<p>Name______Date______Time______</p><p>PROCEDURE 3-11: Chemical Reagent Strip Analysis Equipment/Supplies: Patient’s labeled urine specimen, chemical strip (e.g., Multistix or Chemstrip), manufacturer’s color comparison chart, stopwatch or timer, personal protective equipment, hand disinfectant, surface disinfectant Standards: Given the needed equipment and a place to work, the student will perform this skill with _____ % accuracy in a total of _____ minutes. (Your instructor will tell you what the percentage and time limits will be before you begin.) Warning: Do not remove the desiccant packet in the strip container; it ensures that minimal moisture affects the strips. The desiccant is toxic and should be discarded appropriately after all of the strips have been used. Notes: The manufacturer’s color comparison chart is assigned a lot number that must match the lot number of the strips used for testing. Record this in the quality assurance (QA/QC) log. False-positive and false-negative results are possible. Review the manufacturer’s package insert accompanying the strips to learn about factors that may give false results and how to avoid them. Aspirin may cause false-positive ketone results. Document any medications the patient is taking. If the patient is taking Pyridium, do not use a reagent strip for testing because the medication will interfere with the color. Outdated materials give inaccurate results. If the expiration date has passed, discard the materials. Key: 4 = Satisfactory 0 = Unsatisfactory NA = This step is not counted</p><p>PROCEDURE STEPS SELF PARTNER INSTRUCTOR 1. Washed your hands □ □ □ 2. Assembled the equipment □ □ □ 3. Put on personal protective equipment □ □ □ 4. Verified that the names on the specimen container and the report form were the □ □ □ same 5. Mixed the patient’s urine by gently swirling the covered container □ □ □ 6. Removed the reagent strip from its container and replaced the lid to prevent □ □ □ deterioration of strips by humidity 7. Immersed the reagent strip in the urine completely and then immediately remove □ □ □ it, sliding the edge of the strip along the lip of the container to remove excess urine 8. Started your stopwatch or timer immediately □ □ □ 9. Compared the reagent pads with the color chart, determining results at the □ □ □ intervals stated by the manufacturer (e.g., </p><p>Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins 1 glucose is read at 30 seconds, so to determine results, examine that pad 30 seconds after dipping and compare it with color chart for glucose) 10. Read all reactions at the times indicated and recorded the results □ □ □ 11. Discarded the reagent strips in the proper receptacle; discarded the urine □ □ □ unless more testing was required 12. Cleaned the work area with surface disinfectant; removed personal protective □ □ □ equipment; washed your hands</p><p>Calculation Total Possible Points: _____ Total Points Earned: _____ Multiplied by 100 = _____ Divided by Total Possible Points = _____% Pass Fail o o</p><p>Comments:</p><p>Student’s signature ______Date ______Partner’s signature ______Date ______Instructor’s signature ______Date ______</p><p>Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins 2</p>