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If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?



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No. 20
from Bobbkat
Old Nov 05, 2009, 10:01 PM

Default Re: If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?
I've done this in peds, as a student. The nurse gave me instructions on how to do it, which my clinical instructor verified. We had to do frequent UA on the patient, no cultures or anything. I had to put cotton balls in his diaper, and then put the cotton balls in a syringe and squeeze the urine out onto the strip for the machine. Apparently you can't just use the diaper because the absorbent stuff in the diaper interferes with the results. For this patient, they were worried about a tumor/neuro problem, and were mostly worried about making sure that his renal function wasn't being impaired as a result, so really it was just for trending, I suppose.
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No. 21
from nursel56
Old Nov 06, 2009, 03:30 AM

Default Re: If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?
Originally Posted by sasha1224 View Post
This reminds me fo the "old days" when we drew all specimens from a diaper. It was explained to me that new diaper materials interfered with current testing, so we stopped sending them. If Peds or NICU try bagging, if adult try new cath.
That's curious to me. I worked at a Children's Hospital in the old days and I've never seen anyone get a specimen that way. Especially since we used cloth diapers on most of the babies back in the day. A point I find amusing. The only babies other than NICU we used disposables were strict I&O, we weighed the diapers, then weighed them again after the child voided. Where and how did you see this done?
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No. 22
from Zen123
Old Nov 06, 2009, 09:32 AM

Default Re: If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?
Thanks For all The Feedback. I'm certainly going to bring this up.

The Supervisor
said they used to do this when she worked at the NICU - draw urine specimen from the wet pad to urine dip test for uti. I work in a LTC skilled unit and I couldn't imagine...

When I heard of it I to was like, Seriously?!!!

Thanks again.
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No. 23
Old Nov 06, 2009, 10:18 AM

Default Re: If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?
I'm sorry but I wouldn't do it. Its not sterile and I don't think its good practice.

!Chris
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