Urine Collection in the Emergency Department: What Really Happens in There?
| Autor: | Harrison Alter, Douglas E. A. White, Bitou Cisse, Kenneth Frausto, Bradley W. Frazee |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Western Journal of Emergency Medicine, Vol 13, Iss 5, Pp 401-405 (2012) |
| Druh dokumentu: | article |
| ISSN: | 1936-900X 1936-9018 |
| Popis: | Introduction: In women with suspected urinary tract infection (UTI), a non-contaminated voidedspecimen is considered important for valid urinalysis and culture results. We assess whethermidstream parted-labia catch (MSPC) instructions were provided by nurses, understood, andperformed correctly, according to the patient.Methods: We conducted a cross-sectional survey of English- and Spanish-speaking female patientssubmitting voided urine samples for urinalysis for suspected UTI. The survey was conducted in apublic teaching hospital emergency department (ED) from June to December 2010, beginning 2months after development and dissemination of a nursing MSPC instructions protocol. Researchassistants administered the survey within 2 hours of urine collection. Nurses were unaware of thestudy purpose.Results: Of 129 patients approached, 74 (57%) consented and were included in the analysis.Median age was 35; 44% were Latino. Regarding instructions from nurses, patients reported thefollowing: 45 (61%; 95% CI 50-72%) received any instructions; of whom 37 (82%; 95% CI 71-93%)understood them completely. Sixteen (36%; 95% CI 22-51%) were instructed to collect midstream;and 7 (16%; 95% CI 6-29%) to part the labia. Regardless of receiving or understanding instructions,33 (45%; 95% CI 33-57%) reported actually collecting midstream, and 11 (15%, 95% CI 8-25%)parting the labia.Conclusion: In this ED, instructions for MSPC urine collection frequently were not given, despite anursing protocol, and patients rarely performed the essential steps. An evidence-based approachto urine testing in the ED that considers urine collection technique, is needed. |
| Databáze: | Directory of Open Access Journals |
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