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why should the first drop of blood be wiped away when performing a finger puncture

by Janice Lubowitz Published 3 years ago Updated 2 years ago

Wipe away the first drop of blood because it may be contaminated with tissue fluid or debris (sloughing skin). Avoid squeezing the finger or heel too tightly because this dilutes the specimen with tissue fluid (plasma) and increases the probability of haemolysis (60).

Full Answer

Why did the participant not wash their hands prior to puncture?

The participant arrived at the research setting and did not wash the hands prior to the first finger puncture. The capillary blood glucose concentrations were determined from the first and second drops of blood, and the puncture site was wiped by a tissue in between obtaining the first and second drops.

What do you do with the first drop of blood?

Related questions When performing a capillary stick what do you do with the first drop of blood? The first drop of blood is wiped away because it is mainly just tissue. You are 13 and when you wiped there was blood?

How do you perform a puncture?

A puncture should not be made on moist skin because the blood will not form a good drop. 3. Perform the puncture - Puncture with correct lancet. - Drop directly into sharps container. - Wipe away the first drop of blood. The patient's hand and finger should be held so the puncture site is readily accessible.

Why is the first drop of blood wiped away?

The first drop of blood is wiped away because it is mainly just tissue. You are 13 and when you wiped there was blood? [You are 13 and when you wiped there was blood] congrats that means you started your peirod tell your mother and she will get you supplies good luck

Should you wipe away first drop of blood?

Wipe away the first drop of blood (which tends to contain excess tissue fluid). pressure to the surrounding tissue until another drop of blood appears. Avoid "milking". The drop of blood must be big enough to fill the strip completely.

Why is the first drop of blood wiped away before testing?

Some facilities test the first drop of blood. Others require nursing personnel to wipe away the first drop of blood with gauze, and test the second drop. The rationale for wiping away the first drop of blood is that the alcohol in the prep pad, and consequently on the fingertip, may alter values.

What does the first blood contain what would be its effect if it were not wiped off?

For both finger and heel sticks, the first drop of blood produced should not be used and should be wiped away since it contains interstitial fluid which aids in the clotting process. If a good puncture is made, about 0.5 mL of blood should be collected.

Why should the finger not be milked when obtaining a drop of blood for blood glucose monitoring?

Keywords. People with diabetes on insulin therapy are often advised to discard the first drop of blood and to refrain from milking the finger when monitoring blood glucose. The first drop is thought to be diluted with tissue fluid with a suspected low glucose content. Milking might enhance the leakage of tissue fluid.

Why is the first drop of blood wiped away quizlet?

Why must the first droop of blood from a capillary puncture be wiped away? To remove tissue fluid.

How do you get blood off your finger for testing?

Make sure to place your finger on a firm surface, like a countertop or kitchen counter, to ensure that you get the proper depth when activating the safety lancet. Once your finger is punctured, wipe away the first drop of blood.

What should the phlebotomist do with the first drop of blood after a finger stick is performed?

Blot the first drop of blood on a gauze pad and discard pad in appropriate biohazard container. Apply a sterile adhesive bandage over the puncture site. Put on powder-free gloves.

Why must the puncture site not be squeezed after a fingerstick?

Why must the puncture site NOT be squeezed after a fingerstick? It causes tissue fluid to mix with blood and can cause inaccurate test results.

When performing a skin puncture on the finger you should?

When performing a fingerstick, the phlebotomist should puncture either side of the fleshy pad of the middle or ring finger, but not the extreme side of the finger. The exact center of the fleshy pad or the tip of either finger should also be avoided.

Why do they take blood from your finger?

Taking a finger stick test at home or on the go is a quick, cost-effective way to check blood sugar levels throughout the day and make any necessary treatment decisions, like dosing insulin. Finger stick tests may also be performed by a healthcare professional for assisted monitoring of blood sugar.

Why does finger squeezing affect blood sugar?

Squeezing your finger When you do that, you are getting some interstitial fluid rather than blood. A study shows that this “may lead to unreliable readings." Gently warming the hands ahead of time can help so you don't have squeeze so hard.

Why is blood sugar different in each finger?

Contamination of the fingers is a common culprit in blood sugar reading variability. That's because it only takes a little bit of food residue on your hands to impact blood glucose levels. For example, just touching a banana or cutting a piece of fruit can send your numbers sky high.

What container should I discard a puncture device in?

Discard puncture device into appropriate container. Puncture device should be discarded into a sharps container that is puncture-proof, has rigid sides, and has a lid. Do not discard puncture devices into regular trash or biohazard bags; injury to personnel who handle these bags may occur.

How to prewarm a puncture site?

Use the method that is approved by the laboratory for prewarming the puncture site. Never use a cloth that has been heated in a microwave as this may cause injury to the patient. Gather appropriate equipment. Only have needed equipment at hand. Keep track of ALL equipment to prevent patient injury.

What to do if there is a discrepancy in identification?

If there is a discrepancy in identification, do not proceed until the discrepancy is resolved. Explain the procedure. If the patient is a small child, be at eye level when explaining the procedure. Also explain the procedure to the parent (s). If the patient is aware of what will be happening, there is less chance of the patient suddenly jerking ...

How to clean hands for a small child?

If necessary, seek assistance for finger puncture if the patient is a small child. Use soap and water or alcohol-based gel to cleanse hands. Cleanse hands before donning gloves and after removing gloves.

Can alcohol cause blood drop?

Also, alcohol can contaminate the sample and prevent formation of a rounded blood drop because blood will mix with the alcohol and run down the finger. Puncture the side edge of the fleshy pad of fingertip. Avoid extreme side and tip of finger.

Can you put a bandage over a puncture?

It is not advisable to apply an adhesive bandage over the skin puncture site if the child is less than two years old as the child may place the bandage in his/her mouth. The adhesive may also cause irritation to sensitive skin, particularly the fragile skin of a newborn or older adult patient. Label specimen.

What are the safety precautions for venipuncture?

list six OSHA safety precautions that must be followed when performing a venipuncture and separating serum or plasma from whole blood. wear gloves, avoid hand to mouth contact, wear proper personal protective equipment, prevent splashing of blood and transport all equipment properly.

How to prevent hemolysis of blood?

list four ways to prevent a blood specimen from becoming hemolyzed. invert immediately after specimen is taken, tourniquet is tight, allow alcohol to air dry, handle carefully, store vacuum tubes at room temp and use appropriate size needle. list examples of substances dissolved in the serum of blood.

What angle is used for venipuncture?

can be uncomfortable for the patient and is not necessary for the procedure. an angle of less than 15 degrees is used when performing a venipuncture. will not accurately draw blood.

Can alcohol be drawn with blood?

the area that has just been cleansed with an antiseptic is not allowed to dry before the venipuncture is made. the alcohol will be drawed with the blood and resulting in inaccurate test results.

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