Authors: Брикез Ю. И.

Editor: Редненко В. В.

Description of the clinical situation:

You are a ward nurse of an inpatient health care organization. An urine specimen  by Zimnitsky has been ordered for a patient. Prepare the patient and collect urine specimen by Zimnitsky.

Indications: determination of concentration and excretory function of the kidneys.

Equipments:

 

Procedure for performing the practical skill:

Preparatory stage:

  • say hello to the patient, introduce yoursel
  • check the patient's name, check with a MAR (medication administration record)
  • the day before (evening) inform the patient about the upcoming urine collection by Nechiporenko, obtain verbal consent for the collection.
  • fill in the referral  «Анализ мочи по Зимницкому»: indicate patient's surname, first name, year of birth, gender, department, ward number, date of urine collection
  • Label urine collection containers: put the labels on the containers
  • specify on each label:
  •      type of test (by Zymnitsky) 
  •      patient name and initials
  •      department, ward number
  •      date of urine collection
  •      portion number
  •      the time of collection of urine corresponding to this portion
  •      teach urine collection techniques:

Main Stage:

  • give the completed referral and labeled urine containers to the patient
  • explain the urine collection rules to the patient:
  • The sampling is carried out with the usual drinking and nutrition regime during the day (24 hours) in the form of eight portions
  • at 6.00 a.m. the patient release urine into the toilet (night urine)
  • perform the daily washing the external genitalia
  • over the next 24 hours to collect urine in separate urine containers according to the time indicated on the container tag:

                                               

 portion №1     6.00 - 9.00                                                  portion № 5   18.00 - 21.00

              №2     9.00 - 12.00                                                             № 6   21.00 - 24.00

             №3     12.00 - 15.00                                                           № 7   24.00 - 3.00

             №4     15.00 - 18.00                                                           № 8   3.00 - 6.00

  • ­warn the patient that a medical personnel will wake him up atnight to collect the appropriate amount of urine
  • If the amount of urine excreted in a three-hour period is more than the volume of the urine collection container, use an extra container labeled “Extra Urine for Portion No.”
  • when there is no urine in any time (three-hour) interval, the appropriate urine collection container is left empty and the tag is labeled “No portion”, this container is transported to the lab together with other
  • The ward nurse will provide delivery of specimens to the lab before 8 a.m.
  • Normal relative density of urine in an adult is 1.010 to 1.025 g/L.

Final stage:

  • the ward nurse ensures delivery of the samples to the laboratory of the health care organization before 8 a.m. in a container for transportation of biological material samples, enclosing the referral forms in a separate bag
  • the ward nurse staples the results of the laboratory tests to the medical card of an inpatient.

Note:

  • If the patient is on a bed regime, the ward nurse should collect the urine specimens
  • If the patient on period on ​​the day of the examination, close the vagina with a tampon when urinating.
  • The amount and relative density of urine in each portion is determined.
Последнее изменение: четверг, 26 сентября 2024, 16:24