PN1lab notes\\Urinary Elimination Care

January 20, 2018 | Author: Anonymous | Category: Science, Health Science, Urology
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Urinary Elimination Care

PN 1 Nursing Skill Labs

Urine testing - important points!! 

always make sure your label is accurate and complete always bring a plastic bag, twist tie and label to the bedside always wear gloves when handling body fluids and consider wearing goggles when emptying drainage bags or whenever there is a risk of splash back

Standard Urine Tests

Routine and Microscopic - R&M    

requires a clean (not sterile) specimen note if female menstruating need about 10 mLs must be sent to lab within about 30 mins or may alter results routine tests for sugar, acetone, pH and SG

normal pH of urine is 6 ( than output the patient is in a positive (+) fluid balance if intake is < than output the patient is in a negative (-) fluid balance errors in calculating fluid balance can have serious consequences for the patient physicians orders for meds, IV fluids etc are based on this information

Catheters 

used for incontinence and for accurate fluid balance information indwelling catheters are the most common cause of nosocomial (hospital acquired) infections types include condom catheter, foley catheter and straight (in and out) catheter all drain by gravity so bag must be below bladder at all times

tubing must be kept free of kinks and secured to patient or bedding to prevent pulling always discard urine in toilet when emptying bag discard catheter and bag in biohazard bag when removed

Condom Catheter 

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tubing attaches to leg bag or bedside drainage bag prep skin and let dry apply condom leaving 1-2” dead space at tip apply securely but not too tight!!! secure with velcro strip, foam tape or glue

Indwelling Catheter Care   

always inserted using sterile technique drape patient to provide privacy perineal care should be done at bath time and at least once more during the day and after each bowel movement wash 10 cm (4”)of catheter using circular motion

inspect and document skin condition around catheter at least daily report any signs of infection or inflammation

Emptying Drainage Bags  

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wear eye protection may also want to wear mask ( check policy) drain bag into measuring container don’t touch the spout to the container wipe spout with alcohol swab when finished record amount on Fluid Balance record

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