Checklist for Skill 1

Checklist for Skill 6. Capillary Blood Draw (Heel and Finger Stick)

Name ______Date ______

School ______

Instructor ______

Course ______

Skill 6. Capillary Blood Draw (Heel and Finger Stick)

/ Able to Perform / Able to Perform with Assistance / Unable to Perform / Initials and Date /

General Guidelines for Specimen Collection

1. Check physician’s order.
2. Check child for allergies to any materials used, e.g., povidone-iodine.
3. Prepare child and family.
4. Gather equipment.
5. Wash hands. Don gloves. /
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Procedure

1. Steps 1–5 of General Guidelines.
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2. Select site.
a. Heel: (Infants younger than 1 year of age): Plantar surface beyond lateral and medial calcaneous.
b. Great toe: (children older than 1 year of age).
c. Finger: Side of ball of finger (3rd or 4th finger) across the fingerprint.
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3. Apply moist compress to area for 5–15 minutes:
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4. Put on nonsterile gloves.
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5. Remove compress and wash selected site with soap and water or antiseptic solution as specified by agency policy.
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6. Let area dry completely before puncture.
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7. Gently massage base of finger or heel, stroking toward selected puncture site. Do not touch the puncture site
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8. Isolate the puncture site using the nondominant hand to hold the hand or foot. Hold the selected site in a dependent position.
a. Heel: Support dorsum of foot with thumb and ankle with other fingers.
b. Toe: Grasp foot across dorsum, support toe with thumb on plantar surface.
c. Finger: Keep finger to be used extended and pointed downward.
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9. Using the dominant hand, puncture the site at a 90° angle to the skin using a quick, forceful motion. Remove the lancet immediately. Do not use a slashing motion.
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10. Wipe away the first drop of blood using a sterile cotton ball or 2 x 2.
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11. Allow blood to collect at puncture site.
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12. Collect specimen allowing blood to flow into the collecting tube.
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13. Wipe site with sterile cotton ball or 2 x 2 and apply pressure for
2–3 minutes.
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14. Apply bandage if appropriate.
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15. Discard equipment in appropriate container.
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16. Label specimen, place in appropriate bag or container along with laboratory requisition slips.
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17. Remove gloves. Wash hands.
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18. Send specimens to laboratory.
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Documentation

1. Time, source/site, specimen sent to lab (specify for what test).
2. Record results of any test performed on the unit.
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Permission to reproduce for clinical use granted.