%äüöß Has it been documented in the correct places and will the results be located and acted upon in a timely manner? endstream This is the recommendation for intravenous ports (p. 89); it would seem sensible to apply the same practice to urinary catheter ports. Urine specimens from the baby 140 In what way will the result impact care? Summary 141 }, author={Michael L Wilson}, journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America}, year={1996}, volume={22 5}, pages={ 766-77 } } Clinical assessment: is the specimen necessary? �����nCN��i@��e`�o�i endobj • a needleless port in some part of the tubing or drainage bag (Fig. /����qM�r��04����bs��ܸ��� Place urine carefully into the specimen pot. x��Z[�$�~?�b�3QIj������Ɂ?%v x ���}K�R�$u��Y�����j�T��>UiV�����׃ Some specimens require the woman to take more action than others. This section focuses on obtaining a catheter specimen from an indwelling catheter. • summarize the midwife’s role and responsibility in relation to specimen collection. 24-hour urine collection 140 • Has it been documented in the correct places and will the results be located and acted upon in a timely manner? Is it sealed and labelled ‘high risk’ if appropriate? Is it appropriate to the current clinical condition? Good practice 137 ��[�"VK�]��N�4�Pr�*=�YHΏ�=vЧW���dO�%��)"�0� 4"w�>0IY�q;���F!-3��4�*��a����W��G����s,�Z�6|{9���e&w����$�$�2���]���.��B��9��!��! %PDF-1.4 • Document the findings and act accordingly. x��UM��0��W�\�Ԓ?�0�L�-�Pz붷B���;�lS(�#KOOOr��`^�?��/�4�yy�~2�W�5/����%$�ds������!���o�������%�6�įb�]�e(0�k��g�h�G;��Ƌ/�0�{�:;r�케U� H"Z:w;l�r��3Ԉ�891 �S�,z�f��#$r! • Is the specimen being taken in a manner that protects all staff including the midwife, transportation and laboratory services? 1. Is this a repeat specimen? Dispose of syringe correctly. Aseptic Non Touch Technique (ANTT) (Rowley & Clare 2011) advocates using four corners of a wipe and the middle, each for approximately 5 seconds, generating friction. 5 0 obj Taking specimens unnecessarily is costly and can be stressful for the woman. �V&���>��a>��r���4����4�Y]�#�8éevgu��[���q8���&�0���P(�J+x���� �1���N㊑u2i ���� Good practice for the taking of all specimens should include: • Correct identification of the woman (asking her to state her name and date of birth) and the granting of consent. ▪ discard the needle straight into the sharps box. Urine may be taken from a catheterized woman for the purposes of urinalysis or infection screening, but occasionally a catheter may be inserted (often intermittent, p. 124) to obtain an uncontaminated specimen (e.g. Specimen collection, preparation and handling are important tasks performed by nurses. Document the findings and act accordingly. Is it being collected at the right time, in the right way (avoiding contamination) using the correct equipment, the correct sample pot and labelled as per locally agreed policy? Failure at any of these stages wastes resources and can lose patient confidence in the service. connect the syringe and needle using an ANTT, insert the needle into the rubber port taking care not to pierce out through the other side, withdraw the required amount of urine (10–20 mL usually). a needleless port in some part of the tubing or drainage bag (Fig. �5� �:�޵. In each instance, she needs to understand what is being tested, why and how the specimen is obtained. ;���C��ѷ�����0G�²�ek����wu�����9�W�g�����&����烧��%�Ci��Ob�#�K:T�K3�Yp1�s}�Kn� '�f�jj���_�yl�S�@���3ZO���ի����X���U�����zϐꦓm��T8h� d�^����^e:X>�2�5ŤzI���8�+@Յ֖�R'C� �ȲM�d׌)E�p����u�Z��dK�e�+�I���IV������� oLg%�d��RpC�P�����A�� ����xT�{�f^1rQ�9�u�uq�S ��#o�.���_�J�j2���j���4'e�F����78�^�D�I�����F���a*s3�E��+���R�~�Եt���r8�Tj-N+1F-U�����՜���;t�|¬�}/��䲗:X�X�č�׋�y�ܔ�hLKg�jY��u�"��$w • Gain informed consent, confirm identity and gather equipment: ▪ sterile specimen pot (correct one for the nature of the test required), ▪ non-sterile gloves and disposable plastic apron × 2, ▪ 20 mL sterile syringe (and 25 g sterile needle if it is a resealing port, with portable sharps box). Taking specimens unnecessarily is costly and can be stressful for the woman. Chapter contents Label the specimen correctly and dispatch to the laboratory with the request, often within 1 hour; this will depend on the nature of the test (if delayed, refrigeration at 4°C is sometimes acceptable). endobj Midwives take a large number of urine specimens; this chapter reviews the correct way to do this. Is the specimen being taken in a manner that protects all staff including the midwife, transportation and laboratory services? One of the key principles of good specimen collection is to avoid introduction of colonizing bacteria surrounding the site of infection or on the skin or mucous membranes near the infectious site.

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