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Step-By-Step Procedure for Giving a Urinalysis Specimen

written by: Sidney Johns•edited by: Diana Cooper•updated: 3/24/2015

Urinalysis procedure guidelines, when followed properly, result in more accurate results. Learn the procedure and the reasons for appropriate protocol.

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    The Basics

    As with most medical testing, urinalysis procedure guidelines call for a basic identification process. The person administering the test urinalysis is required to follow standard precautions of hand washing and gloving.

    A urinalysis requires the following equipment:

    • Sterile container with lid
    • Antiseptic pad
    • Label
    • Bedpan, urinal or bathroom facility
    • Hand washing items for patient

    Assemble these items and fill out all the patient information on the label before presenting to the patient. Do not place the label on the container prior to the procedure.

    Identify the patient by full name and ensure the patient acknowledges his or her identity. Explain to the patient the purpose for the test and reassure them by answering any questions they may have.

    Identification of bacteria in the urine often requires what is referred to as a clean-catch midstream urinalysis or CCMS. This process eliminates outside elements from the skin from contaminating the specimen. The procedure process varies from male to female. Always give step-by-step instructions to the patient, regardless of the number of times they have taken the test.

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    Clean Catch Midstream for a Female

    Procedure guidelines for a female clean-catch require the following steps of instruction for the patient to follow.

    1. Wash hands with soap and water and dry with a clean towel.
    2. Remove the lid from the sterile container.
    3. Open the antiseptic pad and hold with one hand.
    4. Spread and wipe the genital area with the antiseptic pad from front to back slowly. Do not repeat or wipe from back to front.
    5. Dispose of the antiseptic pad and pick up the sterile container.
    6. Keeping the genital area slightly spread, begin to void into the bedpan or toilet. Allow for 2-3 seconds of urination.
    7. Place the container in the stream of urine and fill to the marked line on the container.
    8. Remove the container from the stream or urine and complete voiding in the bedpan or toilet.
    9. Wipe with toilet tissue upon completion.
    10. Place the lid on the specimen container.
    11. Alert the medical professional administering the test that the process is complete.
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    Clean Catch for a Male

    Procedure guidelines for a male clean-catch midstream require the following steps of instruction for the patient to follow.

    1. Wash hands with soap and water and dry with a clean towel.
    2. Remove the lid from the sterile container.
    3. Open the antiseptic pad and hold with one hand.
    4. Expose the glans by retracting the foreskin with one hand. This is not required for the circumcised male, but instructions should be universal and given to all males equally.
    5. Clean the head of the male genital area in a circular motion beginning in the center using the antiseptic pad.
    6. Begin to void into the toilet or urinal. Allow 2-3 seconds of urination.
    7. Place the sterile container into the stream of urine and fill to the marked spot.
    8. Do not let the skin touch the inside of the container.
    9. Finish voiding into the toilet or urinal.
    10. Place the lid on the container.
    11. Alert the medical professional that the process is complete.
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    Completion

    After the patient has completed their part of the process,guidelines call for the medical professional to label and handle the specimen in a timely and professional manner.

    Identify the patient by name when receiving the specimen and immediately place the appropriate label, filled out prior to the procedure. Place the urine specimen in the designated area for laboratory pick-up right away and chart the procedure including the time the specimen was placed for pick-up.

    Following the urinalysis procedure guidelines can assist in ensuring the test results are clear and accurate. Do not skip steps or assume the patient understands the process.

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    References and Photo Credits

    Urinalysis Photo, Photobucket, Multifariousramblings

    Pocket Guide for Medical Assisting, Second Edition, Elizabeth A.Molle, Judy Kronenberger, Connie West-Stack, Laura Southard Durham: Lippincott Willims & Wilkins, 2005