Urinalysis (without Microscopic)

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Urinalysis (without Microscopic)
NOTE 1:This test includes these individual tests:
• pH;
• Specific Gravity;
• Protein;
• Glucose;
• Ketones;
• Bile;
• Urobilinogen;
• Occult Blood;
• Nitrites; and
• Leukocyte Esterase
NOTE 2: Gray top urine Vacutainer tubes are NOT acceptable for this test.
They are only used for Urine Culture testing.
Also known as
Routine UA, Clean Catch Urinalysis, Cath Urinalysis
Test ID:
Preferred Specimen
Minimum Volume
Patient Preparation
Collection Techniques
UAMAC
15 ml freshly voided urine specimen.
3 ml freshly voided urine specimen
None
• Collect 15 ml freshly voided urine specimen;
• Label the container with patient’s name, hospital #, and room
#. Document the date and time of collection on the request
form and/or the container;
• Send STAT specimens to the lab immediately.
• Refrigerate specimens that cannot be delivered within 1 hour.
• See Clean Catch Urine Collection Procedure for
instructions.
3 – 15 ml refrigerated urine specimen
Alternate Specimens
Transport
Temperature:
Specimen Stability
Room temperature or refrigerated.
Reject:
Room Temperature
Refrigerated
Frozen
1 hour
24 hours
• Gray top urine Vacutainer tubes are not acceptable;
• Specimens contaminated with fecal materials are not
acceptable.
MBMC Lab Instructions
Deliver immediately to the Urinalysis section of the CORE Lab.
Reference Ranges:
The results of this test are best interpreted by a physician.
Test
Normal Range
Straw - Yellow
Macroscopic Exam: Color
Appearance
Clear
pH
5-9
Mississippi Baptist Health Systems
Clinical Laboratory Services
Phone 601-968-3070
Test (cont)
Specific Gravity Urine
Protein Urine
Glucose Urine Qualitative
Ketones Urine Qualitative
Blood Urine
Bilirubin Urine
Urobilinogen Urine Qualitative
Urine Nitrites
Leukocyte Esterase
CPT Code:
Performing Laboratory
81003
Updated:
COREUA 3/27/2014
Normal Range (cont)
1.005 – 1.03
Negative
Negative
Negative
Negative
Negative
0-1
Negative
Negative
CORE URINALYSIS; performed as received.
Mississippi Baptist Health Systems
Clinical Laboratory Services
Phone 601-968-3070
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