Heel stick is a minimally invasive and easily accessible way of
obtaining capillary blood samples for various laboratory tests,
especially newborn screens and glucose levels. However, thanks to
improved laboratory techniques that require smaller sample volumes and
improved automated heel lancing devices that minimize trauma and pain,heel stick is a viable method of obtaining blood for many routine blood tests.Heel stick sampling can also help preserve venous access for future intravenous (IV) lines.
Some
evidence exists that in term neonates, skilled venipuncture may result
in fewer total punctures and less pain than heel stick. A Cochrane
review first published in 1999 and updated in 2011 suggests that it may
in fact be the procedure of choice in this population. However, these results may not be extrapolatable to preterm infants or infants who require multiple or frequent blood sampling.In
addition, the development of newer, more effective, and less painful
lancing devices may increase the relative utility of heel stick. (http://emedicine.medscape.com/article/1413486-overview)
Follow this procedure:
Collect specimens
Select
the heel puncture site. 
Warm
the site for three to ten minutes, if necessary.
Organize
your equipment.
Clean
the with 70% alcohol and allow to air dry.
Perform
heel puncture. Firmly hold the heel, place the lancet perpendicular to the heel, and quickly performpuncture.It
is never recommended to use lancet that will puncture the heel at a depth of
greater than2.4mm.
Collect specimens
Apply pressure to the site.
Discard the lancet into a biohazard
sharps container.
Label the tubes.
Check the site and the patient again
before allowing the patient to leave
.
.
0 komentar:
Posting Komentar