Get the free Return 24-Hour Urine Form - cscc unc

This form is used to schedule the return and collection of a 24-hour urine sample, including appointment details and administrative information.

How to fill out return 24-hour urine form

How to fill out Return 24-Hour Urine Form

1. Obtain the Return 24-Hour Urine Form from your healthcare provider.
2. Begin the 24-hour urine collection by emptying your bladder completely at a specific time (note this time).
3. Collect all urine for the next 24 hours in the provided container.
4. Ensure the collection container is kept in a cool place (preferably refrigerated) during this period.
5. At the end of the 24 hours, empty your bladder one final time into the container.
6. Fill out any personal information required on the form, including your name, date, and other requested details.
7. Seal the container securely and return it along with the completed form as instructed.

Who needs Return 24-Hour Urine Form?

1. Individuals undergoing tests for kidney function or specific metabolic conditions.
2. Patients with symptoms related to electrolyte imbalances or kidney issues.
3. People participating in clinical studies requiring urine analysis.

People Also Ask about

How do I return a sample?

If a bowl is used – inform nurse that you have provided a sample and they will collect the bowl from you and empty into the pot. If only pot is used – put the lid on the pot and wash your hands. 8. Label the pot clearly with your name, date and time of sample.

Where can I dispose of samples?

If the specimen is not biohazardous and the device was not used to test a biohazardous substance, the specimen and device most likely can be discarded in the regular trash (after emptying the into a sink or toilet).

How long do you have to return a sample?

Other Information. Take the to a Laboratory (Lab) Service Center as soon as possible, within 24 hours after ending the collection. Keep the cool. Make sure the does not freeze for these tests: amylase, arylsulfatase, immunoelectrophoresis, micro-albumin, pregnanetriol, protein or uric acid.

What is the most common mistake in 24-hour collection?

Certain factors may affect the accuracy of a 24-hour collection. These include: Forgetting to collect some of your . Going beyond the 24-hour collection period and collecting too much .

How long can a sample be kept before testing?

If you can't hand your sample in within an hour, you should keep it in the fridge at around 4C (39F) for no longer than 24 hours. If the sample isn't kept in a fridge, the bacteria in it can multiply.

How do you label 24-hour ?

Write your start date and time and stop date and time here and on the label of the orange collection container. These times are needed for accurate test results. The stop time is 24 hours after the start time. For example, if you start at 7 am one day, your stop time is 7 am the next day.

How do you send a sample to a lab?

Specimen Collection Clean genital area with the wipes. Allow first flow to go into the commode. Catch the "mid-stream" of the in the sterile container. Replace lid firmly on the container. Label specimen with name, date and time of collection. Place the specimen in the transport bag.

For pdfFiller’s FAQs

What is Return 24-Hour Urine Form?

The Return 24-Hour Urine Form is a document used to collect and report the total volume and composition of urine collected over a 24-hour period for medical testing and analysis purposes.

Who is required to file Return 24-Hour Urine Form?

Individuals undergoing specific medical tests that require 24-hour urine collection, as instructed by their healthcare provider, are required to file the Return 24-Hour Urine Form.

How to fill out Return 24-Hour Urine Form?

To fill out the Return 24-Hour Urine Form, gather the urine samples over a 24-hour period, record the total volume, note any medications or dietary restrictions, and provide personal identification information as requested on the form.

What is the purpose of Return 24-Hour Urine Form?

The purpose of the Return 24-Hour Urine Form is to assess kidney function, detect abnormalities in urine composition, and provide valuable information for diagnosing medical conditions.

What information must be reported on Return 24-Hour Urine Form?

The information that must be reported includes the total volume of urine collected, the time period of collection, any medications taken, dietary intake during the collection period, and personal details such as name and date of birth.