The doctor orders a clean-catch midstream urine specimen to be collected for a urine culture and sensitivity test to be done on a female patient.Identify the missing instructions for steps5 through10 that you would give to this patient regarding the collection of this specimen, including the reasons that each step is important.
First, you must determine that you are instructing the correct patient by having the patient state her name.Then you should sanitize your hands and assemble the correct specimen collection equipment.
For a female patient:
Step1.Wash your hands and gather the equipment.
Step2.Greet and identify your patient, provide her with the clean-catch urine supplies, and explain the following instructions.
Step3.Instruct the patient to sanitize her hands and remove her underwear.
Step4.Instruct the patient to spread apart her labia with one hand to expose the urinary meatus.She should be told to keep this area spread apart with her nondominant hand during the entire cleaning procedure.
Step5.Instruct the patient to take one antiseptic towelette and clean one side of the urinary meatus from _______ to _______ on one side.It is important that you instruct her to clean from _____ to _____ so that _______________________________.
Step6.Instruct the patient to repeat the same procedure using another antiseptic towelette, wiping from ________ to _______ on the other side of the urinary meatus.
Step7.Instruct the patient to use a third antiseptic towelette to wipe from ______ to ________ directly across the urinary meatus.
Step8.Instruct the patient to continue to keep the labia spread apart and to void _________________ in order to ________________.Tell her to be careful not to touch the inside of the sterile container at any time during the procedure.
Step9.Instruct the patient to void ______________.This is the ___________ of urine.
Step10.Instruct the patient to void _____________.This will ensure ______________________________________.
Step11.Instruct the patient to dry the area with a tissue and wash her hands.
Step12.Instruct the patient to carefully cap the specimen container and to put it in a specified place if collected in the office or refrigerate it if collected at home.
Step13.Gloves should be worn when receiving the specimen from the patient.The sample container (not the lid) should be labeled correctly, and a requisition should be completed if required.
Step14.The person receiving the sample should remove the gloves and sanitize his or her hands after the urine has been placed in the testing area.
Step15.The procedure should be charted correctly.The charting should include that midstream clean-catch urine collection instructions were given and that the specimen was received from the patient.

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