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iRubric: Collecting Urine Specimens from a Closed System rubric

iRubric: Collecting Urine Specimens from a Closed System rubric

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Collecting Urine Specimens from a Closed System 
Learning objective: To prevent UTI by obtaining a urine specimen without interrupting a closed urinary system
Rubric Code: EXB727B
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Urine Specimen/Closed system
  Poor

1 pts

Fair

2 pts

Good

3 pts

Excellent

4 pts

Gather Equipment

Poor

On 2nd attempt student:


Fails to gather 1 or more of the required items
Fair

On 1st attempt student:


Fails to gather 1 or more of the required items
Good

Completes all steps without error on 2nd attempt
Excellent

1st attempt

Gathers all equipment on first attempt without prompting:

Catheter tubing clamp
Syringe with needleless cannula
Sterile specimen container
Antimicrobial wipe
Identify client

Poor

On 2nd attempt student:

Fails to identify client prior to beginning procedure

Does not check ID band

Does not verify name and DOB with patient

Fails to ensure label for specimen cup matches information on ID band

Fails to label specimen cup at bedside
Fair

On 1st attempt student:

Does not check ID band

Fails to identify client prior to beginning procedure

Does not identify patient or uses one identifier to identify patient (Name or DOB but not both)


Fails to ensure label for specimen cup matches information on ID band

Fails to label specimen at bedside
Good

Completes all steps without error on 2nd attempt
Excellent

1st attempt

Verifies Name and DOB verbally with patient

Checks ID band

Ensures labels for specimen cup match information on ID band

Labels cup at bedside
Explain procedure to client

Poor

On 2nd attempt student:

Informs the patient that a specimen is needed but does not provide patient education or a rationale for the procedure

Does not clamp drainage tube for 15 mins prior to collecting specimen
Fair

On 1st attempt student:

Educates the patient about the procedure but fails to provide a rationale

Does not provide patient education or rationale for procedure

Does not clamp drainage tube for 15 mins prior to collecting specimen
Good

Completes all steps without error on 2nd attempt
Excellent

1st attempt

Educates patient on the procedure and the rationale for the procedure

Clamps drainage tube for 15 mins prior to collecting specimen

Rationale: Ensures that urine specimen is adequate
Hand Hygiene

Poor

On 2nd attempt student:

Fails to wash hands or don clean gloves prior to procedure

Fails to remove and discard gloves or wash hands post collection
Fair

On 1st attempt student:

Attempts to begin procedure but stops to practice hand hygiene before making physical contact with patient
Good

Completes all steps without error on 2nd attempt
Excellent

1st attempt

Washes hands for 10-15 seconds

Dons clean gloves prior to collection

Removes and discards dirty gloves. Washes hands for 10-15 seconds post collection
Performs procedure

Poor

On 2nd attempt student:

Omits any step in procedure

Commits an error and does not correct it during the 2nd attempt with no prompting
Fair

On 1st attempt student:

Omits a step or commits an error and fails to correct it without prompting
Good

Completes all steps without error on 2nd attempt
Excellent

Wipe port with antimicrobial wipe

Insert needless cannula at 30-45 degree angle into port

Allow urine to accumulate in tubing (2ml)

Specimen less than 2ml: Clamp tube for 30 mins, Reposition pt,Check tube for kinks

Aspirate urine sample and then remove syringe

Wipe port with antimicrobial wipe, un-clamp tube

Empty syringe into sterile container

Send to lab within 15 mins or refrigerate



Keywords:
  • Urine, specimen,

Subjects:

Types:





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