BENEDICTS-TEST (1) Checklist

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ST.

ANTHONY’S COLLEGE
NURSING DEPARTMENT
San Jose, Antique
PERFORMANCE RATING SCALE
Diabetes Urine Test – Benedict’s Method

Student: ________________________________ Date: ______________ Score: ____________

Instruction: Please check on the space provided to assure whether the student is able to perform the
procedure satisfactorily or whether it is unsatisfactorily done.

S – Satisfactorily Performed U – Unsatisfactorily Performed

STEPS S U COMMENTS

1. Place the paper lining clean side out on a table or


any clean, flat surface away from the client
2. Spread the plastic lining over the paper lining, clean
side in.
3. Place the bag in the area away from the client,
tucking handles beneath the bag.
4. Open the bag; take out soap in dish, towel and
apron.
5. Do thorough hand washing. Dry hands, place soap/
dish and towel near the bag.
6. Put on apron, right side out.
7. Take out the kidney basin and place 3 CB with
alcohol.
8. Take out 2 droppers, a test tube and holder, and
place these in the kidney basin. Take out the
alcohol lamp, match. Benedict’s sol’n and place
them on the work area.
9. Place the waste receptacle at one corner of the
work area.
10. Light the lamp
11. Place 6-8 drops of urine in the test tube.
12. Add 3-5 ml. Of Benedict’s sol’n to the urine.
▪ Used droppers should be placed near the
waste receptacle.
13. Pass the test tube with mixture over the flame,
mouth of the TT should be away from you and the
client.
14. Remove from flame and stand for one minute. Put
off flame.
15. Interpret:
▪ Clean blue to marked cloudy green----
negative
▪ Bluish green------------------------- -+
▪ Yellowish green-------------------- ++
▪ Yellow-------------------------------- -+++
▪ Orange------------------------------- ++++
16. Wash the TT, TT holder and droppers with soap
and water. Drain, place them in the work area.
17. Disinfect the kidney basin, TT, TT holder and
droppers with 3 pieces of CR with alcohol, Discard
2CB. Place the articles inside the kidney basin (Save
the last CB with alcohol)
18. With one CB with alcohol, disinfect the lamp and
the plastic lining.
19. Discard the waste receptacle.
20. Do thorough hand washing. Dry Hands with the
towel.
21. Return all articles in their proper places int the
bag.
22. Remove apron away from the body, folding
contaminated part in. Place over the flaps of the
bag.
23. Fold the plastic lining contaminated part in. Place
over the flaps of the bag.
24. Hold the bag with one hand, and with the other
hand fold the paper lining, contaminated part in.
Place over the plastic lining.
25. Close the bag.

Total /25

Remarks:

Preceptor Signature:

Reference:
Community Health Nursing Services in the Philippines, DOH

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