URINALYSIS DIPSTICK TESTING

WellOne Primary Medical and Dental Care For Medical Clinical Staff

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Conducting this test exposes the operator to potentially infectious material. Standard precautions, including glove use are required for this procedure.

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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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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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Collect and test urinalysis by dipstick on all children 3 years and older presenting for physical examination, all adult patients annually, and all patients with symptoms of urological involvement, i.e. Blood in urine, burning upon urination, frequent urination, odor of urine, pelvic or abdominal pain, vomiting, or confusion.



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• 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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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.Click here to

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2 hours, chill on ice

2 hours, return to room temp.

3 hours, return to room temp.


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answer

A freshly voided urine specimen is needed for the urinalysis. If the urine is more than _______ old, it must be refrigerated and allowed to _______________________ prior to testing. Click here to

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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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in one minute

in 20 seconds

as quickly as possible


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answer



answer

as quickly as possible



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Hold strip in a horizontal position to prevent possible mixing of chemicals.



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True

False


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answer

Holding horizontally is correct. Holding vertically leads to mixing of chemicals and colors= invalid results



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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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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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Continue reading the test strip where you left

off

Wash your hands

Discard the test strip and start over with a new

strip


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answer

Discard the test strip and start over with a new strip



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Test results must be read exactly

at the times indicated on the

bottle.



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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……….

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

Record the results as trace blood


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answer


answer


answer

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

Record the results as trace blood



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NEVER INTERPRET RESULTS AFTER THE SPECIFIED TIME

This result read after the specified time must be completely ignored an d not reported

For more information, refer to the manufacturer package insert at: http://diagnostics.siemens.com/siemens/en_GLOBAL/gg_diag_FBAs/files/urinalysis_pdf/clinitek_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 http://www.classmarker.com/professional/

Your username is the first initial of your first name followed by your full last name. Your password is= nwhealth

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URINALYSIS DIPSTICK TESTING

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