1. URINALYSIS DIPSTICK TESTING
WellOne Primary Medical and Dental Care For Medical Clinical Staff
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2. WARNING
Conducting this test exposes the operator to potentially infectious material. Standard precautions, including glove use are required for this procedure.
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3. Urine test strips: Storage and Stability
Store strips in original container at room temperature (15-30 C) out of direct sunlight
Replace cap immediately after removing a test strip
Do not remove the desiccant from the bottle (small white package that helps to collect excess moistures)
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4. Urine test strips: Storage and Stability
Replace cap quickly
Do Not expose strips to air
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LIMITATIONS:
As with all laboratory test, definitive diagnostic or therapeutic decisions should not be based on any single result or method.
The urinalysis is a screening test and any positive, significant results should be confirmed with a laboratory specimen.
Color changes must be read exactly at the indicated time.
Substances that cause abnormal urine color, such as drugs containing azo dyes (e.g. Pyridium, Azo Gantrisin) and riboflavin, may affect the readability of reagent areas on urinalysis reagent strips. The color development on the reagent pad may be masked, or a color reaction may be produced on the pad that could be interpreted visually and/or instrumentally as a false positive.
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CONSIDERATIONS
Best results are obtained when using fresh, well-mixed urine.
Notify provider of any abnormal results.
Always check expiration dates on all laboratory equipment before using, i.e. expiration date on reagent strip bottle.
Refrigerate specimen if unable to test within two hours. Let specimen return to room temperature before testing.
Date bottle when opened and expiration date.
Do not touch test end of strip.
Do not use strip with a brown discoloration or if expired.
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7. Standing Order for Urinalysis for MA Staff:
Collect and test urinalysis by dipstick on patients requesting a urinalysis and patients with symptoms of urological involvement, including but not limited to: blood in urine, burning upon urination, frequent urination, odor of urine, pelvic or abdominal pain, vomiting, back pain, confusion, etc.
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8. Processing the Specimen: General Steps
Identify patient using two patient identifiers (name and DOB)
Explain procedure to patient in culturally appropriate, age appropriate terms.
Perform hand hygiene before and after patient contact; before and after donning gloves.
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Specimen Collection
Have patient urinate in clean, labeled specimen (name and date of birth) container
Test the specimen as soon as possible: refrigerate specimen if unable to test within two hours and let specimen return to room temperature before testing.
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10. Processing the Specimen: Testing Procedure
Inspect reagent bottle to ensure the reagent has not expired. Remove one strip from bottle and replace cap promptly. Inspect strip for any signs of deterioration prior to use.
Completely immerse end of strip briefly into the freshly voided urine specimen and remove immediately.
Tap edge of strip against edge of specimen container.
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11. The test strip must be inserted into the urine and removed ___________.
in one minute
in 20 seconds
as quickly as possible
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12. The correct answer is…….
as quickly as possible
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13. Processing the Specimen: Testing Procedure
Hold strip in a horizontal position to prevent possible mixing of chemicals.
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14. True or False: To avoid mixing of colors, the test strip should be held in a horizontal position after removing from the urine
True
False
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15. The correct answer is true:
Holding horizontally is correct. Holding vertically leads to mixing of chemicals and colors= invalid results
Correct
Way to hold strip
Not Correct
Way to hold strip
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16. Processing the Specimen: Testing Procedure
 Compare color of dipped end of stick with color chart located on the bottle.
a. read Glucose and Bilirubin at 30 seconds.
b. read Ketone at 30 seconds.
c. read Specific Gravity at 45 seconds.
d. read PH, Protein, Urobilinogen, blood and
nitrate at 60 seconds.
e. read Leukocytes at 2 minutes.
Dispose of strip in regular trash.
 Remove gloves and place in regular trash.
 Perform hand hygiene.
 Document results in patient's record.
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17. Processing the Specimen: Testing Procedure
Test results must be interpreted by comparing the color of the test pad to the color on the bottle for the specific substance EXACTLY at the time indicated on the bottle.
Test results read at times other than that on the bottle are of NO DIAGNOSTIC VALUE
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18. You are testing this specimen pictured below
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At 60 seconds, you record the result as “trace” blood as indicated on the color chart
You look again in about 90 seconds and notice the change in color to indicate “moderate” blood
At this point you should……….
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20. At this point, you should…..
Change the results on the
result form to indicate moderate
blood
Record the results as trace blood
but verbally notify the provider of
finding of moderate blood
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The correct answer is…..
NEVER INTERPRET RESULTS AFTER THE SPECIFIED TIME
Change the results on the
result form to indicate moderate
blood
Record the results as trace blood
but verbally notify the provider of
finding of moderate blood
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22. You have reached the end of this program…..
For more information, refer to the manufacturer package insert at: tek_status/clinitek_status_multistix_10.pdf Once you are confident that you are comfortable with all the materials presented, proceed to the Urinalysis Dipstick Testing post-test at
Start Over
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