Obtaining A Capillary Blood Specimen To Measure Blood Glucose
Obtaining A Capillary Blood Specimen To Measure Blood Glucose
Obtaining A Capillary Blood Specimen To Measure Blood Glucose
1. Introduce self and verify the client’s identity. Explain to the client what you are
going to do, why is it necessary and how he or she can participate.
2. Perform hand hygiene and observe other appropriate infection prevention
procedures.
3. Provide for client’s privacy.
4. Prepare the equipment.
5. Select and prepare the vascular puncture site
• (e.g. side of an adult’s finger). Avoid sites beside bone. Wrap the finger first in a
warm cloth or hold finger in a dependent (below heart level) position. If the
earlobe is used, rub it gently with a small piece of gauze. RATIONALE: These
actions increase the blood flow to the area, ensure an adequate specimen and
reduce the need for a repeat puncture.
• Clean the site with the antiseptic swab or soap and water and allow it to dry
completely. RATIONALE: Alcohol can affect accuracy and the site stings when
punctured if wet with alcohol.
6. Obtain blood specimen.
• Apply gloves.
• Place the injector, if used, against the site and release the needle, thus
permitting to pierce the skin. Make sure the lancet is perpendicular to the site.
RATIONALE: The lancet is designed to pierce the skin at a specific depth when
it its in a perpendicular position relative to the skin.
OR
• Prick the site with a lancet or a needle, using a darting motion.
• Gently squeeze (but do not touch) the puncture site until a drop of blood forms.
The size of the drop of blood can vary depending on the meter. Some meters
require as little as 0.3 ml of blood.
• Hold the reagent strip under the puncture site until adequate blood covers the
indicator square. The pad will absorb the blood and a chemical reaction will
occur. Do not smear the blood. RATIONALE: Smearing will cause an inaccurate
reading.
• Some meters wick the blood by just touching the puncture site with the strip.
• Ask the client to apply pressure to the skin puncture site with a 2x2 gauze or
cotton ball.
7. Expose the blood to the test strip for the period and the manner specified by the
manufacturer. RATIONALE: The blood must remain in contact with the test strip for a
prescribed time to obtain accurate results.
• 8. Measure after the designated time, most glucose meters will display the
glucose reading automatically.
• Turn off the meter and discard the test strip and 2x2 gauze in a biohazard
container. Discard the lancet into a sharps container.
• Remove the discard the gloves.
• Perform hand hygiene.
• Document the method of testing and results on client’s record.