Questions: 17. In your own words, explain how you would obtain the following urine specimens. a. Clean-Catch: b. Indwelling Catheter: c. 24-Hour Urine Collection:

To obtain the following urine specimens, here are the steps for each type:

a. Clean-Catch:

• Preparation: The patient should wash their hands thoroughly.
• Cleaning: The genital area should be cleaned with antiseptic wipes. For females, this involves wiping from front to back. For males, the tip of the penis should be cleaned.
• Initial Void: The patient should begin urinating into the toilet to clear the urethra of contaminants.
• Collection: After the initial stream, the patient should then collect the midstream urine in a sterile container without stopping the flow.
• Completion: The patient should finish urinating into the toilet.
• Handling: The collected specimen should be sealed and labeled properly, then sent to the lab as soon as possible.

b. Indwelling Catheter:

• Preparation: Ensure that all equipment is sterile and that the patient is comfortable.
• Accessing the Catheter: Use a syringe to access the sampling port on the catheter tubing. Do not collect urine from the drainage bag as it may be contaminated.
• Cleaning: Clean the sampling port with an antiseptic wipe.
• Collection: Attach the syringe to the port and withdraw the required amount of urine.
• Transfer: Transfer the urine from the syringe into a sterile container.
• Handling: Seal and label the container, then send it to the lab promptly.

c. 24-Hour Urine Collection:

• Preparation: Provide the patient with a large collection container and detailed instructions.
• Start Time: The collection period begins with the patient voiding their bladder and discarding this initial urine. Note the exact time.
• Collection: For the next 24 hours, all urine should be collected in the provided container. The container should be kept refrigerated or on ice to preserve the sample.
• End Time: At the end of the 24-hour period, the patient should void one last time and add this urine to the container.
• Handling: Ensure the container is sealed and labeled with the patient's information and the start and end times of the collection period. The sample should be delivered to the lab as soon as possible.

In summary, obtaining urine specimens requires careful preparation, proper cleaning techniques, and timely handling to ensure the accuracy and integrity of the samples.