Hey there! Wouldn't you believe it, another question about heel sticks!
Last night I had a kiddo that I needed a blood sugar sample from. She had a right club foot and that was the foot I was using for the test, so her foot curved outward, making it harder to differentiate between the foot and the medial ankle. I cleaned the area and the mom counted to 3, so I placed the lancet on the medial periphery of the foot pad and clicked the lancet. Blood came, but it looked like it nicked higher up than I had planned. When I put the band-aid on, it looked like the lancet had punctured a little bit above the foot pad and more like the side of the foot. The baby stopped bleeding and all was well, but I keep reading stuff about osteomyelitis and it's scaring me half to death! I know that's mostly if you stick right in the middle of the heel, but still?!
Please help put my mind at ease...
Join thousands and get our weekly Nursing Insights newsletter with the hottest discussions, articles, and toons.
In the future, I would use the foot without the deformity, a toe or an finger. Any of the above are acceptable for a glucose. I don't think I've ever done a heel stick just for glucose... finger or toe will give you a sufficient sample.
I too, would not use the heel with the deformity, but would use the other foot.
I have never seen a nurse use a finger on an infant for glucose, but the big toe..sometimes.
I started using lancets made for premies if I had only a glucose to take...they made a smaller prick...I figured this out the hard way when I had to use the lancet on myself...was ridiculously painful.
Excellent advice from all the other posts, just wanted to address your anxiety. Thankfully, 99.9% of our less than stellar interventions have no adverse effects. You are learning and that's what's important. I notice with the square lancets for heel sticks, the actual stick is a little higher than I anticipated it would be. I've learned to correct for that with experience. I also lol about getting stuck with a lancet...me too! youch!
Rest easy, and keep asking questions, reading and learning from experience.