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30 Cards in this Set
- Front
- Back
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Procedure 27-2A - Collecting a Clean Catch Specimen
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14 Steps
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Step 1
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Dons clean procedure gloves.
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Step 2
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Opens the prepackaged kit (if available), and remove the contents.
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Step 3
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Washes hands and don clean procedure gloves
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Step 4
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Cleanse, or instruct patient to cleanse, around the urinary meatus. Allow the area to dry.
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Step 5
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Removes gloves. Washes hands, and dons the second pair of clean procedure gloves.
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Step 6
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Opens the sterile specimen container, being careful not to touch the inside of the lid or container.
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Step 7
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Holding the container near the meatus, instructs patient to begin voiding into the container. Holds the female labia apart during this step (or teaching self-care patients to do so). For the male patient who is unable to assist, holds the penis during voiding
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Step 8
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Allows a small stream of urine to pass; and then without stopping the urine stream, places the specimen container into the stream, collecting approximately
30–60 mL. |
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Step 9
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Removes the container from the stream, and allows patient to finish emptying his bladder. Note: If the penis is uncircumcised, replaces the foreskin over the glans when the procedure is finished
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Step 10
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Carefully replaces the container lid, touching only the outside of the cap and container. Avoids touching the rim of the cup to the genital area. Does not get toilet paper, feces, pubic hair, menstrual blood, or anything else in the urine sample.
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Step 11
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Labels the container with the correct patient information (in many institutions, labels are preprinted or bar-coded). Places the container in a facility-specific carrier (usually a plastic bag) for transport to the lab.
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Step 12
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Removes gloves and washes hands. If the specimen has been obtained from a patient on a bedpan, leaves gloves on until it is removed, emptied, and stored properly.
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Step 13
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Assists patient back to bed, or removes the bedpan, if applicable. (See Procedure 28-2 for removing a bedpan.)
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Step 14
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Transports the specimen to the lab in a timely manner.
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Variations for Women
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Washes the perineal area with warm water and mild soap if soiled. Otherwise, instructs use of an antiseptic towelette.
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Variations for Women
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Opens antiseptic towelette in the prepackaged kit. If there no kit, pour the antiseptic solution over the cotton balls. Wipe down one side of the meatus using one pad and discard it. Then wipe the other side with a second pad. Wipe down the center over the urinary meatus with the third pad; then discard it. Clean the perineal area at least twice. Uses each towelette or cotton ball only once.
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Variations for Men
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If the penis is uncircumcised, retracts the foreskin back from the end of the penis
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Variations for Men
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Uses the towelette provided in the prepackaged kit or pour antiseptic solution over cotton balls or a 2 in. × 2 in. gauze pad soaked with povidone-iodine, if patient is not allergic to iodine.
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Variations for Men
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With one hand, grasp the penis. With the other hand, cleanse the meatus in a circular motion from the meatus outward, cleanse for a few inches down the shaft of the penis. Cleanse around the meatus twice, using each towelette or cotton ball only once. Repeats this three times, each time with a fresh 2 in. × 2 in. gauze pad, towelette, or cotton ball.
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Equipment
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Prepackaged collection kit
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Equipment
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Sterile Specimen Container
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Equipment
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Antiseptic Solution
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Equipment
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Sterile Cotton Balls or 2 in. X 2 in. gauze pads
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Equipment
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Washcloth or towel
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Equipment
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Mild soap and water
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Equipment
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Two pairs of clean procedure gloves
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Equipment
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Patient identification labels
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Equipment
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Bedpan or bedside commode for an immobile patient
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Equipment
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Antiseptic Swap
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