MCCCD Program Description

Practicum: Clinical Urinalysis and Body Fluid Analysis

Course: MDL241

First Term: 2011 Fall

Laboratory 1 Credit(s) 6 Period(s) 0 Load
Subject Type: Occupational
Load Formula: C

Description: Practicum experience in clinical urinalysis and body fluid analysis based in healthcare facilities or reference laboratories. Assessment of anatomy and physiology of the renal system, renal diseases, and renal function tests. Performance of interpretation, evaluation, and reporting of urinalysis and body fluid results, urine and body fluid collection techniques, types, specimen handling and preservation, and instrument calibration, maintenance, and quality control. Performance of body fluid analyses and chemical and microscopic analysis of urine.

MCCCD Official Course Competencies
1. Assess the anatomy and physiology of the human renal system. (I) 2. Assess clinical features of renal and extra-renal diseases. (II) 3. Apply urine and body fluid collection techniques and types, specimen handling, and preservation. (III, IV) 4. Prepare instrument calibration and perform quality control and maintenance on instruments used in urinalysis and body fluid analysis. (V) 5. Perform chemical analyses on urine. (VI) 6. Practice microscopic examination of urine. (VII) 7. Apply renal function tests. (VIII) 8. Interpret, evaluate, and report urinalysis results. (VIII) 9. Perform body fluid analyses on cerebrospinal, synovial, pleural, peritoneal, pericardial, amniotic, and seminal fluids. (IX) 10. Interpret, evaluate, and report body fluid analysis results. (IX)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Human Renal System A. Anatomy 1. Kidney a. Nephrons (1). Bowman`s capsule (2). Tubules b. Glomerulus c. Blood circulation 2. Ureters 3. Bladder 4. Urethra B. Physiology 1. Urine formation 2. Regulation of acid-base equilibrium 3. Urine volume 4. Clearance tests II. Renal Diseases A. Glomerular disease 1. Glomerulonephritis 2. Nephrotic syndrome a. Systemic lupus erythematosus b. Diabetes mellitus B. Tubular Disease 1. Acute tubular necrosis 2. Cystinosis 3. Cystinuria 4. Fanconi`s syndrome 5. Renal tubular acidosis C. Tubulointerstitial Disease 1. Urinary tract infections 2. Other D. Renal Calculi III. Urine Specimen Collection Techniques A. Procedures B. Types C. Patient instructions IV. Urine Specimen Handling and Preservation A. Containers B. Labeling C. Transportation D. Storage 1. Temperature 2. Preservatives E. Unacceptable specimens V. Preparation for Testing A. Reagents B. Preventive maintenance C. Calibration performance D. Quality control performance E. Corrective action F. Documentation VI. Urine Macroscopic Examination A. Physical examination 1. Color 2. Clarity 3. Specific gravity B. Chemical examination 1. Reagent strip tests 2. Confirmatory tests 3. Limitations and interferences VII. Urine Microscopic Examination A. Microscopy 1. Bright field 2. Phase 3. Polarizing B. Cellular and formed elements 1. Red blood cells 2. White blood cells 3. Epithelial cells 4. Casts 5. Crystals 6. Bacteria 7. Fat globules 8. Mucous 9. Parasites 10. Spermatozoa 11. Yeast 12. Contaminants VIII. Urinalysis Reporting A. Establish protocols B. Correlate microscopic and macroscopic exams C. Evaluate patient results D. Verify results IX. Body Fluid Analysis and Reporting A. Clinical significance 1. Cerebral spinal fluid 2. Synovial 3. Pleural/BAL (Bronchialalveolar lavage) 4. Peritoneal 5. Pericardial 6. Amniotic 7. Seminal 8. Sweat B. Collection techniques C. Handling and preservation D. Physical examination E. Chemical examination F. Cell counts G. Differentials H. Reporting results 1. Evaluate patient results 2. Verify results

MCCCD Governing Board Approval Date: 2/22/2011

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.