A protocol on how to do urinalysis OSCE style.

1. C. Riedinger 1
Urinalysis notes
Urinalysis
Task:
- take a urine sample
Procedure A from a patient – ROUTINE URINALYSIS = dipstick
- introduce self, gain consent and cooperation
- provide toilet facilities, handwashing facilities, clean container to pass urine in
- perform hand hygiene, roll up sleeves….
- Put on gloves (non-sterile) and apron
- Receive urine sample form patient, if clearly contaminated, ask for new
sample
Procedure B from the catheter port = dipstick
- introduce self, gain consent and cooperation
- demonstrate interest and respect and attend fo patient’s physical comfort
- ensure privacy
- perform hand hygiene, roll up sleeves….
- Clean catheter port with chlorhexidine swab and allow to air dry (the one used
previously to fill the balloon with water, i.e. NOT the main one to which the
catheter bag is connected)
- Using ANTT guidelines collect syringe of urine (needle free system) and place
urine into universal container (10mLL syringe pushed into catheter port using
aseptic non-touch technique)
Remainder of procedure
- Check multistix expiry date
- Check reagent strip to ensure that they are dry, and not contaminated
- Dip reagent strip into urine
- Tap stick on specimen pot to remove excess
- Start timing
- Compare stick reading with legend on container, without touching the
container (perpendicular to the bottle)
- Disposer of stick and specimen pot in yellow bag
- Dispose of urine in the sluice
- Clean up and leave area tidy
- Perform hand hygiene
- Record results and report abnormal results to the doctor/nurse in charge
QuickTime™ and a
decompressor
are needed to see this picture.

2. C. Riedinger 2
Urinalysis notes
QuickTime™ and a
decompressor
are needed to see this picture.
Procedure C from a patient – MIDSTREAM SPECIMEN
i.e. for analysis elsewhere
- introduce self, gain consent and cooperation
- perform hand hygiene, roll up sleeves….
- ensure privacy
- provide patient with soap, water and a towel to wash around their urethra and
explain to patient how to do this
- ask to commence and complete urinating into a urina, bedpan or toilet but to
direct the middle part of the stream into the specimen pot
- offer handwashing facilities
- wearing gloves and apron, collect sample from patient and organise its testing
and transport
- leave area tidy and perform hand hygiene
Proceduce D – pregnancy test
- introduce self, gain consent and cooperation
- if teenager, make excuse for mother, ask if it’s ok for partner to stay in room
- provide toilet facilities, handwashing facilities, clean container to pass urine in
- perform hand hygiene, roll up sleeves….
- Put on gloves (non-sterile) and apron
- Tip test stick into urine following guidelines
- Leave to one side and allow to work
- One line = not pregnant
- Two lines = pregnant
- Leave clinical area tidy and perform hand hygiene
- Record any results into notes
- Discuss with patient

3. C. Riedinger 3
Urinalysis notes