When attempting to get a urine specimen from small children (especially great with a male), using a sharpie or a two-sided sticker, place a star or heart on the bottom of the specimen container (outside). Have them try to cover it up with their urine. A challenge becomes a game.—JACQUELINE ANDERSON, MSN, FNP-BC, Santa Rosa, Calif. (211-5)


These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.