University of Delaware
Medical Technology Department
Urinalysis Clinical Practicum Tally

Student's Name:

Affiliate Site:

Day (date) Biochem Only Micro Only Complete UA Other
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Student's Signature:
The student recorded above has successfully completed the MEDT472 Urinalysis objectives. 
Clinical Instructor's Signature:

A minimum of 30 complete urinalyses should be performed (physical, chemical, microscopic). The emphasis should be placed on evaluating high quality urines to ensure that all major formed elements are observed. When a facility uses fully automated urinalysis, the student must still experience sufficient manual microscopics to observe all major formed elements. Student is responsible for returning the Urinalysis Tally to the Education Coordinator.