Random ( routine urinalysis) Clean voided or midstream sterile specimen (C/S) Timed urine specimens

Equipment: * soap or cleansing solution, washcloth towel * commercial kit for clean-voided specimen or individual supplies as listed * Sterile cotton balls or sterile gauze pads * Antiseptic solution (eg. Povidone)

sterile water sterile specimen collection cup or jar bedpan, bedside commode or specimen hat sterile and non sterile gloves completed specimen label

Assess the voiding status of client assess clients understanding of purpose of test and method of collection explain the procedure to client provide fluids to drink hour before collection unless contraindicated Provide privacy for client by closing door or bed curtain give client or family members soap, washcloth and towel to cleanse perineal area

perform hand hygiene and apply non sterile gloves and assist non ambulatory clients with perineal care. Assist female client onto bedpan .. using sterile asepsis, open sterile kit ,apply sterile gloves after opening sterile specimen cup, placing cap with sterile inside surface up and do not touch inside of container or cap pour antiseptic solution over cotton balls or gauze pads unless kit contains prepared gauze pads in antiseptic solution

Assist or allow client to independently cleanse perineum and collect specimenFemaleSpread labia with thumb and forefinger of non dominant handCleanse area with cotton ball or gauze, moving from front to back While continuing to hold labia apart, client should initiate stream and after stream is achieved ,pass container into stream and collect 30 to 60 ml

B. Male Hold penis with one hand and using circular motion and antiseptic swab, cleanse end of penis, moving from center to outside. In uncircumcised men, the foreskin should be retracted before cleansingAfter client has initiated urine stream, pass specimen collection container into stream and collect 30 to 60 ml

remove specimen container before flow of urine stops and before releasing labia or penis. if foreskin was retracted for specimen collection, it must be replaced over the glans. replace cap securely on specimen container( touch outside only)Cleanse any urine from exterior surface of container and place in a plastic specimen bag.Remove bedpan and assist client to comfortable positionLabel specimen and attach laboratory requisition

remove gloves, dispose in proper receptacle and perform hand hygiene transport specimen to laboratory within 15 minutes

Urinalysis: - specimen should be examined as soon as possible - first voided specimen in the morning - dips the strips into the urine and then observes for a color change in the time interval designated on the package.

urine specimen is poured into a special clean, dry cylinder the weighted urinometer is suspended in the cylinder of urineThe concentration of dissolved substances in the urine aids in determination of a clients fluid balance.

sterile or clean voided sample of urine.

approximately 24 to 48 hrs before the laboratory can report findings of bacterial growth.