Urinalysis, Clean-catch

Note: A microscopic review will be performed on any specimen with abnormal urinalysis results. Day(s) Test Set Up: Monday through Sunday

CCURN

1. Collect a clean-catch, midstream urine specimen (>1.0 mL of urine) as follows: Males A. Prepare Towelette® by opening packages (do not remove Towelette® until ready to use), and place on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes® and container so they can be reached while urinating. B. Holding back foreskin with 1 hand, if necessary, uses first Towelette® to wash end of penis. Discard first Towelette® in wastebasket. C. Continue holding back foreskin, and gently rinse end of penis using second and third Towelette®, discarding them in wastebasket when done. D. Continue holding back foreskin, and begin to urinate into toilet. Females A. Prepare Towelette® by opening packages (do not remove Towelette® until ready to use), and place on sink. Take top off of plastic urine container, and set it on edge of sink. Set Towelettes® and container so they can be reached while urinating. B. Pull panties below knees so they will not interfere with urine collection. With 2 fingers of 1 hand, hold outer folds of vagina apart. With other hand, gently wash vaginal area from front to back using first Towelette®. After this step, throw away first Towelette® into waste basket. C. Still holding outer vaginal skin away from opening through which urination takes place, rinse area from front to back using Towelette® #2, discard and repeat with Towelette® #3. D. Continue holding outer vaginal folds apart and begin to urinate into toilet. Lean slightly forward so urine flows directly down without running along skin. 2. After first few teaspoons, place screw-capped, sterile container under stream of urine, and collect the rest of urine in container. Even ¼ cup is an adequate specimen for test. 3. After finishing, tighten cap on container securely, and wash any spilled urine from outside of container. 4. Label container with patient’s full name, medical record number, date and actual time of collection and type of specimen.

Screw-capped Urine Container

Refrigerated specimens stable for 12Hr hours.

DIPSTICK Specific gravity: 1.001-1.035 pH: 4.6-8.0 Protein: negative Glucose: negative Ketones: negative Bilirubin: negative Urobilinogen: negative Blood: negative Nitrate: negative Leukocytes: negative MICROSCOPIC RBC: 1-3/hpf WBC: 0-4/hpf

Useful for basic clinical diagnosis