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Collecting a Urine Specimen (2.5.2)

Collecting a Urine Specimen (2.5.2) - Policies, Clinical, UW Health Clinical, General Care and Procedures, Labs/Specimens

2.5.2


UW HEALTH CLINICAL POLICY 1
Policy Title: Collecting a Urine Specimen
Policy Number: 2.5.2
Category: UW Health
Type: Ambulatory and Inpatient
Effective Date: September 29, 2016

I. PURPOSE

To direct staff and providers to follow standard procedures for collecting urine specimens across UW Health.

II. POLICY ELEMENTS

A. Midstream urinary specimens can be collected by the patient with instruction
B. Midstream urinary specimens collected from patient with assistance of RN, nursing assistant (NA),
emergency department (ED) tech, a patient care tech (PCT), Medical Assistant (MA) or provider
C. Urine specimen collection from an indwelling urinary catheter (IUC) or suprapubic catheter can be performed
by a registered nurse (RN), and/or provider.
D. Sterile intermittent catheterization for specimen collection can be performed by RN, students with
supervision, surgical tech (only when necessary during a sterile OR procedure), medical assistants, or
provider.
E. Pediatrics: Sterile single use bagged urinary specimens for appropriate pediatric patients collected by a RN,
nursing assistant (NA), emergency department (ED) tech, a patient care tech (PCT), MA, or provider.

III. PROCEDURE

A. Urine specimens will be collected as ordered by the provider.
B. Staff will follow standard procedures for collecting urine specimens (refer to Appendix A for standard
procedures).
C. Auditing will be completed by appropriate departments to ensure that staff follow standard procedures and
that patient safety is maintained.

IV. COORDINATION

Author: Clinical Nurse Specialist, Quality and Safety
Senior Management Sponsor: Vice President, Associate Chief Nursing Officer
Reviewers: Nursing Program Specialist, Ambulatory
Approval committees: CAUTI workgroup, UW Health Clinical Policy Committee
UW Health Clinical Policy Committee Approval: September 19, 2016

UW Health is a cohesive, united and integrated academic medical enterprise comprised of several entities.
This policy applies to facilities and programs operated by the University of Wisconsin Hospitals and Clinics
and the University of Wisconsin Medical Foundation, Inc., and to clinical facilities and programs
administered by the University of Wisconsin School of Medicine and Public Health. Each entity is
responsible for enforcement of this policy in relation to the facilities and programs that it operates.

V. APPROVAL

Peter Newcomer, MD
UW Health Chief Medical Officer

J. Scott McMurray, MD
Chair, UW Health Clinical Policy Committee

VI. REFERENCES

A. UWHC policy #13.08, Hand Hygiene
B. Nursing Patient Care departmental policy #3.15AP, Sterile Intermittent Straight Catheterization for Bladder
Decompression
C. Nursing Patient Care departmental policy #3.31AP, Insertion, Removal and Maintenance of an Indwelling
Urinary Catheter (IUC)


UW HEALTH CLINICAL POLICY 2
Policy Title: Collecting a Urine Specimen
Policy Number: 2.5.2

D. Nursing Patient Care departmental policy #13.12, Basic Care Standards (Adult)
E. Nursing Patient Care departmental policy #13.16, Basic Care – Inpatient Pediatrics (Birth-18 years of age)
F. Nursing Practice Guideline, Catheter-Associated Urinary Tract Infection (CAUTI) Prevention Guideline At-a-
Glance
G. Clinical Laboratories departmental policy #1502.5.06, Acceptance Policy for Specimen Identification
H. CAUTI Prevention Webpage on U-Connect
I. Center for Disease Control and Prevention (2008). Guideline for Prevention of Catheter-Associated Urinary
Tract Infections. Retrieved March 30, 2009 from http://www.cdc.gov/hicpac/index.html
J. Lo, E., Nicolle, L., Classen, D., & et al. (2014). Strategies to prevent catheter-associated urinary tract
infections in acute care hospitals: 2014 Update. Infection Control and Hospital Epidemiology, 35 (5), 464-
479.
K. Smith-Temple, J., & Young-Johnson, J. (2009). Nurses’ guide to clinical procedures (6th Ed.). Philadelphia,
PA: Lippincott Williams & Wilkins.
L. Infant U-Bag Urinalysis or Urine Specimen collection and Delivery Instructions. 9/2013. Retrieved from:
https://www.metromedlab.com.
M. Dolan, V.J. & Cornish, N. E. (2013). Urine specimen collection: how a multidisciplinary team improved
patient outcomes using best practices. Urology Nursing, 33(5): 249-56.
N. Appendix: Standard Procedures for Urine Specimen Collection

VII. REVIEW DETAILS

Version: Original
Next Revision Due: September 2019
Formerly known as: Nursing Patient Care departmental policy #3.28, Collecting a Urine Specimen from an
Indwelling Urinary Catheter