Note: Please examine specimen collection and transportation supplies to be sure they do not include expired containers.
Submit a urinalysis preservative tube and culture and susceptibility preservative tube. Label both filled tubes with the patient's first and last name and second identifier.
What are the new urine sample tubes like?
Include the date and time of specimen collection on each specimen container. Submit a urinalysis preservative tube. Label filled tube with the patient's first and last name and second identifier. Submit a culture and susceptibility preservative tube. Label the filled tube with the patient's first and last name and second identifier. Frozen Gel Packs.
To ensure specimen integrity during warm weather, follow these Instructions for Use of frozen gel packs and specimen lockboxes. When a clean-catch urine specimen is required, follow the directions given under Powder in urine sample bottle for Culture in the Microbiology Specimens: Bacteriology and Mycobacteriology Specimens section. The collected urine should be added to the appropriate urine preservative tube or refrigerated immediately to retard growth of bacteria until the test is performed.
Urine values vary considerably during a hour period, and most test methods are based on normal values for first morning samples. The first urine voided in the morning is preferred because it has a more uniform volume and concentration and a lower pH, which helps preserve the formed elements. If it is not possible to obtain a first morning sample, the time of the sample should be noted on the test request form and in the patient's records.
Inhalation can cause irritation and burns, and it may be fatal if swallowed. Friction fit the yellow suction tip securely onto the Luer end of the multi-adapter.
See Figure 1. Guide the pins on the cap straight into the grooves of the adapter, then secure by twisting slightly clockwise. See Figure 2. See Figure 3. See Figure 4. For many urine chemistry tests, it is necessary to analyze a sample taken from an entire hour excretion. Incorrect collection and preservation of hour urine collections are two of the most frequent lapses in urine collections.
The hour urine specimen should be submitted in a chemically clean, properly labeled urine container provided by LabCorp.
The laboratory adds required preservatives or supplies the proper preservative with the container. The collection of the hour urine starts with the patient voiding completely emptying bladder and discarding the first urine passed in the morning. Except for this first discarded urine, all of the urine passed during that day and night, up to and including the first voiding of the following day, must be collected. Urine passed during bowel movements must also be collected.
The hour urine container may contain a preservative of acetic acid, boric acid, or hydrochloric acid, which may cause burns if touched.
The phe public health laboratory birmingham (at heartlands hospital) are changing the type of sample tubes required for urines sent for microscopy, culture and sensitivity testing (m,c&s)
If ingested, a physician should be contacted immediately. A normal intake of fluids during the collection period is desirable unless otherwise indicated by the physician or test specimen requirements.
In some cases, it may be advisable for patients to discontinue taking all medications for an interval of at least 12 hours preferably 48 to 72 hours preceding the urine collection period. This is done as a precaution Powder in urine sample bottle interference in the chemical assays of various hormones; there may be instances, however, in which this is not recommended.
In certain complex chemical analyses, the metabolic products of certain foods and supplements such as vitamins and minerals may also cause misleading. In these instances, the laboratory will advise the physician of special dietary restrictions to be communicated to the patient. Finally, in preparing and submitting the specimen, you should always adhere to the following critical points.
If only a portion of the hour collection is submitted to the laboratory, be sure to add the remaining portion, measure the entire hour volume, and record the total amount in milliliters mL on the test request form for laboratory use. The specimen must be well mixed prior to pouring off aliquots of the sample into an appropriately labeled transport container and submitting it to the laboratory. When aliquots are required with preservatives, use only the preservative requested.
One preservative must not be Powder in urine sample bottle for another. Do not add preservatives except as specified by the laboratory. Even in the healthy individual, the total daily urine volume may be highly variable depending upon water intake, diet, activity, and environmental factors.
Be sure to provide the patient with a container of adequate size. When the laboratory requires a pooled, well-mixed specimen collected in more than one container or a measured aliquot for an individual test, the specimen must be prepared exactly as stated in the specimen requirement. Submit this to the laboratory as soon as possible.
This section includes written instructions to be provided to the patient with the specified laboratory collection container. Supplement these instructions by discussing them with the patient and explaining why the test and collection procedures are necessary. Collection containers that include acids should be clearly marked. To the Physician: You may wish to photocopy these s so that you can provide your patients with Powder in urine sample bottle instructions. Void urinate into the smaller container provided and transfer the urine into the larger collection container.
Do not add anything but urine to the container and do not discard any liquid, tablets, or powder that may already be in the larger collection container. These substances may cause burns if touched. The collection container should be kept tightly closed and refrigerated or kept in a cool place throughout the collection period.
Upon rising in the morning, urinate into the toilet, emptying your bladder completely. Do not collect this sample. Note the exact time and print it on the container label. Collect all urine voided for 24 hours after this time in the container provided by the physician. All urine passed during the hour time period day or night must be saved.
At exactly the same time the following morning, void completely again first time after awakeningand add this sample to the collection container. This completes your hour collection. Take Powder in urine sample bottle hour specimen to the physician's office or laboratory as soon as possible, maintaining the cool temperature in transit by placing the specimen in a portable cooler or insulated bag.
Provide the patient with two hour specimen containers, one containing preservative 30 mL hydrochloric acid and one containing no preservative. This hour urine container contains hydrochloric acid, which may cause burns if touched. Have the patient collect two consecutive hour urine specimens according to the collection protocol provided in the accompanying patient directions.
The first hour specimen should be collected in the container with preservative.
After measuring the volumes, mix well and pour off an aliquot from each specimen into the special urine containers provided. These containers should be filled approximately three-fourths full about 75 mL. Label each aliquot with the patient's full name, the measured hour urine volume, and whether the specimen was collected with or without preservative.
Special kidney stone prevention profile labels are provided for your convenience. Upon return of the hour urine specimens, a fresh random urine specimen should be obtained from the patient for pH determination. This specimen should then be discarded. Complete the patient history questionnaire [retest]including all information required, and mail this to the laboratory.
It is mandatory that this history be submitted; otherwise, a physician interpretation will not be performed. A prepaid envelope is supplied for your convenience. Store in the freezer. Follow the directions below to collect urine for analysis by your physician.
Remember to store all urine in the refrigerator from the time collection begins until you take the containers to your physician. Important: Do not allow the urine from one container to mix with the urine in the other container. The urine container may contain a preservative of acetic acid, boric acid, or hydrochloric acid, which may cause burns if touched. Urinate in the usual manner on awakening, making sure to empty your bladder completely.
Do not save this urine, but you must record the date and time of this first urination. Urine may be collected in another clean container and then carefully poured into the first hour collection container. The next morning, urinate on awakening, but this time include the urine in the HCl preservative container.
Links to labcorp specialty testing groups
Record the date and time of this urination. Powder in urine sample bottle the date and time of the first urine of the day. The time is the same as the last entry of the HCl preservative container. See 4 above. Urine may be collected in another clean container and then carefully poured into the second container. On the following morning, the first urine of the day must be included in this second container. Urine Specimens. See specific Microbiology Specimens sections for other instructions. Urine Specimen Collection Products Urinalysis and Culture and Susceptibility Submit a urinalysis preservative tube and culture and susceptibility preservative tube.
Urinalysis Only Submit a urinalysis preservative tube. Culture and Susceptibility Only Submit a culture and susceptibility preservative tube. Break off the plunger and place it in the proper receptacle. Remove the straw from the Luer adapter and place it in the proper receptacle.