Kurdistan regional government – Iraq

Ministry of higher education and scientific research

Duhok polytechnic university
Technical institute of Duhok
Department : Nursing

Fundamental of Nursing

Report about:

Obtaining a clean catch urine sample

Presented by:

Saad Khither Khalaf

Supervision by

M.Sc. Ayoub A. Abdulmajeed

2023-2024
Introduction:

A clean catch urine sample or specimen is one of the least invasive procedures for a
urine culture or urinalysis. The clean catch method aims to prevent bacteria from the
skin of the penis or vagina from contaminating the urine specimen. It’s important to
follow the clean catch process to have accurate results from an uncontaminated
sample.

The most common reason to get a clean catch urine sample is to test for a urinary
tract infection (UTI). Symptoms of a UTI include pain or burning and a constant
urge to urinate. Even if you have no overt symptoms, your doctor may request a
urine culture as part of a complete physical.

However, urine cultures can also check for the following:

 unusual infections of the bladder or kidney

 stress incontinence
 pH levels in pregnant women
 the presence of kidney stones
 drugs in the system

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How Do I Perform a Clean Catch Urine Sample?

Your doctor may ask for a urine sample at any visit. Before your appointment,
ask if you’ll need to provide a clean catch sample. If you can’t urinate at the clinic
or doctor’s office, ask for a clean catch kit to take home. After completing the
clean catch at home, drop off the sample as soon as possible. You’ll need to
refrigerate the sample if it will be more than 30 minutes until you can drop it off.

Some clinics provide a clean catch kit consisting of a plastic container with a lid,
a label for you to write your name on, and an individually wrapped, moist towel.
Others ask that you use soapy water instead of providing a moist towel.

Note that it’s important to collect a urine sample midstream. This means that you
should start urinating, then stop your flow. Place the collection container
underneath your genital area and then release your urine flow again.

You can usually find instructions similar to those below listed on a sheet of paper
provided by someone in the clinic or on a laminated instruction sheet posted in
the clinic bathroom.

Steps
 Wash your hands.
 Remove sterile container from packaging and write your name on the label,
if provided.
 Females should use a packaged, moist towel to clean the vulva and perianal
areas starting from front to back. Repeat with a second moist towel.

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  Males should retract the foreskin from the penis if necessary and use the
packaged towel to clean the penis from the tip to the base. Repeat with
second towel.
 Females should then spread their labia with one hand and start urinating
into the toilet. With the other hand, they should put the urine container
under the genital area to catch the stream of urine without touching any
skin.
 Males should retract the foreskin if necessary with one hand and start
urinating into the toilet. Then, position the urine container with the other
hand to catch the stream without touching any skin.
 Don’t fill urine to the top of the sterile container. No more than half a
container is necessary.
 Place the lid on the container and set it on the sink or someplace stable
while you finish urinating into the toilet.
 Screw the lid securely on the container and wipe it off. Wash your hands
and drop off the container to the lab as instructed.

It will take 24 to 48 hours for the lab to culture the sample. Ask your doctor how
they will notify you of the results.

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COLLECTION PROCEDURE - FEMALE
 The patient must wash her hands thoroughly with soap and water, after which
they are rinsed and dried on a disposable towel.
 Open the top of the specimen container. Do not touch the inside of the lid or the
container.
 Open the envelopes with the towelettes. While spreading the labia with one
hand, wash the right side of the vulva well, passing only from front to back
with one towelette. Repeat the process on the left side of the vulva and then in
the middle. The towelette is then discarded.
 Keeping the labia spread (until after the urine is collected), the front to back
wash is repeated with the remaining two towelettes, discarding each after it is
used. A total of three such washes is essential.
 Wash the area with fresh tap water to remove the disinfectant.
 With the labia still spread, the patient should void the urine into the toilet. As
she continues to void she should bring the container into place so that it is half
filled with urine. The container should not touch the legs, vulva or
clothing. Finish urinating in the toilet.
 The half-filled container should be closed tightly with a leak proof cap.
 Label the container with appropriate patient data.
 Place in a tightly sealed biohazard bag and keep the specimen cool until
delivery to the lab.

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COLLECTION PROCEDURE - MALE
 The patient must wash his hands thoroughly with soap and water, rinse them,
and dry on a disposable paper towel.
 The foreskin must be retracted and the glans penis is then cleansed with a
disinfectant towelette, proceeding from front to back. Discard the towelette
after use.
 Repeat the front to back wash with at least one more towelette.
 Wash the area with fresh tap water to remove the disinfectant.
 The first portion of urine is voided into the toilet, after which the open sterile
urine container is passed into the urine stream and half filled.
 The fingers, penis, or clothing should not touch the rim of the container. Finish
urinating in the toilet.
 Cap the container tightly with a leak proof cap.
 Label the container with appropriate patient data.
 Place in a tightly sealed biohazard bag and keep the specimen cool until
delivery to the lab.

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References
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eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap
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2. Germann CA. Urologic disorders. In: Walls RM, ed. Rosen's Emergency Medicine:
Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 85.
3. Nicolle LE, Drekonja D. Approach to the patient with urinary tract infection. In:
Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA:
Elsevier; 2020:chap 268.