Australian Clinical Guidelines for Radiological Emergencies - September 2012

Appendix B: Internal Contamination Sample Collection Instructions

Page last updated: 07 December 2012

Instructions

Spot urine

Use standard pathology urine collection containers.

Instruct the patient to do the following:
  • Wash their hands with soap and water
  • Remove the cap from the container when ready to void
  • Do not touch the inside of the container or cap at any time
  • Collect at least 60 mL of urine in a non-contaminated area
  • Recap the specimen tightly
Label the container with the patient ID, time and date of collection.
Store in a freezer or refrigerator immediately after collection, until shipment.

For transport:
  • Freeze specimens prior to shipment.
  • Place in a ziplock bag, along with sufficient absorbent for 500 mL of fluid.
  • Place specimens upright in the shipping container, then cover with bubble-wrap.
  • Add at least 5 kg of dry ice to the shipping container.
  • Fill any residual space in the shipping container with additional bubble-wrap to prevent movement of the specimens during transport.

24 hour urine

Use a standard 2000 – 3000 mL urine collection container with a disposable funnel.
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Instruct the patient to do the following:
  • Wash their hands with soap and water
  • Remove the cap from the container when ready to void
  • Do not touch the inside of the container or cap at any time
  • Collect all the urine for 24 hours in a non-contaminated area.
  • Recap the specimen tightly
  • Store the container in the refrigerator or freezer during the collection period
Label the container with the patient ID, time and date of collection.
Store in a refrigerator immediately after collection, until shipment.
  • Place in a ziplock bag, along with sufficient absorbent for 3000 mL of fluid.
  • Place specimens upright in the shipping container, then cover with bubble-wrap.
  • Add several cold packs to the shipping container.
  • Fill any residual space in the shipping container with additional bubble-wrap to prevent movement of the specimens during transport.

Nasal swab

Use standard cotton or polypropylene applicator swabs with a container.

Instruct the patient to do the following:
  • Wash their hands with soap and water
  • Moisten the swab with water or sterile saline
  • Swipe each nostril with a separate swab
  • Place each swab in a separate container
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Label the container with the patient ID, time and date of collection.
Store in a refrigerator or freezer immediately after collection, until shipment.
  • Place in a ziplock bag.
  • Place specimens in the shipping container, then cover with bubble-wrap.
  • Add several cold packs to the shipping container.
  • Fill any residual space in the shipping container with additional bubble-wrap to prevent movement of the specimens during transport.

Faecal sample

Since insoluble compounds pass through the gastrointestinal tract rapidly post exposure, faecal samples should be collected within 5 days of a suspected acute exposure.

Use a 4 to 5 L new plastic bag with either a ziplock or twist tie closure.

Instruct the patient to do the following:
  • Wash their hands with soap and water
  • Collect the specimen in a non-contaminated area
  • Avoid contact with the inner surface of the bag
  • Defaecate directly into the bag.
  • Seal the bag and store in a cardboard carton. Refrigerate.
  • Repeat for all bowel actions over a 24 hour period.
  • Store each bagged and sealed sample in the same cardboard box.
Label the container with the patient ID, time and dates of collection.
Store in a refrigerator or freezer immediately after collection, until shipment.
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