Skill 12[1]..Collection of Urine Specimen.pdf

SKILL 12

Collection of Urine Specimen on Infant or

Young Child

EQUIPMENT

Urine collector/bag (newborn or pediatric size as appropriate)

Specimen container

Gloves, nonsterile

Sterile water

Antiseptic solution or soap

Sterile cotton balls or 4

foreskin later and which could interfere with uri-

nary elimination.

b. Female.

1. Wipe labia majora with sterile cotton ball and

soap solution from front to back (clitoris to anus).

Wash only once with each cotton ball. Prevents

contamination of genitalia from anus and pre-

vents contamination of urine specimen.

2. Spread labia apart with one hand, using other

hand to wipe labia minora as described above.

Allows cleaning the area around the meatus.

3. Repeat procedure with sterile cotton ball satu-

rated with sterile water. Rinses soap from area

and prevents contamination of the specimen with

soap solution.

4. Let air dry.

5. Remove paper backing from adhesive surface of collec-

tion bag.

6. Apply collection bag and press adhesive firmly against

skin. Proper placement decreases possibility of needing

to repeat procedure. Prevents leakage of urine. (Figures

13A, 13B, and 13C)

a. Male: Insert penis through opening in bag.

b. Female: Apply around opening over vulva and

beneath urethral orifice.

GENERAL GUIDELINES FOR SPECIMEN

COLLECTION

1. Check physician’s order. Ensures appropriate specimen

obtained from the correct child.

2. Check child for allergies to any materials used, e.g.,

povidone-iodine.

3. Prepare child and family. Enhances cooperation/partici-

pation; reduces anxiety/fear.

NOTE: Have an assistant hold/comfort the child as nec-

essary and in accordance with agency policy.

4. Gather equipment. Promotes organization and effi-

ciency.

5. Wash hands. Don gloves. Reduces transmission of

microorganisms.

PROCEDURE

1. Steps 1–5 of General Guidelines.

2. Put on nonsterile gloves. Protects nurse from contact

with body fluids and microorganisms.

3. Position child on back with legs in froglike position to

expose the genitalia. Facilitates cleansing and allows

proper placement of collection bag.

4. Cleanse genitalia.

a. Male.

1. Wipe the tip of the penis with a cotton ball

soaked with soap solution. Use a circular motion

going from the tip of the penis toward the scro-

tum. If not circumcised, retract the foreskin.

Cleans from least contaminated to most contami-

nated area. Retraction of the foreskin allows

cleaning at the meatus.

NOTE: If the foreskin does not retract easily do not force.

2. Repeat cleansing process with a cotton ball

soaked with sterile water. Rinses soap solution

from the area and prevents contamination of the

specimen with the soap solution.

3. Let air dry.

4. Replace foreskin if necessary. Prevents swelling or

injury, which may make it difficult to replace the

FIGURE 13 Urine Collection. A. Protective

paper is removed from bottom half.

continued

SKILL 12

Collection of Urine Specimen on Infant or

Young Child

continued

7. Diaper child and make him or her comfortable.

8. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

9. Check every 30–60 minutes for appearance of urine in

bag. Lessens likelihood of losing specimen.

10. When child has voided, put on nonsterile gloves and

gently remove bag and place urine in specimen con-

tainer. Protects nurse from contact with body fluids and

microorganisms.

11. Cleanse and dry area and rediaper. Prevents skin irrita-

tion.

12. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

13. Label specimen and place in appropriate bag or con-

tainer along with the laboratory requisition slip. Ensures

specimen properly identified and appropriate test is per-

formed.

14. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

15. Send specimen to laboratory.

DOCUMENTATION

1. Time specimen collected.

2. Amount of urine collected.

3. Color of urine.

4. Type of test to be performed.

5. Condition of skin of perineal area.

FIGURE 13 Urine Collection. B. Place bag

over penis and scrotum (or vagina). Press

adhesive to skin. Work outward pressing

adhesive firmly. Remove backing from top

half, press firmly, and keep wrinkle free.

C. Secured urine collection bag.

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