least two person-specific identifiers before services, treatments, or
procedures are performed.
2. Inform the patient this procedure can assist in assessing abdominal abnormalities.
3. Do not eat or drink eight hours before exam.
4. Obtain a history of the patient’s health concerns, symptoms, surgical procedures, and results of
previously performed laboratory and diagnostic studies. Include a list of known allergens, especially
allergies or sensitivities to latex.
5. Note any recent procedures that can interfere with test results (e.g., surgery, biopsy, barium studies,
colonoscopy, endoscopic retrograde cholangiopancreatography).
6. Ensure that interfering studies were performed at least 24 hr before this test or can be rescheduled after
this procedure.
7. Obtain a list of the patient’s current medications, including over-the-counter medications and dietary
supplements.
8. Review the procedure with the patient. Address concerns about pain related to the procedure. Explain to
the patient that there may be moments of discomfort experienced during the test. Inform the patient that
the procedure is performed takes approximately 30 to 60 min.
4.) Cranial Contrast

1. Informed Consent. Obtain an informed consent properly signed.

2. Look for allergies. Assess for any history of allergies to iodinated dye or shellfish if contrast media is to
be used.
3. Get health history. Ask the patient about any recent illnesses or other medical conditions and current
medications being taken. The specific type of CT scan determines the need for an oral or I.V. contrast
medium
4. Check for NPO status. Instruct the patient to not to eat or drink for a period amount of time especially
if a contrast material will be used.
5. Get dressed up. Instruct the patient to wear comfortable, loose-fitting clothing during the exam.
6. Provide information about the contrast medium. Tell the patient that a mild transient pain from the
needle puncture and a flushed sensation from an I.V. contrast medium will be experienced.
7. Instruct the patient to remain still. During the examination, tell the patient to remain still and to
immediately report symptoms of itching, difficulty breathing or swallowing, nausea, vomiting,
dizziness, and headache.
8. Inform about the duration of the procedure. Inform the patient that the procedure takes from five (5)
minutes to one (1) hour depending on the type of CT scan and his ability to relax and remain still.
9. Diet as usual. Instruct the patient to resume the usual diet and activities unless otherwise ordered.
10. Encourage the patient to increase fluid intake (if a contrast is given). This is so to promote excretion
of the dye.