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Urine Sample from Foley



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No. 20
from cannew22
Old Jan 02, 2008, 02:30 AM

Default Re: Urine Sample from Foley
what part of the tube do you clamp? i was taught just to draw directly from the port with a needle, and am new to this clamping!! what does the clamping do?
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No. 21
Old Jan 02, 2008, 05:54 AM

Default Re: Urine Sample from Foley
clamping allows some urine to build up in the tube so you have a decent sample. On our foleys the port is really close to the patient so sometimes if there isn't a lot of urine in the tube you have to clamp it for a short period of time to get enough urine for the sample. We also have a needleless port so I just cleanse the port and attach a syringe to withdraw the sample.
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No. 22
Old Nov 05, 2008, 09:14 AM

Default Re: Urine Sample from Foley
As a brand new inservice coordinator in my facility I have to give an inservice to a nurse who obtained a needle stick from obtaining a urine sample from a port. I need to find out if this has ever happened before, and how to prevent this from happening again.
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No. 23
from P_RN
Old Jan 13, 2009, 12:20 PM

Default Re: Urine Sample from Foley
FIRST check your procedure manual. If you don't have one then your facility needs one STAT.
Wash your hands. Put on gloves.

Clamp tubing with a Dravon A clamp

http://www.dravon.com/a-clamp.html

below the aspiration port for 15 minutes. Swab port with alcohol sponge Use a sterile slip fit or aspiration tip NOT A NEEDLE EVER! Withdraw 10cc. of urine. Put specimen into screw top sterile container and label. Put closed container into zip top plastic bag. Send to lab.
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No. 24
from mcknis
Old Jan 14, 2009, 04:40 PM

Default Re: Urine Sample from Foley
in case your facility has luer-lock connections, then please don't use a needle to w/d out of a port. saw one of our aides do this and the other staff wondered why the foley kept leaking at the port.
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No. 25
from Seishiro
Old Jan 20, 2009, 09:24 PM

Default Re: Urine Sample from Foley
Okay, I'm glad this topic came up because I found out something interesting recently in one of my clinical rotations. The policy and procedure at this facility now enforces that every time a urine sample needs to be collected from a patient with a foley cath, the foley must be removed. The sample is then collected from freshly voided urine (mid-stream I assume) and then a new foley is then inserted. Their "rationale" was that even if you use the port, contamination is still an issue within the tubing itself.

This makes absolutely no sense to me... and what I believe it boils down to is a lack of good technique.
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No. 26
from Seishiro
Old Jan 20, 2009, 09:27 PM

Default Re: Urine Sample from Foley
Originally Posted by P_RN View Post
FIRST check your procedure manual. If you don't have one then your facility needs one STAT.
Wash your hands. Put on gloves.

Clamp tubing with a Dravon A clamp

http://www.dravon.com/a-clamp.html

below the aspiration port for 15 minutes. Swab port with alcohol sponge Use a sterile slip fit or aspiration tip NOT A NEEDLE EVER! Withdraw 10cc. of urine. Put specimen into screw top sterile container and label. Put closed container into zip top plastic bag. Send to lab.
Why can't you just use hemostats?
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No. 27
from mcknis
Old Jan 20, 2009, 09:40 PM

Default Re: Urine Sample from Foley
Originally Posted by Seishiro View Post
Okay, I'm glad this topic came up because I found out something interesting recently in one of my clinical rotations. The policy and procedure at this facility now enforces that every time a urine sample needs to be collected from a patient with a foley cath, the foley must be removed. The sample is then collected from freshly voided urine (mid-stream I assume) and then a new foley is then inserted. Their "rationale" was that even if you use the port, contamination is still an issue within the tubing itself.

This makes absolutely no sense to me... and what I believe it boils down to is a lack of good technique.
I cant believe this! I am definitely shocked! I think this is a retarded practice and this 'new' practice would cause much more unneeded trauma to the bladder wall and urethral opening!!! WOW, the steps some people would go through and I am sure that this is set up by some admin/indirect staff member...
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No. 28
from Seishiro
Old Jan 20, 2009, 09:48 PM

Default Re: Urine Sample from Foley
I can only imagine what the patients feel about it. This isn't to mention that in order to find another pair of sterile gloves in this facility we had to open another foley kit, which then was useless to us.
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No. 29
from rnmi2004
Old Jan 20, 2009, 09:52 PM

Default Re: Urine Sample from Foley
Originally Posted by Seishiro View Post
Okay, I'm glad this topic came up because I found out something interesting recently in one of my clinical rotations. The policy and procedure at this facility now enforces that every time a urine sample needs to be collected from a patient with a foley cath, the foley must be removed. The sample is then collected from freshly voided urine (mid-stream I assume) and then a new foley is then inserted. Their "rationale" was that even if you use the port, contamination is still an issue within the tubing itself.

This makes absolutely no sense to me... and what I believe it boils down to is a lack of good technique.
If the patient is able to produce a urine specimen by voiding, why is there a Foley in place at all?
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