A medical assistant is instructing a patient on the procedure for a 24-hour urine collection. Which of the following set of instructions is correct for ensuring the validity of the specimen?
On the first day, discard your first morning urine and note the time. Then, collect all urine for the next 24 hours, including your first urination on the morning of the second day.
Start the collection with your first urination of the day and collect all urine until the same time the next morning.
Collect a sample from each urination during a 24-hour period. It is not necessary to collect the entire amount.
Collect all of your urine for a full calendar day, starting when you wake up and ending when you go to bed.
The correct procedure for a 24-hour urine collection requires the patient to begin with an empty bladder. Therefore, they should urinate and discard the first morning specimen, noting the time as the start of the 24-hour period. All subsequent urine passed over the next 24 hours must be collected. The collection is completed by having the patient urinate one last time at the 24-hour mark the next morning and adding that specimen to the container. Starting the collection with the first void would incorrectly include urine produced before the 24-hour test period began. Collecting only for a single calendar day or taking partial samples would not yield a valid 24-hour specimen and would lead to inaccurate test results.
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Can a patient store the collected urine at room temperature during the 24-hour collection?
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AAMA CMA
Clinical Competency
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