
Get the free Suspected Urinary Tract Infection (UTI) Form - LeadingAge Maryland
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Page1 of 2Suspected UTI STAR Nursing Home Name Street City, State, ZIP Facility Phone/Fax Resident Name Date of Birth Physician/NP/PA Physician/NP/PA Phone/Fax Nurse Date/Time How was information
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How to fill out suspected urinary tract infection

How to fill out suspected urinary tract infection
01
Collect a clean-catch urine sample in a sterile container.
02
Wash your hands thoroughly before starting the process.
03
Separate the labia (for females) or retract the foreskin (for males) to expose the urinary opening.
04
Clean the area around the urinary opening with an antiseptic wipe.
05
Start urinating into the toilet or urinal to flush out any contaminants from the urinary tract.
06
Mid-stream, collect a sample of urine in the sterile container without interrupting the flow.
07
Ensure that an adequate amount of urine (at least 1-2 ounces) is collected for accurate testing.
08
Tightly close the container with the urine sample to prevent leakage or contamination.
09
Label the container with your name, date, and time of collection.
10
Immediately transport the urine sample to the laboratory for analysis.
Who needs suspected urinary tract infection?
01
Anyone who suspects they may have a urinary tract infection (UTI) needs to perform this procedure.
02
Common symptoms of UTIs include frequent urination, burning sensation during urination, cloudy or foul-smelling urine, lower abdominal pain or discomfort, and fever.
03
It is recommended to consult a healthcare professional for proper diagnosis and treatment.
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What is suspected urinary tract infection?
Suspected urinary tract infection is a condition where there is a suspicion of an infection in the urinary tract.
Who is required to file suspected urinary tract infection?
Healthcare providers are required to file suspected urinary tract infection cases.
How to fill out suspected urinary tract infection?
Suspected urinary tract infection should be reported with relevant patient information and clinical details.
What is the purpose of suspected urinary tract infection?
The purpose of reporting suspected urinary tract infection is to track and monitor cases for public health purposes.
What information must be reported on suspected urinary tract infection?
Information such as patient demographics, symptoms, test results, and treatment administered must be reported on suspected urinary tract infection cases.
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