URINE SPECIMEN COLLECTION FROM Female: Place the

AN INFANT opening of the

collection bag over
Definition: the child’s urinary
meatus.
Pediatric Urine Specimen is collected from
5.Place a clean Hold collector in
infants who are incapable of telling the time
diaper on the child. place.
of urination and following direction for
6.Wash hands. Ensures that
collection by themselves. Check collector specimen is
Purpose: every 15-20mins. obtained.
7.Remove collector Promotes comfort
- To collect pediatric urine specimen and place a clean and prevents skin
accurately. diaper on child. irritation.
8.Pour urine from Prevents spillage.
Equipment: collector into the
urine container and
- Cleansing swabs/cotton balls
send specimen to
- Towel
laboratory with
- Pediatric urine collection proper requisition
- Diaper form.
- Restraints (if needed) 9.Wash hands and Provides accurate
record the record data needed
PROCEDURE RATIONALE
necessary data, in the plan of
1.Carry out each Promotes
including condition patient’s care.
beginning efficiency.
of perineum.
procedure.
a.Make necessary
assessment. CATHETERIZED URINE SPECIMEN
b.Gather COLLECTION
equipment needed.
c. Explain Definition:
procedure (to
mother). - Collection of urine specimen from
d.Wash hands. urinary catheter.
2.Identify correct Ensure proper
Purpose:
child. identification.
3. Cleanse and dry Reduce - Obtain sterile urine specimen for
child’s perineum. microorganisms. microbiological analysis.
4. Remove paper Prevents spillage
backing from and contamination. Equipment:
adhesive on urine
collector. Attach it - Sterile 10ml syringe with 23 or 25
to child’s perineum, gauge needle
avoid - Non sterile gloves
overextension over - Alcohol swab
anus. - Sterile specimen container
Male: Place child’s - Container labels
penis through the - Catheter clamp
opening of urine
collector.
PROCEDURE RATIONALE STOOL SPECIMEN COLLECTION
1.Carry out each Promotes
beginning efficiency. Definition:
procedure. - Stool is a waste material eliminated
2.Clamp drainage Facilitates trapping from the bowel.
tubing about of urine in tubing at
4inches below specimen port. Purpose:
junction of drainage
tubing and - Determine elimination status of
catheter. client.
3.Leave it clamped Allows urine to pool - Identify GIT dysfunction.
for urine to collect in tubing at
over period of time specimen port. Types of Stool Collection
(10-45mins) 1. Routine Fecalysis – to assess gross
4. Wear clean Reduces exposure. appearance and presence of
gloves.
ova/parasites.
5. Clean specimen Reduces
2. Stool culture and sensitivity – assess
collection port of microorganisms.
drainage tubing the etiologic agent causing
with alcohol swab. gastroenteritis and bacterial
If no collection port sensitivity to antibiotics.
is visible, clean 3. Guaiac Stool Exam – assess GIT
catheter tubing bleeding or occult blood.
close to junction of
drainage tubing. Equipments
6.Insert sterile Prevents accidental - Wide mouth bottle or disposable wax
needle of syringe to puncture. box
port in a 45 degree
- Tongue depressor
angle.
- Clean bedpan/bedside commode
7.Pull back plunger Draws urine to
of syringe. container while - Tissue paper, washcloth, soap and
maintaining sterility. water
8.Slowly squirt Maintain sterility. - Sterile test tube and sterile cotton
urine to specimen applicator (for stool c/s)
container. Do not - Container label
touch inside of - Clean gloves
specimen
container. PROCEDURE RATIONALE
9.Label specimen Eliminates error in 1.Check patient’s Proper
bottle. patient ID band and identification and
identification. explain the cooperation.
procedure.
2.Provide privacy Decrease
and place patient in embarrassment.
high-fowler’s Provide good
position. position that
approximates
elimination.
3.Ask client to void Stool with urine
first. Clean out alters result.
urine for bedpan.
4.Instruct client to Facilitate ample b.description of necessary for the
defecate on time for elimination. stool client’s care plan.
bedpan, leave Promote safety. c.condition of
patient if it is safe perianal skin
and place signal
device within
his/her reach.
Raise side rails.
5.Remove bedpan Conceals sight of
and cover it. Help bedpan contents.
client clean Promotes comfort.
perineum.
6.Take the covered Prevent spread of
bedpan to the microorganisms.
comfort room.
Obtain a small
portion of fecal
material using a
tongue depressor.
7.Place specimen Prevents
carefully into the contamination.
container. Be
careful not to
smear the feces
outside the
container.
a.If for parasites,
specimen must be
warm and sent to
lab immediately.
b.If for C/S, use
sterile cotton
application and
place it in sterile
test tube. Keep it
covered.
8.Clean bedpan. Prevents
contamination.
9.Remove gloves Prevent
and wash hands. microorganism
transfer.
10.Label container Ensures proper
and fill out lab identification and
request. Send to prevents loss.
lab immediately.
11. Record the Documentation
following: contributes to
a.time specimen continued data
was collected collection