Key features indicating a urinary tract infection are frequent urination, urgency, hesitancy or difficulty initiating a stream, retention, feeling of incomplete emptying, burning or pain with urination, low-back or flank pain, hematuria (blood in the urine), pyuria, foul-smelling urine, cloudy urine, fever, incontinence, and confusion or behavioral changes. Another option is to wrap the finger in a warm cloth prior to the puncture. Why can sputum samples be difficult to obtain? If the patient is already receiving antibiotics, indicate this on the laboratory requisition form as it can alter test results. collection should include rubbing the sterile swab over the tonsillar area on the right and moving across the right arch, the uvula, and then the left arch and tonsillar area. My 4-year-old patient is afraid of needles. Method. Ati- Tutorials- Skills 2.0- Specimen Collection. Find study materials for any course. The value and limitations of sputum cultures in patients with suspected bacterial pneumonia as well as the clinical indications for obtaining sputum cultures in such patients will be reviewed here. explain the procedure to the patient first, and allow him to choose or approve the puncture site, -minimize the pain of the puncture when it is a fingerstick, -place the lancet on the side of the patient’s finger. [G������z���IYj��J2��l$Z!�[�sJ��mܛ�q�[^N/JgL�>�/�B'�,WE��H&�x�u���̻��?2K�`:�)�rZֿ�R��)�����=>��(�T���C�]4�;���?�{�s�A�C�ᴆy�k��O77�_�Q��?�(Ғ�7Ñ�e|��9����]\H��hĚ%%�TH�z%�(ϸ� ��dv���6������+ۚ>��G���(,�8 �*:��mW�Ӆ?�Y��Dg�*��� ��)(6�� ���x������N�8�֖\�?S������c%/CXQw�� Provide for mouth care prior to ob-taining the specimen to reduce con- - They must wash their hands prior to providing a sample. Check agency protocol for laboratory confirmation testing of very high readings, as laboratory testing is considered more accurate. Destroy bacteria. -Avoid the central tip of the finger, which contains a more dense nerve supply. Capillary Blood testing: pretest interaction with patient? What is an acceptable fasting blood glucose level? Some drainage may appear infected but fail to reveal any bacteria in the laboratory. - - Then, with a sterile cup and clear instructions, they produce the sample. Indications A sputum culture is a test to detect and identify bacteria or fungi that infect the lungs or breathing passages. - Male patients should use an antiseptic wipe moving from the center to the outside in a circular motion to cleanse before beginning stream, - Tell male patients to direct the initial stream of urine into the toilet, pause, and then proceed to urinate into the collection cup, - With the lid in place on the cup, label the sample and send it to the laboratory for analysis, Female patients sometimes encounter difficulty because of the potential to contaminate the sample with skin or bacteria from the external genitalia surrounding the urethra. Sputum specimens; Why are they hard to get? Tell him to collect samples from three separate bowel movements that are not contaminated with urine. Most home pregnancy tests have a very specific window of time between collecting the sample and reading the test. Use caution not to touch the gums, tongue, or teeth with the sterile swab, by lightly scraping the inside of a patient's cheek with a sterile swab, An FOBT, or guaiac test, is a widely used screening tool for colorectal cancer. Never collect from pus or pooled exudates. Butterfly needles are quite small; you can use them to access the smaller veins in the hands, for example.