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 18-8

Obtaining a Urine Specimen From an

Indwelling Urinary Catheter

Goal:An adequate amount of urine is obtained from the patient

without contamination or adverse effect; the patient experiences

minimal anxiety during the collection process; and the patient

demonstrates an understanding of the reason for the specimen. 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.


4. 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 person obtaining the sample, and
   any other information required by agency policy.


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


6. Put on unsterile gloves.


7. Clamp the catheter drainage tubing or bend it back on itself
   distal to the port. If an insufficient amount of urine is pres-
   ent in the tubing, allow the tubing to remain clamped up to
   30 minutes, to collect a sufficient amount of urine, unless
   contraindicated (Fischbach & Dunning, 2006). Remove lid
   from specimen container, keeping the inside of the container
   and lid free from contamination.
   8.Cleanse aspiration port with alcohol wipe and allow port
   to air dry.


8. Insert the needle or blunt-tipped cannula into the port, or
   attach the syringe to the needleless port. Slowly aspirate
   enough urine for specimen (usually 10 mL is adequate;
   check facility requirements). Remove the needle, blunt-
   tipped cannula, or syringe from the port. Engage the
   needle guard. Unclamp the drainage tubing.
   10.If a needle or blunt-tipped cannula was used on the
   syringe, remove from the syringe before emptying the urine
   from the syringe into the specimen cup. Place the needle
   into sharps collection container. Slowly inject urine into
   specimen container. Replace lid on container. Dispose of
   syringe appropriately.

ExcellentSatisfactoryNeeds Practice

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