Capillary collection
What is a common method for collecting an infant's bilirubin sample?
What is a heelstick?
Name 1 technique that can make a child feel less anxious and involved
Role-play, being calm and confident, explaining the procedure and getting down on their level
Which age group is most likely to experience stress from separation from caregivers or changes in routine?
The first 2 years
What can a heel warmer help encourage during a heelstick?
It can encourage bleeding (vasodilation)
child watches you prepare your equipment and pulls away when you approach. Name one distraction that could help.
HAve someone read a book, play a video or talk about an interest
Name 2 appropriate sites for a child's capillary puncture?
the heel or the fleshy edge of the middle or ring fingers across the fingerprint lines
What is one comfort measure that may help manage pain during a pediatric blood collection?
breast-feeding, sweetened pacifier, lidocaine cream
2-6 years
What action during a heel or fingerstick can contribute to hemolysis?
Squeezing the heel or the finger
a one month old is ordered a CBC test only. Which is the preferred method of drawing this?
a heelstick
Which areas should be avoided during capillary puncture?
The sides, tips and center of the fingers
What is one drawback of using topical anesthetic cream before a blood draw?
It takes time to work
Which age group is more likely to understand illness and explain how they feel?
ages 10 and up
What is the preferred order for collecting lavender-, green-, and red-top microtainers, blood gases and other additives in the provided scenario?
blood gases, lavender, green, other, red
Which position is best for a child that tends to move with the parents holding them?
What is supine?
Which of the following tests cannot be done via fingerstick?
CBC, Glucose, Protime, Blood Culture
Blood Culture
Why should a phlebotomist avoid separating a child from their parent or caregiver during collection?
The caregiver can help comfort and reassure the child
in what age range may children show only some understanding of how health works?
ages 6-9
What lancet depth is identified as optimal for an infant heelstick in the source material?
2mm
What is the greatest concern with microcollection samples?
What is hemolysis?
What depth is optimal for a heel stick with a lancet?
What is 2mm?
Being patient and compassionate, allow the parents to talk to and comfort the child, consider another phlebotomist to assist, explain the procedure calmly and fully
A young child believes illness is punishment. How could the phlebotomist respond in an age-appropriate, reassuring way?
Use honest and reassuring language, Use simple terms and invite questions
What collection order does the source recommend to reduce the risk of platelet aggregation and a falsely decreased platelet count?
(green lavender and red)
Which lab value is higher in capillary blood?
What is blood glucose??