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24-HOUR URINE SPECIMEN COLLECTION
SAFETY
Catheterization: ABORT procedure if resistance is met, bleeding is
noted, patient complains of severe pain
TROUBLESHOOTING-SELECTED SITUATIONS
Leakage Management
Bladder Distention
Blockage/Lumen Occluded
BLADDER SPASMS
REPORTABLE CONDITIONS
Unable to insert/pass urinary catheter.
Leaking around insertion site/new drainage from meatal area
Low or no urine output
Color change of urine-cloudy, red
Obstruction/unable to irrigate
S&S of UTI: Fever > 38C chills, flank pain, changes in urine character
and positive urine culture
Appearance of Phimosis-tightened foreskin compromising blood flow to
glans penis
REMOVAL OF IFC
Indwelling catheters are removed after purpose has been
achieved.
If catheter has been placed for a short period of time (few
days), the client usually has little difficulty regaining normal
urinary elimination pattern.
Clients who have retention catheter for a prolonged period may
require bladder training to regain bladder muscle tone.
BLADDER TRAINING
BLADDER TRAINING requires the client postpone voiding
, resist or inhibit the sensation or urgency and void according
to the timetable rather than the urge too void.
See checklist
Catheterized Urine Specimen Collection
Principles involved
Procedure
Purpose:
Why?
An incorrect sampling technique could introduce infection
and cause inaccuracy in results, diagnosis and treatment.
aseptic technique
sampling port
This port is usually situated in the drainage tubing, proximal to the
collection bag which ensures the freshest sample possible.
The use of drainage systems without a sampling port should be avoided
Needle-free systems - which may reduce the risk of inoculation injury.
Aspiration of urine from the body of the catheters can be done
only with self sealing rubber catheters
30 TO 45 DEGREE ANGLE
Specimens should not be collected from the main collecting
chamber of the catheter bag as colonization and multiplication of
bacteria within the stagnant urine or around the drainage tap may
have occurred.
The drainage system should not be disconnected because this
increases the risk of bacterial contamination
It is said that:
30minutes
See checklist
TRAIN YOUR MIND TO SEE THE GOOD IN
EVERYTHING.
Eyes on the slides
1. What is the purpose of catheterized
urine specimen collection?
True or false