1. Specimen Collection

2. Specimens
A sample that is used for _______ in order to try to make a _________.
While collecting a specimen, behave ________________ at all times
Always wear _______ when collecting specimens
Three types of urine specimens:
________, ___________or ____________

3. Collecting a Routine Sample
Resident will ______ into a bedpan, hat or urinal
Ask resident not to put _________in with the sample
Help resident with perineal care and hand washing

4. Collecting a Routine Sample
Take the bedpan, urinal or commode pail to the bathroom and pour urine into the ____________________
Container should be at least ___________
________ the specimen container with its lid and ______ the outside off with a________.
_______ the container with provided label
Place container in a _____________

5. Urine Specimens Clean catch Also called ____________
To determine presence of _________ in the urine
the ______ and _______ urine are not included in the sample

6. Collecting a Clean Catch Specimen
Area around the _______ (opening of the __________) has to be cleaned
Females:
use towlettes included in specimen kit
separate the labia and wipe from __________ along one side.
With a new towlette, wipe from front to back along the other side
With a new towlette, wipe down the _________

7. Collecting a Clean Catch Specimen
Males
Clean the head of the penis using circular motions
_______ __________with each circular motion
If the male is uncircumcised, hold back the foreskin while cleaning and continue to hold it back during urination
Pull foreskin back down after collecting the specimen

8. Collecting a Clean Catch Specimen
Have the resident urinate into a bedpan, urinal, etc and _____________before urination is complete
Place specimen container under urine stream and have resident start urinating again
Continue until container is _________ and have resident finish voiding into the bedpan, urinal, etc.
Cover container with lid, wipe the outside, label and place container in a plastic bag

9. Urine Specimens 24 hour urine
Tests for certain __________ and ________ by collecting all of the urine voided by a resident in a 24 hour period
Usually begins in the morning and ends the next ___________
At the beginning of the 24 hour period, the resident must void and ________________urine
If any urine is discarded or improperly collected, collection must start all over again

10. Collecting a 24 hour urine
After discarding the first morning urine, ___________________. The collection will end at this time the next morning
Label the specimen container with _____, ________ and _____ and_____ of collection
After the resident voids, empty the container into the specimen container.
Container may be stored on ___ to keep the specimen cool.

11. Resident with a catheter
Collecting a sample from a resident wearing a catheter
____________ the tubing from the drainage bag
Allow the specimen to drip directly into the specimen container
Do NOT collect a urine sample from the _____________unless instructed to do so

12. Resident with a catheter
Collecting a sample from a resident wearing a catheter
Allow _______ to collect sample from _________ ____________
Do NOT _________ a urine sample from the ________________ unless instructed to do so

13. Stool Specimen
Stool is collected and tested for blood, pathogens and/or parasites (worms, amoebas)
Use a bedpan, hat or bedside commode for collection
_________ will ruin a stool specimen
Tell resident to not put _________in with the sample

14. Stool Specimen
Using two ____________, put about ______________ of stool in the specimen container
Close and _______ the specimen container
Wrap the _____________ with toilet paper and discard

15. Sputum Collection
Sputum: thick _______ coughed up from the _________ (not saliva)
Best time to collect the sample: _______ _________
Have resident cough up sputum and spit it into the _______________
___________________
Stand ___________ resident
Wear PPE (_________ and ________)