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Questions and Answers
What information should be included on a non-blood specimen label?
Why is it important to familiarize oneself with handling requirements of non-blood specimens?
Who is typically responsible for collecting non-blood specimens in an outpatient setting?
What is the most frequently analyzed non-blood body fluid?
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What is one of the purposes of urine analysis?
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Why is it important to explain the procedure to the patient before collecting a non-blood specimen?
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What is the purpose of a routine urinalysis?
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What type of urine specimen is preferred for pregnancy testing?
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What is the purpose of a urine culture and sensitivity test?
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What type of urine specimen is used for cytology studies?
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What is the purpose of urine glucose and ketone testing?
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What is the purpose of midstream clean-catch urine collection?
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Study Notes
Non-Blood Specimen Labeling and Handling
- Non-blood specimens should be labeled with the same ID information as blood specimens
- Labeling should include the type and/or source of the specimen
- The label should be applied to the container, not the lid, as the lid is removed for testing
- Familiarity with handling requirements is necessary to protect the integrity of the specimen and ensure accurate test results
- All body substances are potentially infectious
Urine Specimens
- Urine is the most frequently analyzed non-blood body fluid
- Urine analysis can aid in monitoring wellness, diagnosing and treating urinary tract infections, detecting and monitoring metabolic disease, and determining the effectiveness of therapy
- Urine is readily available, easy to collect, and inexpensive to test
Common Urine Tests
- Routine urinalysis (UA) is the most commonly requested urine test
- UA screens for urinary and systemic disorders and includes physical, chemical, and microscopic analysis
- UA is typically ordered as part of a physical or during hospitalization
- Urine culture and sensitivity are ordered for patients with symptoms of urinary tract infection
- Urine cytology studies are used to detect cancer, cytomegalovirus, and other diseases
- Urine drug screening is performed to detect illicit drug use, anabolic steroid use, and prescription drug use
- Urine glucose and ketone testing are used to screen for diabetes and monitor glucose and ketone levels in diabetics
- Urine pregnancy testing is used to detect HCG, a hormone that appears in urine after conception
Types of Urine Specimens
- Random specimens are collected at any time
- First morning/8-hour specimens are collected after 8 hours of sleep
- Fasting specimens are collected after fasting (for glucose monitoring)
- Timed specimens are collected at specific times (e.g., tolerance test, 2-hour postprandial, 24-hour, double-voided)
- Regular voided specimens are collected when the patient voids into a clean container
- Midstream specimens are collected by having the patient void into the toilet first, then into a container
- Midstream clean-catch specimens require special cleaning of the genital area before collection
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Description
Test your knowledge on handling and processing non-blood specimens, including labeling, handling requirements, and safety precautions. Ensure you understand the importance of accurate labeling and handling to maintain specimen integrity and achieve accurate test results.