ACTIVITY 7 Flashcards
CAPILLARY BLOOD COLLECTION
SKIN PUNCTURE) FOLLOWING THE PROPER ORDER OF DRAW
What are the materials (10)
Materials
• Alcohol prep pads
• Gauze pads or cotton balls
• Adhesive bandages or other bandaging materials
• Gloves
• Lancet/incision devices
• Microcollection containers-small plastic tubes, narrow capillary tubes, microhematocrit tubes, and sealants
• Microscope slides
• Warming devices
• Sharps container
• Permanent marker or pen
Procedure
The first four steps in venipuncture should be followed.
- Review the test request.
- Approach, identify, and prepare the patient.
- Verify diet restrictions and latex sensitivity.
- Sanitize hands and put on gloves.
- Position the patient.
- Select the puncture/incision site.
- Warm the site if applicable.
- Clean and air-dry the site.
- Prepare the materials.
- Puncture the site and discard lancet.
- Wipe away the first blood drop.
- Fill and mix tubes/containers/Make thick and thin malarial smears.
- Place gauze and apply pressure.
- Label specimen and observe special handling instructions.
- Check the site and apply bandage.
- Discard used and contaminated materials.
- Thank patient, remove gloves, and sanitize hands.
- Transport specimens to the laboratory.
Position the patient.
Finger puncture: arm supported on____; hand ____ and ____
Young child: held on ____ or ___
Infant heel puncture: ___ with foot _____ than torso
firm surface
extended
palm up
parent’s or guardian’s lap
supine
lower
Select the puncture/incision site.
a. General criteria
- ___ is warm, pink, and of normal color.
- No scars, cuts, bruises, rashes, cyanosis, edema, or infection
b. Adults and older children
- _____ or _____of middle or ring finger of non-dominant hand in. ____, _____ of the finger
c. Infants
i. ____ of heel, on ____ or ____ to avoid bone damage (<2.0 mm deep)
Skin
Palmar surface of distal or end segment
Central, fleshy portion
Plantar surface
medial or lateral edge
Warm the site if applicable.
• ____ increases blood flow up to ______.
• Essential for ____ or ______ and recommended for heel stick.
• Wrap site for ___ to ____with a warm, moist washcloth, towel, or diaper.
Warming
sevenfold
pH or blood gas specimens
3 to 5 minutes
Clean and air-dry the site.
• Cleanse site with an ______
•Allow the site to ____
antiseptic (70% isopropyl alcohol)
air-dry.
Prepare the materials
. ___ if they are not already on.
. Select collection devices and place them within _____.
. Select new, sterile lancet/incision devices
. Open packages in ____ of patient.
Don gloves
easy reach
view
Puncture the site and discard lancet.
a. Finger puncture
. Grasp patient’s finger between the ______ and ______.
. Place lancet device _____ against the skin in central, fleshy pad.
b. Heel puncture
. Grasp foot gently but firmly with ______.
. _____ heel by wrapping your index finger around the arch, thumb around the bottom, and other fingers around the top of foot.
. Place lancet flat against the skin, on the ____ or ____ of heel
non-dominant thumb and index finger
flat
non-dominant hand
Encircle
medial or lateral
plantar surface
Wipe away the first blood drop.
•First drop is typically contaminated with ____.
excess tissue fluid
Fill and mix tubes/containers/Make thick and thin malarial smears.
• Touch the ___ or ____to the drops of blood.
• Make finger drops of blood on the _____ of a glass slide; use one drop to make a _____.
Using an ______, spread the other drop into a penny size for the thick smear.
collection tube or device
opposite sides
tongue-shaped thin smear
applicator stick
Place gauze and apply pressure.
•Keep the site ____.
elevated
