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Urine Interval Collection Workflow Example using Void Containers
- 1 Introduction
- 2 Terminology
- 3 Start Interval
- 4 Collect Urine Void in Interval
- 4.1 Note
- 4.1.1 Within Data Collection:
- 4.2 Weight
- 4.3 ClinSpark Video Walkthrough
- 4.1 Note
- 5 Add contents of Void Container to Interval Container
- 6 End Interval
- 6.1.1 Within Data Collection
- 6.1.2 Within Sample Processing
- 6.2 Clinspark Video Walkthrough
- 6.3
Introduction
Urine is often collected in order to understand the pharmacokinetics (‘PK’) of a medicine ('drug'). Urine can be collected and stored for extended periods of an in-house stay. Those periods are split down into shorter ‘intervals’. Urine is typically expected to be kept refrigerated in order to slow down or prevent any metabolic activity (‘breakdown’ or degradation) of the medicine until samples can be taken and frozen for subsequent drug concentration analysis.
Terminology
Interval
A period of time in which urine is collected.
For example:
-2h ⇒ 0h
0h ⇒ 2h
2h ⇒ 4h
4h ⇒ 8h
8h ⇒ 16h
16h ⇒ 24h
Void (or Collection) Containers
A 'container' that is used temporarily to collect a void of urine that is added to an interval or storage container.
These void containers are barcoded to ensure that the right void goes with the right interval container for the right subject.
Sometimes the same void container is used in an interval, or, new void containers are used for each void.
Interval (or Storage) Containers
These are the containers (also sometimes called ‘jugs’ or pooling container) that are used to store the cumulative voids for the designated interval (in the fridge, etc).
The number of containers needed for an interval is unknown. If a subject is passing a lot of urine, they may need to use several containers for an interval.
Note
Focuses on a simple urine collection process (e.g. does not include a 'clean catch')
It's possible for there to be 0 (zero), 1 or several urine voids in an interval. Shorter intervals are unlikely to have many voids and longer intervals are unlikely to have 0 or few voids if kidney function remains unaffected and compliance is good
Safety precautions and associated best practices are out of the scope of this workflow
This workflow attempts to show a process that does not require an additional paper urine monitoring log or a checker (second person)
Start Interval
Within Data Collection:
Scan Start Event barcode label on the interval container to open event (or open event manually > Interval PK Start form)
Scan subject wristband to verify correct subject
Scan internal container Start Barcode again
Container is confirmed to belong to the subject for that collection interval
Document the start date/time of interval
Store container for use within the interval
ClinSpark Video Walkthrough
Collect Urine Void in Interval
Note
A urinal has been used in the following examples, but may just as easily and interchangeably show a hat.
Within Data Collection:
Scan subject wristband
Press “Add New” within form to add a new void
Scan urinal (void container) as applicable
Void container is confirmed to belong to the subject for that interval collection
Subject voids and time of collection is documented
Scan barcode on interval collection container
Scan urinal or hat as applicable
Weight
Sometimes weight is required for each void but not always
ClinSpark Video Walkthrough
Add contents of Void Container to Interval Container
Interval Collection Container is confirmed to match the void container for that interval for that subject.
1.
2.
Poor freshly voided urine into the interval container
Pour this >
into this
Place the interval container into the fridge
Rinse and retain the urinal for the next void OR
A new void container is provided each time a subject voids
Repeat as necessary until the end of the interval.
End Interval
Within Data Collection
Scan Stop Event barcode label on interval container to open event (or open event manually > Interval PK Stop form)
Scan subject wristband to verify correct subject
Container is confirmed to belong to the subject for that interval
Document interval end date/time
Measure volume of total amount of urine collected in the interval and record this on the Stop Event form
Mix pooled collection thoroughly
Within Sample Processing
Scan Stop Event Label
Scan urine aliquot tubes for the interval
Transfer applicable quantities of urine to the urine aliquot containers.
Using the scanner at each step, pack the aliquots into appropriate containers and place them in the applicable freezer.
Clinspark Video Walkthrough
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