URINALYSIS DIPSTICK TESTING

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URINALYSIS DIPSTICK TESTING

• WellOne Primary Medical and Dental Care For
  Medical Clinical Staff

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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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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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Urine test strips Storage and Stability
Replace cap quickly Do Not expose strips to air
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Considerations

• 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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Standing Order for Urinalysis for MA Staff

• 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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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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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.

• 2 hours, chill on ice
• 2 hours, return to room
  temp.
• 3 hours, return to room
  temp.

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The correct answer is..

• 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.

2 hours
Return to room temp.
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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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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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The correct answer is.

• as quickly as possible

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Processing the Specimen Testing Procedure

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

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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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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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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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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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Just as you are half way done reading a test
strip, a coworker approaches and begins talking
with you. You are not sure how many seconds have
gone by. At this point you must.

• 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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The correct answer is

• Discard the test strip and start over with a new
  strip

Test results must be read exactly at the times
indicated on the bottle.
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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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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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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
• Record the results
  as trace blood

This result read after the specified time must be
completely ignored an d not reported
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You have reached the end of this program..

• For more information, refer to the manufacturer
  package insert at http//diagnostics.siemens.com/
  siemens/en_GLOBAL/gg_diag_FBAs/files/urinalysis_pd
  f/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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