WellOne Primary Medical and Dental Care
For Medical Clinical Staff
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Conducting this test exposes the operator to
potentially infectious material. Standard
precautions, including glove use are required for
this procedure.
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 Store
strips in original container at room
temperature (15-30 C) out of direct sunlight
 Replace cap immediately after removing a test
strip
 Do not remove the desiccant from the bottle
(small white package that helps to collect
excess moistures)
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
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As with all laboratory test, definitive diagnostic or therapeutic
decisions should not be based on any single result or method.
The urinalysis is a screening test and any positive, significant
results should be confirmed with a laboratory specimen.
Color changes must be read exactly at the indicated time.
Substances that cause abnormal urine color, such as drugs
containing azo dyes (e.g. Pyridium, Azo Gantrisin) and riboflavin,
may affect the readability of reagent areas on urinalysis reagent
strips. The color development on the reagent pad may be masked,
or a color reaction may be produced on the pad that could be
interpreted visually and/or instrumentally as a false positive.
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 Collect
and test urinalysis by dipstick on
all children 3 years and older presenting
for physical examination, all adult
patients annually, and all patients with
symptoms of urological involvement, i.e.
Blood in urine, burning upon urination,
frequent urination, odor of urine, pelvic
or abdominal pain, vomiting, or
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confusion.
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• Identify patient using two patient identifiers
(name and DOB)
• Explain procedure to patient in culturally
appropriate, age appropriate terms.
• Perform hand hygiene before and after
patient contact; before and after donning
gloves.
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 Have
patient urinate in clean, labeled
specimen (name and date of birth)
container
 Test the specimen as soon as possible:
refrigerate specimen if unable to test
within two hours and let specimen return
to room temperature before testing.
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2 hours, chill on ice
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2 hours, return to room temp.
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3 hours, return to room temp.
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A freshly voided urine specimen
is needed for the urinalysis. If the
urine is more than _______ old, it
must be refrigerated and
allowed to
_______________________ prior to
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testing.
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 Inspect
reagent bottle to ensure the reagent
has not expired. Remove one strip from bottle
and replace cap promptly. Inspect strip for any
signs of deterioration prior to use.
 Completely immerse end of strip briefly into
the freshly voided urine specimen and remove
immediately.
 Tap edge of strip against edge of specimen
container.
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in one minute
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in 20 seconds
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as quickly as possible
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as quickly as possible
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 Hold
strip in a horizontal position to prevent
possible mixing of chemicals.
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True
False
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Holding horizontally is correct. Holding
vertically leads to mixing of chemicals and
colors= invalid results
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
Compare color of dipped end of stick with color chart
located on the bottle.
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a.
b.
c.
d.
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e.
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read Glucose and Bilirubin at 30 seconds.
read Ketone at 30 seconds.
read Specific Gravity at 45 seconds.
read PH, Protein, Urobilinogen, blood and
nitrate at 60 seconds.
read Leukocytes at 2 minutes.
Dispose of strip in regular trash.
Remove gloves and place in regular trash.
Perform hand hygiene.
Document results in patient's record.
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 Test
results must be interpreted by comparing
the color of the test pad to the color on the
bottle for the specific substance EXACTLY at
the time indicated on the bottle.
 Test results read at times other than that on the
bottle are of NO DIAGNOSTIC VALUE
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Continue reading the test strip where you left
off
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Wash your hands
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Discard the test strip and start over with a new
strip
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Discard the test strip and start over with a
new strip
Test results must
be read exactly at
the times indicated
on the bottle.
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At 60 seconds, you record
the result as “trace” blood
as indicated on the color
chart
You look again in about 90
seconds and notice the
change in color to indicate
“moderate” blood
At this point you should……….
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Change the results on the
result form to indicate moderate
blood
Record the results as trace blood
but verbally notify the provider of
finding of moderate blood
Record the results as trace blood
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NEVER
INTERPRET
RESULTS AFTER
THE SPECIFIED
TIME
This result read
after the specified
time must be
completely ignored
an d not reported
Change the results on the
result form to indicate moderate
blood
Record the results as trace blood
but verbally notify the provider of
finding of moderate blood
Record the results as trace blood
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For more information, refer to the manufacturer package
insert at:
http://diagnostics.siemens.com/siemens/en_GLOBAL/gg_diag_FBAs/files/urinal
ysis_pdf/clinitek_status/clinitek_status_multistix_10.pdf
Once you are confident that you are comfortable with all
the materials presented, proceed to the Urinalysis
Dipstick Testing post-test at
http://www.classmarker.com/professional/
Your username is the first initial of your first name
followed by your full last name. Your password is=
nwhealth
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