Recording and Measuring the Urinary Output
Keeping a track of the urinary output is very important, as it indicates whether the patient’s kidneys are working well or not. As a certified nursing assistant, you need to accomplish this task (measurement and recording of the urinary output) on a regular basis. Generally you will be required to measure the patient’s urinary output in two situations – when s/he uses a bedpan or wears indwelling catheter.
Procedure to Measure the Urinary Output When the Patient Wears Indwelling Catheter
- Wash your hands with antiseptic soap and lukewarm water.
- Observe the numeric labeling mark on the plastic bag, which is used to collect the output. Normally it should be 30-400 ccs per hour. In case, it is more or less then you need to inform the nurse immediately.
- The color of urine must be pale yellow or transparent. If you observe any abnormalities in the color you must report it to the nurse right away.
- In case the urine contains blood, then the supervisor nurse must be informed immediately.
- As instructed to you by the nurse, replace the urine bag or empty it and re-install it.
- Wash your hands after you finish the whole procedure.
Procedure to Measure the Urinary Output When Patient Uses the Bedpan
- Make use of lukewarm water and antiseptic soap to rinse your hands.
- Make the patient turn his/her sideways and place the bedpan below his/her buttocks. After placing it firmly, make the patient turn back and lie on his/her back again.
- Make him comfortable by making the bed a little upwards.
- Move away from the patient and give him complete privacy. Pull down the curtains of the patient’s room.
- Dispose of your gloves.
- Wash your hands properly with antiseptic soap and lukewarm water.
- After the patient is done with the work, you must wear gloves again.
- Lower the raised portion of the bed to bring it back to the original position.
- Let the patient move to one of his sides and remove the bedpan carefully, so that the contents of bedpan do not spill.
- Keep the bedpan aside after you remove it from below the patient.
- Clean the genitals of the patient properly with soap and water and dry using a disposable towel.
- Make the patient lie on his back again and make him wear clothes.
- Measure and record the contents of the bedpan accurately.
- Dispose of the contents of the bedpan and clean it properly for next use.
- Dispose of the gloves that you were wearing and wash your hands properly with antiseptic soap and lukewarm water.
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Points to be Noted
It is important that the urinary output of the patient is measured properly, as it helps diagnose any complications in the patient’s health. A slight change in the color of the urine could be indication of some disease. An early diagnose of the ailment may help in administration of the right treatment on time.
- You must never forget to measure the urinary output of the resident patient. It gives an idea that the bladder, kidneys and vital organs of the patient are working properly.
- You must know how to observe the signs of infection in the patient’s urine.
- As soon as you find any infections in urine, its treatment should be started right away, so be very regular with your measurement.
- If the quantity of the urinary output is very little in the catheter bag, then also try to take the reading accurately.
- Measure the amount of liquid intake by the patient whole day.
- Always keep track of diet chart, fluid intake and medicines of the patient on your own, without relying on others.