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INSTITUTE OF NURSING AND ALLIED HEALTH SCIENCES

Bachelor of Science in Nursing

Nursing Procedure Checklist

Obtaining a Capillary Blood Specimen to Measure Blood Glucose

NAME:
YEAR LEVEL/SECTION
GRADE:

Definition: It is the immediate measurement of blood for glucose using blood sample from a
fingerstick of heelstick

Purpose/s

• To determine or monitor blood glucose levels of clients at risk for hyperglycemia

or hypoglycemia
• To promote blood glucose regulation by the client
• To evaluate the effectiveness of insulin administration

Material and Equipment

• Cotton ball with alcohol
• Dry cotton ball
• Glucometer set
• Matching strips
• Working Gloves

Assessment
• Nails should be kept short
• Remove all jewelries
• Check hands for breaks in the skin, such as hangnails or cuts

Planning
• Determine the location of running water and soap
• Prepare paper towels
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Instruction: Mark check (✓) for box which the student was able to perform with
competence and (x) for not.

Not
No. Nursing Management Performed Remarks
Performed
Assessment
1.1. Check the doctors order

Planning
2.1 Identify the availability of equipment
Implementation
3.1 Wash hands
3.2 Assemble equipment at the bedside
3.3 Introduce self to the client
3.4 Verify the identity of the client
3.5 Explain the procedure to the client
3.6 Put on Gloves
3.7 Prepare the equipment: Some meters turn on
when a test strip is inserted into the meter.

3.8 Select puncture site (finger, toes, heels) if

finger is used, allow the hand to hand
downward or if hand is cold, warm it with your
hand
3.9 Clean the site with the antiseptic swab or soap
and water and allow it to dry completely
3.10 Place the injector, if used, against the site, and
release the needle, thus permitting it to pierce
the skin. Make sure the lancet is perpendicular
to the site
3.11 Prick the site with a lancet or needle, using a
darting motion.
3.12 Wipe away the first drop of blood is so
directed by the manufacturer
3.13 Gently squeeze (but do not touch) the
puncture site until a drop of blood forms
3.14 Hold the reagent strip under the puncture site
until adequate blood covers the indicator
square
3.15 Ask the client to apply pressure to the skin
puncture site with a 2×2 gauze or dry cotton
balls
3.16 Expose the blood to the test strip for the
period and the manner specified by the
manufacturer
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3.17 Take note of the reading

3.18 Remove gloves and discard used needle, CB
and strip to appropriate container
3.19 Perform Hand hygiene
3.20 Record time, result and clients responses to
the procedure
4 Evaluation
4.1 Show calmness while performing the
procedure
4.2 Shows mastery of the procedure

Total Number of Items Performed

(Student’s
Signature)

Comments/Suggestion for Further Improvements

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Name and Signature of Supervising Faculty