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Click ‘Get Form’ to open the 24 Hour Urine Collection form in the editor.
Begin by entering your ACCOUNT NO. and MED. REC. NO. at the top of the form to ensure proper identification.
Fill in your NAME and BIRTHDATE accurately, as this information is crucial for your medical records.
In the '24 Hour Volume' section, record the total volume of urine collected over a 24-hour period.
Indicate whether an aliquot was sent by filling in the 'Aliquot Sent' field, ensuring you provide accurate details.
Confirm if the whole collection was sent by completing the 'Whole Collection Sent' section.
Finally, enter the date of collection and stamp your patient card where indicated to finalize your submission.

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What should you document during a 24-hour specimen?

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.

What foods should I avoid during a 24-hour test?

During the collection period, do not drink alcohol or beverages that have caffeine or eat food that have avocado, banana, eggplant, tomato, plum, pineapple, or walnuts. Do not use tobacco during this period.

How to document 24-hour collection?

Example: Wake up at 7:00am and urinate into toilet and do not collect this sample. Write the date and 7:00am as the start time on the jug. Collect all including 7:00am the next morning. Write the date and 7:00am as the end time on the jug.

How do you label a 24-hour collection?

Your provider gives you a container for you to collect your pee in for 24 hours, then you bring the container to a lab for testing. Providers can use a 24-hour test to look for signs of kidney disease, high blood pressure, certain cancers and causes of kidney stones.

What is a 24-hour collection report?

Document the date and time of collection, type of sample collected (e.g., clean-catch sample, twenty-four-hour collection), any relevant patient information (e.g., patients complaints or symptoms), and special instructions or comments (if applicable).

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How to get a 24-hour collection?

Urinate (empty the bladder) for the first time and flush it down the toilet. Note the exact time (eg, 6:15 AM). You will begin the collection at this time. Collect every drop of during the day and night in an empty collection bottle.

What is a 24-hour collection?

A 24-hour collection is done by collecting your in a special container over a full 24-hour period. The container must be kept cool until the is returned to the lab. is made up of water and dissolved chemicals, such as sodium and potassium. It also contains urea.

24 Hour Urine Collection form - Oregon Health & Science University - ohsu 2026

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What should you document during a 24-hour specimen?

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