Lecture Notes: Back Technique and Urine Testing Procedure

Introduction

• Presenter: Marion
• Topic: Back technique and urine testing in the community setting.

Station Bag Arrangement

Materials Overview

• Channel bag with essential medical materials

Materials Arrangement in the Bag

1. Front of the Bag (Left to Right)

   • Oral thermometer
   • Rectal thermometer
   • Syringe
   • Eagles (metal container)

2. Right Side of the Bag (Rear to Front)

   • Test shoe
   • Test tube holder
   • Medicine dropper
   • Alcohol lamp (with denatured alcohol)
   • Match

3. Left Side of the Bag (Rear to Front)

   • Medicine glass
   • Suction
   • Baby scale

4. Back Part of the Bag

   • Solutions needed:
     • Benedict solution
     • Lysol
     • Boric acid
     • Hydrogen peroxide
     • Alcohol
     • Beta dye solution
     • Spirit of ammonia (or Kananai white flower)

5. Center of the Bag

   • Kidney basin
   • Cloth bag containing:
     • Kelly curve
     • Calistrate
     • Umbilical seesaw
     • Bandages (secure properly)
   • Second cloth bag containing:
     • Sterile cotton applicator
     • Cotton balls
   • Hand towel
   • Apron
   • Soap and soap dish (or Kananai pump for ease)
   • Specimen bottle (for urine testing)

6. Top Pocket

   • Surgical gloves
   • Sterile gloves
   • Paper waste bag
   • Waste receptacle
   • Catheters (French 8 and French 12)
   • Clean gloves (for urine testing)
   • Plastic bag (for trash)

7. Lining Arrangement

   • Organize from bottom to top:
     • Softish lining
     • 12 inch lining
     • Plastic lining
     • Bottom paper lining
   • Ensure the opening of the bag faces towards you to prevent exposure.

Community Setup

• Arrive at the residence and explain the procedure to family members.
• Ask for a clean area to work.

Preparing for Medical Hand Washing

1. Take out the necessary items from the bag:
   • Soap dish lining
   • Apron
   • Hand towel
2. Locate a washing area and perform medical hand washing.
   • Use soap and dry hands with hand towel.
   • Leave towel and soap dish in the washing area.

Nursing Procedure: Urine Testing

Preparation for Urine Collection

1. Take out materials needed for urine testing:
   • Test shoe
   • Test tube holder
   • Lamp
   • Matches
   • Benedict solution
   • Specimen bottle
   • Plastic bag for trash
   • Clean gloves
   • Waste receptacle
2. Instruct the patient to void and collect a stream urine sample.

Performing the Test

1. After obtaining the specimen, prepare the test tube:
   • Place 5cc of Benedict solution in the test tube.
   • Add 8-10 drops of urine using a separate medicine dropper.
2. Light the lamp and heat the sample until bubbles appear.
3. Results Interpretation:
   • Clear blue or green: Negative (no sugar)
   • Green with yellow precipitate: Trace amount
   • Yellow to green with yellow precipitate: Low sugar
   • Muddy orange with yellow precipitate: Moderate sugar
   • Orange to red precipitate: Large amount of sugar

Post-Testing Cleanup

1. Clean all materials used during the testing.
2. Dispose of gloves and trash properly.
3. Return all materials to the station bag according to the pre-established arrangement.

Final Steps

1. Close the bag securely.
2. Record the visit and findings in the patient's chart.