How to Prick a Finger for a Blood Spot Test

Draw blood for basic medical tests using this simple and straightforward guide

When pricking a finger for a blood test, the method used for pricking the finger can help to increase blood flow to the prick. This article is intended to assist those performing blood tests at home in performing an accurate and efficient test. The article will run through the procedure required to prepare for a finger prick, perform the prick, and clean up afterward, requiring an estimated time of 15 minutes.

Part 1

Part 1 of 3:

Preparing

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1
Put on your personal protective equipment.
- This includes long sleeve shirt or lab coat, long pants, closed toed shoes, and medical examination gloves.
Perform the rest of the procedure above the paper towel. This will help prevent contamination.
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Do not remove the paper flaps on the adhesive.
4
Ask the patient for their preferred hand and finger for the finger prick.
- The finger used must be either the ring finger or the middle finger.
This will help warm up the hand in order to increase blood flow to the prick.

Part 2

Part 2 of 3:

Poking the Finger

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1
Clean the patient's finger with an alcohol wipe. Use a force similar to wiping off a marker stain on the skin.^{[1]XResearch source}
- The patient may have oil or lotion on their hand, so it is important to wipe it off using the alcohol wipe since some test results might be affected by these fats.
2
Apply pressure to the patient's finger for the rest of the sample collection. To do this, place the thumb on the portion of the finger next to the palm and continue adding pressure down the finger until all of the blood samples have been collected.
- Apply pressure until the fingertip obtains a dull red tint and avoid applying pressure to the location of the finger prick.^{[2]XResearch source}
3
Open a sterile lancet. Line it up on the patient's finger when it obtains a dull red tint.
- Place the lancet between the side of the finger and the center of the fingertip, and if it is a wide lancet, place it parallel to the finger on the location of the prick.^{[3]XResearch source}
4
Press down onto the finger using the lancet until the needle unloads and penetrates the skin.^{[4]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
- There will be sound to go along with this event; after the needle goes through, hold it down into the finger for 1 second to ensure an adequate prick was made.
5
Wipe the first drop of blood away with a gauze pad. The first drop of blood usually contains tissue from the prick and it can affect some blood test results, so it is best to wipe it off.^{[5]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
- It is important to push down on the finger and avoid tugging, also known as "milking." Milking will cause tissue to come out along with the blood which will skew test results.
- If blood flow slows down, release pressure for a split second to allow blood from the hand to rush into the finger and ultimately to the prick.
6
Dispose of any tools that came into contact with the bodily fluids into the sharps container. This includes the gauze pads, and blood testing materials.^{[6]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
- It is important that an object such as a lancet is disposed of in a sharps container to avoid any loose sharp parts from poking through the bag and harming others and spreading blood-borne pathogens.
7
Follow the instructions for the blood testing kit or tool that is being used.
- When using a capillary tube, slightly angle the end not being used down towards the ground, and continue applying pressure to encourage speedy blood flow into the capillary tubing.
- When using a blood spotting paper, have the patient stand up to encourage blood flow, continue applying pressure until a blood drop forms and allow it to fall onto the blood spot paper using gravity.
Clean the patient's finger using a new, sterile gauze pad and have them hold it until a band-aid is placed onto the finger.

Part 3

Part 3 of 3:

Cleaning Up

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1
Place a band-aid on the patient's finger. ^{[7]XResearch source}
- This can be done by grabbing both paper flaps of the band-aid, placing the pad over the prick wound, and wrapping each side of the band-aid around the finger, one at a time.
Crumple it all up and dispose of it into the trash.
3
Remove gloves and throw them into the trash.
- Grab one glove and partially take it off and using that partial glove, remove the glove off of the other hand pull them both off without touching the exterior surface of the glove. This is to prevent the spread of contamination on the gloves to the skin.

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Warnings

The main hazards of the procedure are bloodborne pathogens, and an infection from the finger prick, which can be prevented by following the procedure and using the materials below.
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