Scribd Logo
Upload

Welcome to Scribd!

  • 428 views

    Urinalysis OSCE Guide

    Uploaded by

    Yu Hsuen Yang
    The document provides guidance on performing and interpreting a urinalysis using urine dipstick testing. It outlines the steps to gather equipment, inspect the urine sample, perform the dipstick test, and document the results. The key steps are to inspect the urine's color, clarity and odor; fully submerge the dipstick in the sample; interpret each test at the appropriate time interval; and summarize findings while noting any results requiring further investigation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Urinalysis OSCE Guide

    Uploaded by

    Yu Hsuen Yang
    428 views11 pages
    The document provides guidance on performing and interpreting a urinalysis using urine dipstick testing. It outlines the steps to gather equipment, inspect the urine sample, perform the dipstick test, and document the results. The key steps are to inspect the urine's color, clarity and odor; fully submerge the dipstick in the sample; interpret each test at the appropriate time interval; and summarize findings while noting any results requiring further investigation.

    Original Description:

    OSCE guide for urinalysis

    Original Title

    Geekymedics.com-Urinalysis OSCE Guide

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document provides guidance on performing and interpreting a urinalysis using urine dipstick testing. It outlines the steps to gather equipment, inspect the urine sample, perform the dipstick test, and document the results. The key steps are to inspect the urine's color, clarity and odor; fully submerge the dipstick in the sample; interpret each test at the appropriate time interval; and summarize findings while noting any results requiring further investigation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    428 views11 pages

    Urinalysis OSCE Guide

    Uploaded by

    Yu Hsuen Yang
    The document provides guidance on performing and interpreting a urinalysis using urine dipstick testing. It outlines the steps to gather equipment, inspect the urine sample, perform the dipstick test, and document the results. The key steps are to inspect the urine's color, clarity and odor; fully submerge the dipstick in the sample; interpret each test at the appropriate time interval; and summarize findings while noting any results requiring further investigation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 11
    At a glance
    Powered by AI
    The passage outlines the process for performing a urinalysis test using urine dipsticks.

    The steps include gathering equipment, inspecting the urine sample, performing the dipstick test, interpreting the results, documenting findings, and completing the procedure.

    The colour, clarity and odour of the urine sample should be inspected.

    Urinalysis OSCE guide

    geekymedics.com/urinalysis-osce-guide/

    Lewis Potter 31/03/2015

    Urinalysis (urine dipstick testing) frequently appears as an OSCE station, so you need to get familiar with the
    process to look smooth in the exam. Its actually a very simple process, but people often fail to revise this station
    and lose marks unnecessarily. With a little practice, you can ensure you get full marks every time! Check out the
    urinalysis OSCE mark scheme here.

    Gather equipment
    Alcohol gel
    Gloves
    Apron
    Urine dipsticks
    Urine sample
    Paper towels

    Gather equipment

    <

    1/11
    >

    Inspect urine
    1. Wash hands, don gloves and apron

    2. Confirm patient details are correct on the sample bottle name / DOB / hospital number

    3. Inspect the colour of the urine:

    Straw coloured normal


    Dark concentrated urine dehydration
    Red macroscopic haematuria / rifampicin / porphyria / beetroot
    Brown bile pigments / myoglobin / antimalarials

    4. Inspect the clarity of the urine:

    Clear normal
    Cloudy / debris urinary tract infection (UTI)
    Frothy nephrotic syndrome

    5. Remove the sample bottles cap and assess urine odour:

    Offensive urine UTI


    Sweet glycosuria

    Wash hands

    2/11
    Don apron

    Don gloves

    3/11
    Confirm patient details on the sample bottle are correct

    Inspect colour of urine

    4/11
    Inspect clarity of urine

    Assess odour of urine

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
    6. 6
    7. 7

    <
    >

    5/11
    Perform dipstick testing
    1. Check urine dipsticks expiry date

    2. Remove a testing strip from the container (avoiding touching the testing zones)

    3. Insert test strip into urine sample (ensuring all test zones are immersed)

    4. Remove the strip, ensuring to tap off residual urine before removing from the sample bottle

    5. Ensure test strip remains in a horizontal orientation (to avoid cross contamination of testing zones)

    6. Use the dipstick analysis guide on the side of the testing strip container to interpret the findings

    7. Different tests on the strip are required to be read at different times, so ensure you interpret the
    appropriate test at the correct time interval e.g. 60 seconds for protein

    8. Once you have interpreted all of the tests, discard the strip into the clinical waste bin along with your
    gloves and apron

    9. Wash hands

    Check urine dipstick expiry date

    6/11
    Remove testing strip from container

    Fully submerge test strip in the urine sample

    7/11
    Remove the test strip & wipe away any excess urine

    Ensure the test strip remains horizontal to avoid cross contamination

    8/11
    Interpret each test at the appropriate time using the dipstick analysis chart

    Dispose of clinical waste

    9/11
    Wash hands

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
    6. 6
    7. 7
    8. 8

    <
    >

    To complete the procedure


    Summarise findings

    Document urinalysis results

    Indicate that depending on the results, further investigations may be required:

    WCC / Leukocytes ?UTI send urine for culture (MSU/CSU)


    Glucose ?Diabetes capillary blood glucose

    Urine dipstick tests explained


    pH indicates acidity of urine e.g. pH in systemic acidosis

    Specific gravity indicates amount of solute dissolved in urine in diabetes insipidus

    Blood indicates number of red blood cells in urine in haematuria

    10/11
    Protein indicates level of protein in the urine nephrotic syndrome

    Leukocyte esterase enzyme produced by neutrophils (WCC in urine) in UTI

    Nitrites breakdown products caused by Gram -ve organisms Gram -ve UTI e.g. Ecoli

    Ketones breakdown product of fatty acid metabolism starvation / DKA

    Glucose hyperglycaemia e.g. poorly controlled diabetes

    Bilirubin Indicates conjugated bilirubin (water soluble) biliary tract obstruction

    Urobilinogen if raised indicates bilirubin turnover malaria / haemolytic anaemia

    11/11

    You might also like