CAP Pro Course - Point-of-Care Testing - Urine Reagent Strip Testing

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Author: Alice Travanty, BS, MT(ASCP)
Reviewer: Sheryl A. Whitlock, MA.Ed, MT(ASCP)BB

Continuing Education Credits

Objectives

  • Identify the characteristics of a urine sample that is acceptable for urine reagent strip testing.
  • Explain the storage, handling, and quality control requirements for urine reagent test strips.
  • Discuss the correct procedure for performing urine reagent strip testing and reporting results.
  • Demonstrate an understanding of test results and describe conditions that may affect the results of the tests that are included on a multiple reagent urine dipstick.

Course Outline

  • Identify the characteristics of a urine sample that is acceptable for urine reagent strip testing.
      • Urinalysis
      • Acceptable Sample for Urine Reagent Strip Testing
      • How should a urine sample be labeled?
      • A urine sample from a clinic patient is slightly turbid. What should be done with this sample?
      • The ED tech is having problems with the urine strip analyzer. The analyzer is interfaced with the hospital's electronic medical record. If the strip i...
      • Marie has four urine samples that she is preparing to test using a semi-automated dipstick reader. She dips reagent strips into each of the four speci...
      • A point-of-care urine reagent strip test is ordered on a grossly bloody specimen from the emergency department (ED). How should this testing be handle...
  • Explain the storage, handling, and quality control requirements for urine reagent test strips.
      • Storing and Handling Urine Reagent Strips
      • Quality Control
      • Quality Control, continued
      • QC Documentation and Corrective Action
      • Troubleshooting Failed QC
      • Quality Control Testing Flowchart
      • The Family Care Clinic is closed on weekends. On Monday, a clinic tech finds a half full bottle of urine dipsticks with the lid off. What should the t...
      • A clinic tech performs QC on the urine dipstick analyzer. She then performs testing on 3 patients. An hour later another tech reviews the QC and finds...
      • Your clinic's urine analyzer is CLIA non-waived. Which of the following statements regarding quality control is NOT true?
      • A new lot number of normal and abnormal quality control materials are put into use. Which of the following does NOT need to be done?
      • Eight patients are scheduled to be seen by the nurse at the OB clinic on Monday afternoon. In the morning, the nurse prepares for the urine testing by...
  • Discuss the correct procedure for performing urine reagent strip testing and reporting results.
      • Procedure for Urine Dipsticks
      • Reporting Results
      • Competency Requirements for Performing Urine Dipstick Testing
      • Who is allowed to perform non-waived urine dipstick testing?
      • The report of the patient's urine dipstick results includes the following:Patient name and another unique identifier, such as date of birth or medical...
      • A tech is performing a manual urine dipstick. She places the urine dipstick in the urine sample and then she answers the telephone. After finishing he...
      • When performing a manual urine dipstick, how should the strip be held?
      • A medical assistant in the outpatient clinic has been asked to perform a urine reagent strip test on a specimen that was collected earlier in the day ...
      • An employee in the emergency department is testing a patient's urine specimen using a visually-read dipstick method. The read-times for the tests vary...
  • Demonstrate an understanding of test results and describe conditions that may affect the results of the tests that are included on a multiple reagent urine dipstick.
      • Conditions that May Affect Results of Urine Dipsticks
      • A medical assistant at your clinic cleans the counter with a strong bleach solution. She then takes a urine dipstick from the bottle and sets it on th...
      • A patient has been diagnosed with liver disease. Which of the parameters on the urine dipstick will be abnormal?
      • If a urinary tract infection is suspected, which of the following parameters would be elevated?
      • Which of the following will cause a false-negative urobilinogen result?
      • A positive result for which of the following reagent strip tests probably indicates a deficiency in insulin for a patient with type 1 diabetes?
      • A female patient with symptoms suggesting a urinary tract infection is asked to collect a urine specimen for analysis. She states that she had voided ...
  • References
      • References

Additional Information

Level of Instruction: Intermediate
Intended Audience: This program is designed as an educational and training tool for MLS, MT, and MLT personnel, medical laboratory science students and interns, pathology residents, and practicing pathologists.
Author Information: Alice Travanty, BS, MT(ASCP) was the Point-of-Care Coordinator for St. Joseph Hospital, Milwaukee, Wisconsin until her recent retirement from that position. She serves as a technical consultant for Tosa Pediatrics. Alice is the author of article "Connectivity Aids Compliance" in Advance for Administrators of Laboratory Vol 20, Issue 11, page 18. She graduated from Marquette University with a degree in Medical Technology and holds a Point-of-Care Specialist certificate from AACC.
Reviewer Information: Sheryl A. Whitlock, MA.Ed, MT(ASCP)BB is the owner of ARK Laboratory Consulting, LLC and a part time technical consultant for McKesson. Sheryl served as the laboratory coordinator for the Student Health Services Laboratory at the University of Delaware for 15 years. Sheryl received her Master’s degree in Education from Arcadia University in Glenside, Pennsylvania. She has more than 35 years of experience in laboratory science and has written and published textbooks and laboratory manuals as well as having contributed to numerous online and print articles in the field of laboratory medicine.

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