Session #7:Session #7:Steps 8-10Steps 8-10

Pt provides Urine SamplePt provides Urine SamplePerforming PT, STD Test Performing PT, STD Test

sample preparationsample preparationReporting PT ResultsReporting PT Results

Administrative Notes forAdministrative Notes forPerforming Medical Performing Medical

Services Services

CLIA Waived Certification

Use only CLIA waived pregnancy testsUse only CLIA waived pregnancy tests

Check state regulationsCheck state regulationsDifferent for each stateDifferent for each stateCheck the coverage of the waiver in your Check the coverage of the waiver in your statestate

Universal PrecautionsUniversal Precautions

Wearing gloves when touching anything Wearing gloves when touching anything with urine/secretionswith urine/secretions

Separating testing space from working Separating testing space from working areaarea

Disposing of materials properlyDisposing of materials properly

3 Types of Waste3 Types of Waste

1. Hazardous Wastes1. Hazardous Wastes

2. Regulated Medical Waste2. Regulated Medical Waste

3. Municipal Solid Waste*3. Municipal Solid Waste*

(definition of and requirements for disposal of (definition of and requirements for disposal of each varies by state)each varies by state)

Step 8:Step 8: Patient Provides Urine SamplePatient Provides Urine Sample

Advocate should review following Advocate should review following with medical team (OT p. 50):with medical team (OT p. 50): Patient’s namePatient’s name Patient’s LMPPatient’s LMP Previous pregnancies/abortionsPrevious pregnancies/abortions Patient’s abortion vulnerabilityPatient’s abortion vulnerability Prior pregnancy tests/ultrasounds for Prior pregnancy tests/ultrasounds for

current pregnancycurrent pregnancy

Step 9: Support System Step 9: Support System ReviewReview

Advocate should use the Advocate should use the PSAPSA to ask to ask patient about each category of support:patient about each category of support: ““Do you have health insurance?”Do you have health insurance?” ““Do you have an OB/GYN?”Do you have an OB/GYN?” ““Do you have concerns about financial aid for Do you have concerns about financial aid for

school?”school?” This conversation must take NO LONGER This conversation must take NO LONGER

than 4 minutes, as that is the amount of than 4 minutes, as that is the amount of time required to get accurate pregnancy time required to get accurate pregnancy test results.test results.

Performing Pregnancy Performing Pregnancy Test Test

During Step 9During Step 9

Using test from IM Diagnostics, Inc.:Using test from IM Diagnostics, Inc.:

Drop 5 drops of urine into “tear drop” of Drop 5 drops of urine into “tear drop” of testtest

Read results at exactly 4 minutesRead results at exactly 4 minutes

Positive PT ResultsPositive PT Results

Read by a line Read by a line appearing both under appearing both under the “T” (test) and “C” the “T” (test) and “C” (control) portion of the (control) portion of the test. test. means that there is means that there is

enough pregnancy enough pregnancy hormone in the hormone in the urine, urine, it does not it does not mean she is mean she is pregnantpregnant

Test from IM Diagnostics is sensitive Test from IM Diagnostics is sensitive to 20 mIU/mlto 20 mIU/ml

Performing Pregnancy Performing Pregnancy Test Test

During Step 9During Step 9

Negative PT ResultsNegative PT Results

Read by a line only Read by a line only appearing under the “C” appearing under the “C” (control) portion of the (control) portion of the test.test. means there was not means there was not

enough pregnancy enough pregnancy hormone in the urine, hormone in the urine, this does not mean this does not mean she is not pregnantshe is not pregnant

Performing Pregnancy Performing Pregnancy Test Test

During Step 9During Step 9

Repeat the pregnancy test if previously Repeat the pregnancy test if previously negativenegative

Performing Pregnancy Performing Pregnancy Test Test

During Step 9During Step 9

Return AppointmentReturn Appointment

STI Test CollectionSTI Test CollectionDuring Step 9During Step 9

CDD CDD Set up contract Set up contract Training on Training on

computer computer softwaresoftware

Place vaccutainer lid Place vaccutainer lid on urine cupon urine cup

Peel back yellow Peel back yellow sticker and place sticker and place urine tube, provided urine tube, provided by CDD, on needleby CDD, on needle

Fill tube, label and Fill tube, label and ship per CDD ship per CDD

Step 10: Step 10: Nurse Reports PT ResultsNurse Reports PT Results

Advocate introduces nurse as per name and Advocate introduces nurse as per name and title to patienttitle to patient

Report results to patient with Advocate Report results to patient with Advocate presentpresent

Excuse AdvocateExcuse Advocate

Step 10:Step 10: Nurse Reports PT Results Nurse Reports PT Results

Return VisitReturn Visit

Reports result if pregnancy test doneReports result if pregnancy test done