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

1. Warm heel

3–5 min pre-warming.

2. Site

3. Clean

4. Lance

5. Collect

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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