Urine

Question 1

What is 24 hour creatinine clearance?

Answer 1

This test measures the ability of the kidney to remove creatinine from the blood

Question 2

What are you supposed to request from the Lab for a 24 hour Cr Cl?

Answer 2

The appropriate urine collection bottle

Question 3

What do you symbolize on the PO next to 24 hr Cr Cl after calling the Lab?

Answer 3

Dept Aware

Question 4

What steps are performed when filling out the Specimens Other than Blood Req for a 24 hr Cr Cl?

Answer 4

• Addressograph
• Room and bed #
• Write “Urine for 24 hr Cr. Cl” on top right hand corder
• Date to be done
• Time to be done
• Diagnosis
• Ordered by
• Test name “urine”, check 24 hour.
• Time start / finish
• Date start / finish

Question 5

What steps are to be taken when filling out a Blood lab req for a 24 hr Cr. Cl?

Answer 5

• Addressograph
• Room and bed #
• Write “24 hr Cr. Cl” top right-hand corner
• Date to be done
• Time to be done (1800)
• Diagnosis
• Ordered by
• Test name “creatinine”

Question 6

After filling out the requisitions for a 24 hr Cr Cl, what do you symbolize on the PO?

Answer 6

• K x2
• Dept Aware
• RMO x2

Question 7

What are the 12 steps of the 24 hr Cr Cl check list?

Answer 7

1. Scan the Physicians order and previous order
2. Fax order to Pharmacy if there are meds
3. Check and double check patient’s name
4. Phone lab to request the appropriate urine collection bottle for the test. Symbolize the PO – Dept Aware
5. Transcribe the order onto the Kardex under Lab Tests (see example). Symbolize the PO – K x 2
6. Complete the 2 requisitions - Specimens Other Than Blood and Lab Req Blood from the Physician’s order and include the following:

• Specimens Other Than Blood Req’n:

• addressograph / label
• write in addressograph box – Urine for 24 Hr. Cr. Cl.
• room and bed#
• ordered by
• antibiotics yes/no
• tick off box urine collection 24 hr
• time/date to be done: start @ 0600 the next day, end @ 0600 the next day +1
• complete weight and height
• tick off box creatinine clearance
• attach and addressograph a label with name of specimen and test

• Lab Blood Req’n:

• addressograph / label
• write in addressograph box – 24hr. Cr. Cl.
• room and bed#
• date/time to be done: the next day @ 1800 (middle of 24hr. time period)
• diagnosis
• ordered by
• tick off the test
• fax requisition to the Lab. Fax stamp the req.

7. Symbolize the PO - RMO x 2
8. Put requisition with label for urine sample in designated spot for RN to collect.
9. Call Porter to pick up labelled urine collection bottle and requisition and deliver to Lab.
10. Sign Off
11. Stuff chart prn
12. Flag chart for RN