Capillary Blood Glucose Monitoring

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Capillary Blood Glucose

Monitoring
Sites for Obtaining Samples
❦ lateral aspects or side of the finger in adults-avoids the
nerve ending and calloused areas at the fingertip.
❦Earlobe – may be used if the client is in shock or the fingers
are edematous
❦ Heel – infants and young children
EQUIPMEN
T
∞ Glucometer : calibrate using calibration fluid if required
∞ Testing Strip : make sure the expiry date is valid
∞ Alcohol Swab
∞ Dry Cotton ball / Gauze
∞ Sterile Lancet
∞ Lancet Injector
∞ Non – Gloves
∞ Tape
Introduction:
◊ Wash your hands and don PPE if appropriate
◊ Introduce yourself to the patient including your name and role
◊ Confirm the patient’s name
◊ Briefly explain what the procedure will involve using patient-
friendly language: “Today I need to measure your blood glucose level, which
involves taking a very small blood sample from your fingertip. You will
experience a sharp scratch when I take the sample, but this should be very
brief.”
◊ Gain consent to proceed blood glucose measurement.
◊ As the patient if they have any pain before continuing with the clinical procedure
◊ Position the patient comfortably.
MEASURE THE BLOOD GLUCOSE
1. Ensure the patient’s finger is cleaned prior to measuring capillary blood glucose:

 It’s important that the skin over the site being tested has been cleaned, as
substances on the skin can affect the accuracy of capillary blood glucose results
(e.g. substances containing sugar).
 Ask the patient to wash their own hands or alternatively you can clean the site with
an alcohol swab (70% isopropyl).
 Make sure the skin over the testing site has dried completely before performing
capillary blood glucose measurement.
2. Turn on the capillary blood glucose monitor and ensure it is calibrated.
3. Load a test strip into the glucose monitor.

4. Don a pair of non-sterile gloves.

5. Pick up the lancet and carefully remove the protective cap.

6. Prick the side of the patient’s finger with the lancet and gently squeeze the
finger from proximal to distal to produce a droplet of blood. Some guides advise
cleaning away the first drop of blood, however, there is no evidence that this
significantly impacts the reliability of blood glucose results.
7. Gently touch the tip of the test strip against the droplet of blood to allow it to be
absorbed into the strip.

8. Apply gauze or cotton wool to the puncture site to stop the bleeding and ask the
patient to maintain pressure over the site.

9. Safely dispose of the lancet into a sharps bin.

10. Dispose of the test strip and the cotton wool/gauze into a clinical waste bin. If the
patient’s finger is still bleeding, keep the cotton wool or gauze in place and secure
with some tape.
To complete the procedure…
 Explain to the patient that the procedure is now complete.

 Thank the patient for their time.

 Dispose of PPE appropriately and wash your hands.

 Document the capillary blood glucose results on the appropriate chart.


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