H0w I undertake this

PC

1

The correct necessary documents and records for the clinical activity are ready for use.

I looked in the client's notes to see if the procedure is required so that I am not doing any unnecessary procedures.

2

Before the activity starts, the essential resources for the clinical activity are prepared ready for use.

I ensured that the client has a suitable sterile container within which to pass water. I ensured that this is intact and the sterile conditions of it are not compromised. If the patient needs a commode, i ensured that this is clean and ready for use.

3

Before any actions are taken, the client’s consent to the activity is confirmed.

I approach the client and introduce myself. I also tell them my designation so that they know who I am an know the limitations of my role. I explained that it is necessary to take a specimen of urine and which needs to be as sterile as possible. I explain that I will provide them with a sterile container which they need to pass water in. If the client is able to understand, I further explained that the first portion of the urine passed needs to be discarded as does the last portion. This is done because the first portion and the last portion of urine passed contains epithelial cells which can invalidate clinical tests and give false readings. I ask them if they have understood and asked them if they are happy for this to take place. If they say yes , I proceed. If they say no, I reported to the qualified nurse, after I have explained that the procedure is important, and recorded in the patient care plan.

4

Where the client and advocate do not give consent to the activity, advice is sought from an appropriate member of the care team without delay.

5

The client is offered appropriate support and information in preparation for the activity in a manner appropriate to them.

6

Client behaviour and condition is observed and monitored throughout contact and any unexpected change or aspect which gives cause for concern is reported to an appropriate member of the care team without delay.

7

Any questions from the client and advocate are answered correctly and in a manner, and at a level and pace, appropriate to them.

8

Where the client and advocate raise questions which are beyond the worker’s responsibility, further appropriate advice or assistance is sought before undertaking the activity.

9

The reasons for any particular forms of dress and protection are explained in a manner appropriate to the client.

Hp0w I undertake this

10

Where there are contra-indications before starting the activity, the preparation is halted and advice sought from the appropriate member of the care team with minimum delay.

11

The client is offered the opportunity to use toilet facilities prior to the activity when this is appropriate.

12

The client is assisted to reach as comfortable a position as possible given the constraints of the activity.

Range

1

2

Clinical activities:

a) care of lesions and applications of dressings

b) elimination

c) extended personal care

d) tube feeding

e) obtaining specimens

f) undertaking physical measurements and monitoring

Essential resources:

a) for the activity to be undertaken

b) necessary protective clothing

Hp0w I undertake this

PC

1

Hands are cleansed effectively before and after the activity.

2

The client is informed of the activities related to obtaining specimens in a manner which is sensitive to their needs and concerns and is at an appropriate level and pace.

3

Any questions from the client are answered correctly or referred to the appropriate member of the care team.

4

The specimen is collected using the correct technique and at an appropriate time according to the plan of care.

5

The client is given appropriate support throughout.

6

Client behaviour and condition is observed and monitored throughout contact and any unexpected change or aspect which gives cause for concern is reported to an appropriate member of the care team without delay.

7

Particular observation and monitoring of the client is carried out at the time intervals specified in the plan of care.

8

Any condition or behaviour which may signify adverse reactions to the procedure is reported without delay and action appropriate to the client’s condition is taken.

9

Where the worker is unable to obtain the specimen, this is correctly recorded and the appropriate member of the care team informed without delay.

10

Specimens are labelled correctly for the individual, the relevant documentation attached and they are put in the correct place for storage, collection or transportation.

11

Specimens are tested correctly, the results accurately recorded in the required fromat and reported to the appropriate member of the care team.

12

Following the activity, the client is assisted to reach as comfortable a position as possible given their current state of health.

13

After use, equipment and materials are cleaned and returned to the correct location for storage, sterilisation and transportation, and waste is disposed of in an appropriate safe manner and place.

Range

1

2

3

Tests:

a) urinalysis

b) blood sugar analysis

Specimens:

a) urine

b) faeces

c) sputum

d) exudates

e) blood

Adverse reactions related to:

a) the client’s condition

b) the specimen being taken