Measuring urine output

If it is necessary to monitor the quantity and frequency of urine this should be recorded on the client’s fluid balance chart as given in Figure 5.5. If a client’s urine output is to be measured the procedure is as given below.

Procedure	Rationale
Explain why and how the urine will be collected and measured	To gain the client’s consent and co-operation
Provide the client with a bedpan or urinal when they want to pass urine	So that urine can be collected
Wash hands, wear plastic apron and gloves when collecting and measuring urine	To prevent contamination with body fluids
Empty the urine from the bedpan into a measuring jug taking care not to splash your face. If this is a potential risk in your area of care it is best to wear goggles to protect your eyes	To gain an accurate measure of the urine output. This activity should always be undertaken in the sluice, dirty utility area or toilet to minimize the risk of spreading infection
Note amount
Dispose of the urine in the macerator, sluice or toilet, rinse the measuring jug and store dry	To reduce the risk of cross-infection
Remove gloves and apron and dispose in keeping with local policy	To reduce the risk of cross-infection
Wash and dry hands thoroughly	To reduce the risk of cross-infection
Accurately record urine output on fluid balance chart	To monitor fluid balance and plan care accordingly
For an infant or child see section on ‘Applying/changing a nappy’