Neonatal Heel Prick

Pediatrics · Neonatology · 10–20 min

Capillary blood sampling from the neonatal heel.

Indications

  • • Newborn screening
  • • Bilirubin
  • • Glucose

Contraindications

  • ⚠ Local infection
  • ⚠ Poor perfusion

Equipment

  • • Automated lancet
  • • Warmer / warm cloth
  • • Capillary tube

Positioning

  • • As appropriate for the procedure and patient comfort.

Consent

  • • Explain indication, benefits, alternatives
  • • Explain risks & complications
  • • Obtain written/verbal consent as per SOP
  • • Document consent

Universal precautions

  • • Hand hygiene
  • • PPE — gloves, mask, eye protection
  • • Aseptic technique
  • • Sharps safety
  • • Verify patient identity & site

Step-by-step (0/5)

Tap to complete

3–5 min pre-warming.

Immediate complications

  • ⚠ Bruising
  • ⚠ Pain

Delayed complications

  • • Cellulitis, osteomyelitis (rare)

Prevention

  • • Correct site
  • • Automated lancet

Post-procedure observation

  • • Vitals q15min × 1h then hourly

Monitoring

  • • Site inspection
  • • Symptom review

Documentation

  • • Procedure note
  • • Consent
  • • Findings

Patient instructions

  • • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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