Labelling, Collection and Transport of Other Body Fluids

Case Problem:

A urine was submitted and the request was for urinalysis and urine culture. But the medtech on duty run it first for urinalysis before urine culture.

Do’s:

- Always check the request before running a test.

- Always prioritize urine for urine culture to prevent contamination.
- Make sure collection of the specimen is sterile.

OTHER BODY FLUIDS.

1. Labelling
 Specimen should be properly labeled with patient’s info and type of specimen

Name: (Fullname) Age/Sex:

Birthdate:
Date and time of Collection: Specimen type:

2. Collection and Transport

Specimen Type Definition Collection Transport
1. Urine - Is a filtered blood that goes to - Urinalysis/Urine Culture: - Transport within 30 minutes
the kidney and passes through Midstream clean catch (30-40 mL); after collection.
the urinary bladder and exits in sterile container for urine culture. - For 24 hr urine, transport the
the urethra. - 24 hr. Urine: specimen on ice after 24 hrs
*Day 1 = 7 AM, discard the first
urine. Collect all urine for the next
24 hrs.
*Day 2 = void and collect the
remaining urine at 7 AM

2. Stool - Fecal material discharged from - Collect in a clean or sterile - transport immediately after
the large intestine. container. Avoid contamination collection.
with water or urine.
 3. Semen - Fluid containing spermatozoa - Sexual abstinence for 2-3 days but - Transport specimen at 37o as
no longer in 5 days. Use sterile soon as possible no longer than
container with a volume of 3-5 mL. 30 minutes.
4. Sputum - Mixture of saliva and mucous - Upon rising, deep expectorate - Transport immediately after
coughed up from the sputum in a sterile container. collection.
respiratory tract as a result of (avoid salivary specimen, no
infection. washing of mouth)
5. Synovial Fluid - Fluid that provides lubrication - Arthrocentesis done by the doctor - Transport immediately after
of the joints. and placed in a sterile container collection.
6. Amniotic Fluid - Present in the amnion, a - Amniocentesis done by the doctor - Transport immediately after
membranous sac that and placed in a sterile syringe with collection.
surrounds the fetus. a 30 mL volume.
7. Serous Fluid: - Ultrafiltrate of plasma in serous - Pleural (thoracentesis), pericardial - Transport immediately after
Pleural, cavity (pericardiocentesis), peritoneal collection.
Pericardial, (paracentesis), done by the doctor
Peritoneal and place in sterile container with
Fluid a volume of >100 mL.
8. CSF - Fluid in the central nervous - Lumbar puncture done by the - Transport immediately after
system. doctor and place in a 3 sterile collection.
container which are labeled 1,2
and 3.
Tube 1 : Chemisrty and Serology
Tube 2 : Microbiology
Tube 3 : Hematology