Urinalysis, Dipstick with a reflex to Microscopic

Urinalysis, Dipstick with a reflex to Microscopic

Clean Catch Urine in a sterile cup, BD Urinalysis collection container with no additives or BD Urinalysis Tiger Top Tube with Ethyl Paraben, Sodium Propionate, and Chlorhexidine Preservative.

For urines collected w/no preservatives:
4 days after the date of collection, as long as the urine has been maintained at a refrigerated temperature.

Urines collected with the BD Tiger Top Tube:
Urine is stable at room temperature for 3 days.

Routine diagnostic and screening evaluations. Used to detect renal disease/disorders, urinary tract infections, abnormal metabolic processes outside of the renal system (diabetes, monoclonal gammopathies, etc.) and other diseases and disorders.

Urinalysis (without microscopy) = 81003

Urinalysis (with microscopy) = 81001

Sterile Collection with Urine cup:
1. Ensure urine container is labeled with your full name and medical record number or birthdate.
2. Wash your hands thoroughly in warm soapy water and dry with a paper towel or allow to air dry.
3. Remove the urine container cap, taking care not to touch the inside of the cap or the inside of the container.
4. Put the cap on the counter with the inside of the cap face up.
5. Open towelette.

Female
6. Separate the folds of the urinary opening with fingers and clean inside using one towelette, moving from the front to the back.
7. Continue to hold the folds open and begin urinating into the toilet.
8. Bring the specimen container into the urine stream and collect a “midstream” specimen. Stop when the container is approximately half full.

Male
6. Retract foreskin (if present) and use the towelette to clean the entire head of the penis.
7. Begin urinating into the toilet.
8. Bring the specimen container into the urine stream and collect a “midstream” specimen. Stop when the container is approximately half full.
9. Finish urinating in the toilet.
10. Tightly screw the cap on the container taking care not to touch the inside of the cap or the inside of the container.
11. Label the cup with patient full name and date of birth.
12. Place the cup into a biohazard bag with the appropriate requisition or computer-generated labels. NOTE: ALL SAMPLES MUST HAVE TWO UNIQU IDENTIFIERS.
13. Transport the tube to the laboratory for testing.

Transfer of Urine to BD Tubes using Urine Cup with Needle in the Lid:
1. Specimen should be placed in preservative tubes within 1 hour of collection
2. Ensure the lid is tightly closed and gently swirl the urine to achieve a well-mixed specimen. The cup should not be inverted for mixing purposes as the lid will leak.
3. Push BD C&S Preservative tube (gray top), Yellow and Red Tiger top tube with preservatives (urinalysis) and/or the Yellow top tube with no preservatives (urinalysis) into the opening recessed into the specimen lid. NOTE: THE URINE COLLECTION CUP CONTAINS A NEEDLE. Please keep your fingers away from the recessed opening as a needle stick injury could occur.
4. Firmly push the tube until urine flow into the tube begins. Hold in position until the flow stops. Once the flow has stopped, remove the tube. Repeat if more tubes are needed for testing.
5. Tubes should be mixed to ensure preservatives are well mixed with the samples for optimal results.
6. Label the tube(s) with the patient’s full name and date of birth.
7. Place the tube(s) into a biohazard bag with the appropriate requisition.
8. NOTE: THE URINE COLLECTION CUP CONTAINS A NEEDLE. DO NOT SHIP THE URINE CUP WITH THE NEEDLE BACK TO THE LAB. Urine collection cup should be used to collect the sample, fill the BD Urine Vacutainer tubes and discarded according to your company/facility policy.
9. Transport the tube to the laboratory for testing.

Transfer of Urine to BD Tubes using sterile Urine Cup Urine and the BD Transfer Straw with Needle:
1. Using the Transfer Straw Kit, submerge the tip of the transfer straw in the urine specimen.
2. Push BD C&S Preservative tube (gray top), Yellow and Red Tiger top tube with preservatives (urinalysis) and/or the Yellow top tube with no preservatives (urinalysis) into the opening in the cap of the straw. NOTE: THE URINE COLLECTION STRAW CONTAINS A NEEDLE. Please keep your fingers away from the recessed opening as a needle stick injury could occur.
3. Push BD tube into the transfer straw all the way.
4. Hold in position until the flow stops. Repeat if more tubes are needed for testing
5. Remove specimen and straw from the urine specimen container.
6. Mix tubes approximately 10-15 times to ensure preservatives are well mixed with the samples for optimal results.
7. Label the tube with the patient’s name and the date of birth or medical record number.
8. Place the tube into the biohazard bag with pad.
9. BD Urine Straw MUST be discarded according to your company/facility policy.

Do not send the cup with the needle or the straw with the needle back to the lab. Only samples in the BD tubes should be returned to the Laboratory for testing.