Urine Sample from Foley

[elysium]

What is the best (cleanest) way to obtain a urine sample from a foley catheter?

[GingerSue]

In the past, instructors did teach us to use a needle to pierce the catheter, saying it would reseal itself, but more recently there are ports.

Can the urine in the drainage bag be used for creatinine clearance test (24 hr urine collection)?

[NurseyBaby'05, BSN, RN]

GingerSue said:

Can the urine in the drainage bag be used for creatinine clearance test (24 hr urine collection)?

Just keep the bag on ice. I usually fill a plastic basin with ice and place the bag in.

[StephOScope]

GingerSue said:

Can the urine in the drainage bag be used for creatinine clearance test (24 hr urine collection)?

Yes, you just have to keep the bag iced.

[xmjbutterfly]

I know you have gathered replies already but may i just add as it is most likely the same with what the rest shared...cleanest way? - Use swab cotton, screw in syringe not pierce the syringe as it can be a portal entry for microorganisms to fester...

[anne65]

Hello everyone,

just wanting to find out what others use to clamp the Foley catheter for urine samples and how long do you clamp the tubing for.

Thanks

[swee2000]

At my hospital, the policy states to clamp the foley for 15-30 minutes before collecting a urine sample. The clamp we use is blue, plastic, and looks similar to a hemostat. Additionally, the foleys all come with a needleless-port that allows one to obtain a urine sample using just a standard luer slip tip syringe vs the needle & syringe method.

[elizabells, BSN, RN]

If all you have is a Kelly clamp you can wrap a 2x2 (or 4x4, for bigger tubes) around just about anything and clamp over that. We use that for our 1.5Fr umbilical catheters up to chest tubes when changing out the pleurevac. The gauze prevents the little toothy bits of the clamp from damaging the line/tube/catheter.

[Spidey's mom, ADN, BSN, RN]

We have a plastic clamp that comes with the whole shebang.

And a port close to the foley itself. Cleanse the port, use a needle and syringe, withdraw fluid.

steph

[cannew22]

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?

[Mommy TeleRN, RN]

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.

[still working]

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.

[P_RN, ADN, RN]

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

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.