This is the collection of urine directly from a catheter for sampling purposes while ensuring the sample is not contaminated. Specimens must be collected at the right time, using the correct technique and equipment, and be delivered to the laboratory in a timely manner The specimen must be: Collected at the right time Collected in a way that minimises the risk of contamination Collected in a manner that reduces risk to all staff (including laboratory staff) Collected using the correct equipment Documented clearly Stored/transported appropriately
CATHETER
MATERIALS NEEDED 1. Sterile Syringe (undamaged, intact and dry) 2. Specimen container that is labelled correctly 3. Tissue paper 4. Alcohol swabs 5. PPEs Place all this on clean trolley
PRE-PROCEDURE After checking for hazards and ensuring scene safety. provide privacy for your patient perform hand hygiene introduce yourself to the patient and explain reason for the encounter and gain conscent. “ I am here to optain a urine sample from your catheter which is needed for testing” check patient’s identity on ID band and medical records including allergies and reactions Ensure patient is comfortable and ready for the procedure
PROCEDURE 1. Perform hand hygiene and wear non sterile gloves 2. Expose only the necessary part and check the sampling port if urine is present.
3. If urine is not present in the sampling port, clamp below it to allow collection of new urine, if pesent, there’s no need to clamp. 4. Wipe sampling port with alcohol swab and allow to dry for 30 seconds
Types of CSU Needle and syringe method: using a sterile syringe and needle, insert needle into port at an angle of 45° and aspirate the required amount of urine, then withdraw needle. Needle-less method: insert sterile syringe firmly into cente sampling spot, aspirate the required amount of urine and remove syringe. while doing either of this method, place a tissue behind sampling port with non-dominant hand to soak up spillage
5. Transfer an adequate amount (approx. 10 mL) of the urine into a sterile container immediately. maintain sterility by not touching the inside of the container while pouring the urine. 6. Discard needle and syringe into sharps container. Wipe sampling port with alcohol swab and allow to dry. 7. Unclamp catheter tubing if clamped. 8. Dispose of used materials, remove PPEs and wash hands
POST PROCEDURE State that urine sample bottle witll be labelled with relevant clinical information like signs and symptoms of infection, antibiotics therapy. State that procedure will be documented in notes. Ensure sample is sent to Lab immediately (within 4 hours) or refrigerate at 4 °C. (or verbalise it) Ensure patient is comfortable throughout the procedure, thank patient Wash hands with soap and water or use adequate amount of alcohol sanitiser.