Random ( routine urinalysis)

Clean voided or midstream sterile

specimen (C/S)
Timed urine specimens

Equipment:
* soap or cleansing solution, washcloth
towel
* commercial kit for clean-voided
specimen or individual supplies as
listed
* Sterile cotton balls or sterile gauze
pads
* Antiseptic solution (eg. Povidone)

sterile water
sterile specimen collection cup or jar
bedpan, bedside commode or specimen hat
sterile and non sterile gloves
completed specimen label

Assess the voiding status of client

assess clients understanding of purpose of
test and method of collection
explain the procedure to client
provide fluids to drink hour before
collection unless contraindicated
Provide privacy for client by closing door or
bed curtain
give client or family members soap,
washcloth and towel to cleanse perineal
area

perform hand hygiene and apply non sterile

gloves and assist non ambulatory clients with
perineal care. Assist female client onto bedpan
..
using sterile asepsis, open sterile kit ,apply
sterile gloves after opening sterile specimen cup,
placing cap with sterile inside surface up and do
not touch inside of container or cap
pour antiseptic solution over cotton balls or
gauze pads unless kit contains prepared gauze
pads in antiseptic solution

A.

Assist or allow client to independently

cleanse perineum and collect specimen
Female
Spread labia with thumb and forefinger of non
dominant hand
Cleanse area with cotton ball or gauze,
moving from front to back
While continuing to hold labia apart, client
should initiate stream and after stream is
achieved ,pass container into stream and
collect 30 to 60 ml

B. Male
Hold penis with one hand and using circular
motion and antiseptic swab, cleanse end of
penis, moving from center to outside. In
uncircumcised men, the foreskin should be
retracted before cleansing
After client has initiated urine stream, pass
specimen collection container into stream and
collect 30 to 60 ml

remove specimen container before flow of urine

stops and before releasing labia or penis. if
foreskin was retracted for specimen collection, it
must be replaced over the glans.
replace cap securely on specimen
container( touch outside only)
Cleanse any urine from exterior surface of
container and place in a plastic specimen bag.
Remove bedpan and assist client to comfortable
position
Label specimen and attach laboratory requisition

remove gloves, dispose in proper

receptacle and perform hand hygiene
transport specimen to laboratory within 15
minutes

Urinalysis:
- specimen should be examined as
soon as possible
- first voided specimen in the morning
- dips the strips into the urine and then
observes for a color change in the
time interval designated on the
package.

urine specimen is poured into a special clean,

dry cylinder
the weighted urinometer is suspended in the
cylinder of urine
The concentration of dissolved substances in the
urine aids in determination of a clients fluid
balance.

sterile or clean voided sample of urine.

approximately 24 to 48 hrs before the
laboratory can report findings of bacterial
growth.