The Great Ormond Street Hospital Manual of Children's Nursing Practices by Susan Macqueen & Elizabeth Anne Bruce & Faith Gibson

Author:Susan Macqueen & Elizabeth Anne Bruce & Faith Gibson
Language: eng
Format: epub
Publisher: Wiley
Published: 2012-03-29T16:00:00+00:00

Midstream Specimen or Clean Catch

This is the most reliable non-invasive urine specimen collection method, but it may not be possibleto obtain from the very young child. In the female encourage separation of the labia to prevent perineal contamination whilst passing urine. In the male encourage retraction of the prepuce, if appropriate.

Procedure guideline 14.17 Collecting a midstream specimen

Statement Rationale

1. The first part of the urine stream is passed into the toilet. 1. This reduces meatal contamination of the specimen.

2. The middle part of the urine stream is collected into a clean container. 2. This is the best sample of the urine for analysis.

3. The remaining urine is passed into the toilet. 3. To empty the bladder.

4. Pour the urine into a sterile container. 4. To avoid leakage or contamination with faeces.

Bag specimen

1. Select the correct size sterile urine bag. 1. To avoid leakage or contamination with faeces.

2. Remove the protective seal: For the female place the bag over the vulva, starting from the perineum and working upwards, sticking the bag to the skin

For the male, place the bag over the penis and scrotum.

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