Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:

A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 18-7

Collecting a Urine Specimen (Clean Catch, Midstream)

for Urinalysis and Culture

Goal:An adequate amount of urine is obtained from the

patient without contamination. Comments

1. Bring necessary equipment to the bedside stand or overbed
   table.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient. Explain the procedure to the patient.
   If the patient can perform the task without assistance after
   instruction, leave the container at bedside with instructions
   to call the nurse as soon as a specimen is produced.


4. Have the patient perform hand hygiene, if performing self-
   collection.


5. Check the specimen label with the patient’s identification
   bracelet. Label should include patient’s name and identifi-
   cation number, time specimen was collected, route of col-
   lection, identification of the person obtaining sample, and
   any other information required by agency policy.


6. Close curtains around bed and close the door to the room,
   if possible.


7. Put on unsterile gloves. Assist the patient to the bathroom,
   or onto the bedside commode or bedpan. Instruct the
   patient not to defecate or discard toilet paper into the
   urine.


8. Instruct the female patient to separate the labia for clean-
   ing of the area and during collection of urine. Female
   patients should use the towelettes or wet washcloth to
   clean each side of the urinary meatus, then the center over
   the meatus, from front to back, using a new wipe or a
   clean area of the washcloth for each stroke. Male patients
   should use a towelette to clean the tip of the penis, wiping
   in a circular motion away from the urethra. Instruct the
   uncircumcised male patient to retract the foreskin before
   cleaning and during collection.
   9.Have patient void a small amount of urine into the toilet,
   bedpan, or commode. The patient should then stop urinat-
   ing briefly, then void into collection container. Collect
   specimen (10 to 20 mL is sufficient), and then finish void-
   ing. Do not touch the inside of the container or the lid.

ExcellentSatisfactoryNeeds Practice

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