Download PROCEDURE CHECKLIST Chapter 27: Collecting a Clean

PROCEDURE CHECKLIST
Chapter 27: Collecting a Clean-Catch Urine Specimen
Check (9) Yes or No
PROCEDURE STEPS
NOTE: If patient is can do self care, instructs patient
in the following steps. If not, performs them for the
patient.
1. Assists patient to toilet, commode, or onto bedpan.
2. Opens prepackaged kit, if available, and removes
contents.
3. Washes hands and dons clean procedure gloves.
4. Instructs patient to cleanse around the urinary meatus if
able; if not able, performs cleansing.
Female Patients
5. Asks patient to spread her legs; washes perineal area
with warm water and mild soap.
6. Opens the antiseptic towelette in the prepackaged kit. If
there is no kit, pours antiseptic solution over cotton balls.
7. Cleanses perineal area in a front-to-back direction;
cleanses over the urinary meatus.
8. Cleans the perineal area at least twice.
9. Uses each towelette area or each cotton ball only once.
Male Patients
10. If penis is uncircumcised, retracts the foreskin back
from the end of the penis.
11. Uses towelette from the prepackaged kit or pours
antiseptic solution over cotton balls.
12. Grasps the penis gently with one hand; with the other
hand, cleanses the meatus in a circular motion from the
meatus outward; cleanses for a few inches down the shaft
of the penis.
13. Cleanses around the meatus at least twice, using each
area of the towelette or each cotton ball only once.
For all Patients
NOTE: Some lab manuals recommend rinsing the
antiseptic solution from the meatus to prevent
contamination of the specimen with antiseptic.
14. Removes gloves; washes hands; dons a second pair of
clean procedure gloves.
15. For the patient using a bedpan, raises the head of the
bed to a semi-Fowler’s position.
16. Opens the sterile specimen container; does not touch
the inside of the lid or the container.
17. Holding the container near the meatus, instructs the
Yes
No
COMMENTS
Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing
patient to begin voiding.
a. For female patient: Holds the labia apart during this
step (or teaches self-care patients to do so).
b. For the male patient unable to assist, holds the penis.
18. Allows a small stream of urine to pass, then places the
specimen container into the stream.
19. Does not let the end of the male patient’s penis touch
the inside of the container; does not touch the female
perineum with the container.
20. Collects approximately 30–60 mL of urine.
21. Removes container from the stream and allows the
patient to finish emptying the bladder.
22. For the male patient who is uncircumcised, replaces the
foreskin over the glans when the procedure is finished.
23. Carefully replaces the container lid, touching only the
outside of the cap and container.
24. Cleanses the outside of the container of urine, if
necessary.
25. Labels the container with the correct patient
information (in many institutions these are preprinted or
bar-coded).
26. Places the container in a facility specific carrier
(usually a plastic bag) for transport to the lab.
27. Removes gloves and washes hands. If the specimen has
been obtained from a patient on a bedpan, leaves gloves on
until the bedpan has been removed, emptied, and stored
properly.
28. Assists patient back to bed or removes bedpan.
29. Transports the specimen to the lab in a timely manner.
Recommendation: Pass ______ Needs more practice ______
Student:
Date:
Instructor:
Date:
Copyright © 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing