Learn how to reduce your risk of injury using a needleless device.
WANT A SUREFIRE way to eliminate the risk of a needle-stick injury while getting a urine sample from an indwelling catheter system? Don't use a needle. Besides protecting you from a needle-stick injury, the needleless system shown here, placed between the catheter and the drainage system, maintains the integrity and sterility of the catheter system by eliminating the need to puncture the tubing.
To obtain a sample using this needleless port, provide privacy for your patient. Gather clean gloves, a sterile luer-lock syringe large enough to hold the required sample, alcohol swabs, and an appropriate specimen container. Tell the patient what you'll be doing and why. Wash your hands, put on the gloves, and follow these steps.
1. Crimp or clamp the drainage tube at least 3 inches (7.5 cm) below the sampling port to let urine collect in the tubing. When you see urine under the access site, clean the sampling port with alcohol and let it air-dry.
2. Use aseptic technique to attach the uncapped syringe to the sampling port. Position it perpendicular to the center of the port, press the tip against the port, and twist gently to lock it in.
As shown, slowly withdraw the urine sample, then unscrew the syringe from the port. Transfer the sample into the specimen container and discard the syringe in an appropriate container.
3. Unclamp the drainage tube. Label the specimen container according to facility policy. Place the container in a biohazard bag for transport and send it to the lab as soon as possible.
Remove and discard your used gloves and wash your hands. Document the date and time you collected the specimen, the reason, the source (catheter), the amount and characteristics of the urine, the time you sent the specimen to the lab, and how the patient tolerated the procedure.
BY KARLA DAVIS, RN, CNRN
Karla Davis is a critical care clinical educator at Baptist Health System in Montgomery, Ala.
WANT A SUREFIRE way to eliminate the risk of a needle-stick injury while getting a urine sample from an indwelling catheter system? Don't use a needle. Besides protecting you from a needle-stick injury, the needleless system shown here, placed between the catheter and the drainage system, maintains the integrity and sterility of the catheter system by eliminating the need to puncture the tubing.
To obtain a sample using this needleless port, provide privacy for your patient. Gather clean gloves, a sterile luer-lock syringe large enough to hold the required sample, alcohol swabs, and an appropriate specimen container. Tell the patient what you'll be doing and why. Wash your hands, put on the gloves, and follow these steps.
1. Crimp or clamp the drainage tube at least 3 inches (7.5 cm) below the sampling port to let urine collect in the tubing. When you see urine under the access site, clean the sampling port with alcohol and let it air-dry.
2. Use aseptic technique to attach the uncapped syringe to the sampling port. Position it perpendicular to the center of the port, press the tip against the port, and twist gently to lock it in.
As shown, slowly withdraw the urine sample, then unscrew the syringe from the port. Transfer the sample into the specimen container and discard the syringe in an appropriate container.
3. Unclamp the drainage tube. Label the specimen container according to facility policy. Place the container in a biohazard bag for transport and send it to the lab as soon as possible.
Remove and discard your used gloves and wash your hands. Document the date and time you collected the specimen, the reason, the source (catheter), the amount and characteristics of the urine, the time you sent the specimen to the lab, and how the patient tolerated the procedure.
BY KARLA DAVIS, RN, CNRN
Karla Davis is a critical care clinical educator at Baptist Health System in Montgomery, Ala.
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