33
SKILL 11
Collection of Stool Specimen
EQUIPMENT Diaper (nontoilet trained child) Plastic liner for diaper (if stool watery) Bedpan or “hat” (older child) Tongue blade Specimen container Gloves, nonsterile GENERAL GUIDELINES FOR SPECIMEN COLLECTION 1. Check physician’s order. Ensures appropriate specimen obtained from the correct child. 2. Check child for allergies to any materials used, e.g., povidone-iodine. 3. Prepare child and family. Enhances cooperation/participation; reduces anxiety/fear. NOTE: Have an assistant hold/comfort the child as necessary and in accordance with agency policy. 4. Gather equipment. Promotes organization and efficiency. 5. Wash hands. Don gloves. Reduces transmission of microorganisms. PROCEDURE
FIGURE 12 Using a rectal swab to obtain a stool specimen.
NOTE: To obtain a swab stool specimen, insert swab 1/ –3/ inch into rectum. Place swab in culture tube as 2 4 described under nasopharyngeal specimens. (Figure 12) DOCUMENTATION
1. Steps 1–5 of General Guidelines.
1. Time specimen collected.
2. If stools watery line diaper with plastic. Allows watery stool to be collected rather than absorbed into diaper.
2. Color and consistency of stool.
3. Check diaper for stool at frequent intervals. Wear exam gloves as for any diaper change.
4. Condition of skin.
3. Test collected for.
NOTE: Stool may be obtained from bedpan or “hat” of older child. 4. Put on nonsterile gloves. Protects nurse from contact with body fluids. 5. Remove diaper. Set soiled diaper aside. Clean perineum and put on a clean diaper. Prevents skin irritation. 6. Remove small amount of stool from diaper, bedpan, or hat with a tongue blade. 7. Place specimen in container. 8. Label specimen and place in appropriate bag or container along with the laboratory requisition slip. Ensures specimen properly identified and the appropriate test is done. 9. Remove gloves. Wash hands. Reduces transmission of microorganisms.
Copyright © 2007 by Thomson Delmar Learning, a division of Thomson Learning, Inc. All rights reserved.