Standard Operating Procedure Equipment / Procedure: Capillary Blood Sampling Filename: 20121212_SOP_Capillary_Blood_Sampling Assessor’s name & date: Reviewer’s name & date: Review Date: Richard Metcalfe, December 2012 Rebecca Toone 28/10/13 28/10/15 2013.1028SOP_capillary_blood_sampling Capillary Blood Sampling Safety Information: Ensure that you have had appropriate training and have read the relevant operator’s manual/s and any specific documentation prior to using the equipment or undertaking the following task. Good laboratory and clinical practice guidelines must be adhered to at all times. Gloves must be worn when handling blood samples. Investigators using this technique must have read the following risk assessment: o 20121220RA_capillary_blood_sampling Equipment and supplies: Rubber gloves Blood tray lined with blue roll Sterile, single use lancing device (e.g., Accu-Check Safe-T-Pro Plus) Sterile alcohol swabs Tissues Blood collection tube (capillary tube + rack, microvettes) Biohazard bag Bowl of warm water (~42C) Procedure: 1. Ensure all of the required equipment is on hand and within easy reach. 2. Wash your hands thoroughly with warm water and soap. 3. Put on a fresh pair of sterile gloves. 4. Prepare the hand for sampling: If you are collecting a resting sample then ask the volunteer to wash their hands and then place their hand in warm water (~42C) for approximately 5 minutes to arterialise the blood supply. This will also increase blood flow to the hand and make it easier to obtain the sample. If you are collecting a sample during exercise then dry the volunteers hand and lower arm thoroughly with a clean tissue (i.e., to remove sweat). 2013.1028SOP_capillary_blood_sampling 5. Once hand is dry, wipe the desired fingertip with an alcohol swab and leave to dry. 6. During this time, prepare the single use lancet by removing the protective covering and selecting the desired depth setting. 7. Make the puncture on the side of the volunteer’s finger by pressing the lancet firmly against the finger and pressing the button. Immediately dispose of used lancet in the biohazard bag. A free flowing sample is required and the puncture wound should NOT be squeezed. Ask the participant to relax their arm with fingers pointing down as this will help increase bleeding from the puncture site. 8. 9. Wipe away the first drop of blood with a clean tissue. Collect blood through capillary action. To do this wait until there is a sizeable drop of blood on the tip of the finger and then place the tip of the collection tube against the drop of blood. The blood should be taken up by the tube. Make every effort not to touch the tip of the tube against the tip of the finger whilst collecting the sample. Repeat this process until you have enough blood for analysis. If collecting in a capillary tube for determination of haematocrit, once tube is 75% full, block the end with plasticene by placing it in the rack If collecting using YSI tubes, once you have collected to the line, place stopper on the end of the tube and close the lid. 10. Wipe remaining blood off the participant’s finger using a tissue. 11. Dispose of used tissue and gloves in biohazard bin. 12. Wash hands thoroughly with water and soap. Other Information: If repeated samples are required then a new puncture should be made for each sample, unless the time interval between samples is very short. Hands must be washed between samples and a fresh pair must be used for each sample. AT THE END OF THE TESTING SESSION ALL SURFACES MUST BE DISINFECTED WITH VIRKON. End of Document 2013.1028SOP_capillary_blood_sampling
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