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CLSI GP42 A6 : 6ED 2008

Withdrawn
Withdrawn

A Withdrawn Standard is one, which is removed from sale, and its unique number can no longer be used. The Standard can be withdrawn and not replaced, or it can be withdrawn and replaced by a Standard with a different number.

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withdrawn

A Withdrawn Standard is one, which is removed from sale, and its unique number can no longer be used. The Standard can be withdrawn and not replaced, or it can be withdrawn and replaced by a Standard with a different number.

PROCEDURES AND DEVICES FOR THE COLLECTION OF DIAGNOSTIC CAPILLARY BLOOD SPECIMENS
Withdrawn date

07-23-2013

Published date

08-25-2018

Abstract
Committee Membership
Foreword
1 Scope
2 Introduction
   2.1 Pediatric Patients
   2.2 Adult Patients
   2.3 Patients for Whom Skin Puncture May Be Inappropriate
3 Standard Precautions
4 Terminology
   4.1 Definitions
   4.2 Abbreviations/Acronyms
5 Skin Puncture
6 Outline for Skin Puncture Technique
7 Sites for Collecting Skin Puncture Blood
   7.1 Infants
   7.2 Older Children and Adults
8 Approach, Identify, and Position the Patient
   8.1 Identify the Patient
   8.2 Position the Patient
9 Procedure for Warming the Skin Site Before Puncture
   (Arterialization)
   9.1 Blood Flow
10 Technique for Cleansing the Skin Puncture Site
   10.1 Isopropanol
   10.2 Cleansing the Site
11 Skin Puncture Technique
   11.1 Depth
   11.2 Skin Puncture/Incision Devices
   11.3 Puncture
12 Skin Puncture Specimen Collection Technique
   12.1 First-Drop Elimination
   12.2 Blood Specimen Collection
   12.3 Device Disposal
   12.4 Order of Collection
   12.5 Microcollection Device Filling, Closure, and Mixing
   12.6 pH and Blood Gas Determination
   12.7 Microhematocrit Collection
   12.8 Blood Films
13 Technique for Sealing and Handling Capillary Tubes
   13.1 Methods
   13.2 Procedure
14 Identification and Labeling of Capillary Blood Specimens
15 Analyte Variations Between Skin Puncture and Venipuncture
   Specimens
   15.1 Hematological Variations Between Serum and Plasma
   15.2 Hemolysis
16 Devices for Collecting Blood Specimens From Skin Punctures
   16.1 General Device Considerations
   16.2 General Accessories for Microcollection Devices
   16.3 Plastic Microcollection Devices
   16.4 Disposable Microcollection and Microhematocrit Tubes
   16.5 Microdilution Systems
References
Additional References
Summary of Consensus Comments and Working Group Responses
Summary of Delegate Comments and Working Group Responses
The Quality Management System Approach
Related CLSI Reference Materials

Describes a technique for the collection of diagnostic capillary blood specimens, including recommendations for collection sites and specimen handling and identification.

This standard describes general procedures for collecting diagnostic capillary blood specimens. It is intended for phlebotomists or other health care providers responsible for obtaining specimens from patients, as well as for manufacturers of skin puncture and incision devices and microcollection containers.In addition, this document describes and recommends several disposable devices for collecting, processing, and transferring diagnostic capillary blood specimens. The recommendations are strictly limited to disposable products, which are used once per specimen or as defined by the manufacturer’s detailed test technique. This document does not address skin puncture procedure for self-testing or collection procedures for capillary blood gases. (For information on capillary blood gas collection, see CLSI/NCCLS document H11.2)

DevelopmentNote
Supersedes NCCLS H4 A5. (10/2008) Formerly CLSI H4 A6. (07/2013)
DocumentType
Miscellaneous Product
PublisherName
Clinical Laboratory Standards Institute
Status
Withdrawn
SupersededBy
Supersedes

CLSI GP48 : 1ED 2017 ESSENTIAL ELEMENTS OF A PHLEBOTOMY TRAINING PROGRAM
PD ISO/TS 20658:2017 Medical laboratories. Requirements for collection, transport, receipt, and handling of samples
BIS IS/ISO 15189 : 2012 MEDICAL LABORATORIES - REQUIREMENTS FOR QUALITY AND COMPETENCE
ISO/TS 20658:2017 Medical laboratories — Requirements for collection, transport, receipt, and handling of samples
I.S. EN ISO 15189:2012 MEDICAL LABORATORIES - REQUIREMENTS FOR QUALITY AND COMPETENCE (ISO 15189:2012, CORRECTED VERSION 2014-08-15)
CLSI NBS01 A6 : 6ED 2013 BLOOD COLLECTION ON FILTER PAPER FOR NEWBORN SCREENING PROGRAMS
PREN ISO 15189 : DRAFT 2011 MEDICAL LABORATORIES - PARTICULAR REQUIREMENTS FOR QUALITY AND COMPETENCE
UNE-EN ISO 15189:2013 Medical laboratories - Requirements for quality and competence (ISO 15189:2012, Corrected version 2014-08-15)
CLSI GP44 A4 : 4ED 2010 PROCEDURES FOR THE HANDLING AND PROCESSING OF BLOOD SPECIMENS FOR COMMON LABORATORY TESTS
11/30173018 DC : 0 BS EN ISO 15189 - MEDICAL LABORATORIES - PARTICULAR REQUIREMENTS FOR QUALITY AND COMPETENCE
CLSI H52 A2 : 2ED 2014 Red Blood Cell Diagnostic Testing Using Flow Cytometry; Approved Guideline—Second Edition
DIN EN ISO 15189:2014-11 Medical laboratories - Requirements for quality and competence (ISO 15189:2012, Corrected version 2014-08-15)
UNI EN ISO 15189 : 2013 MEDICAL LABORATORIES - REQUIREMENTS FOR QUALITY AND COMPETENCE
CLSI H26 A2 : 2ED 2010 VALIDATION, VERIFICATION, AND QUALITY ASSURANCE OF AUTOMATED HEMATOLOGY ANALYZERS
CLSI M29 A4 : 4ED 2014 Protection of Laboratory Workers From Occupationally Acquired Infections<br>
CLSI POCT4 : 3ED 2016 ESSENTIAL TOOLS FOR IMPLEMENTATION AND MANAGEMENT OF A POINT-OF-CARE TESTING PROGRAM
CLSI GP33 P : 1ED 2009 ACCURACY IN PATIENT AND SAMPLE IDENTIFICATION
CLSI POCT6 : 1ED 2015 EFFECTS OF DIFFERENT SAMPLE TYPES ON GLUCOSE MEASUREMENTS
CLSI EP28 A3 : 3ED 2010 DEFINING, ESTABLISHING, AND VERIFYING REFERENCE INTERVALS IN THE CLINICAL LABORATORY
ISO 15189:2012 Medical laboratories — Requirements for quality and competence
BS EN ISO 15189:2012 Medical laboratories. Requirements for quality and competence
CLSI GP39 A6 : 6ED 2010 TUBES AND ADDITIVES FOR VENOUS AND CAPILLARY BLOOD SPECIMEN COLLECTION
CLSI GP34 A : 1ED 2010 VALIDATION AND VERIFICATION OF TUBES FOR VENOUS AND CAPILLARY BLOOD SPECIMEN COLLECTION
CLSI GP41 : 7ED 2017 COLLECTION OF DIAGNOSTIC VENOUS BLOOD SPECIMENS
CLSI POCT13 : 3ED 2015 GLUCOSE MONITORING IN SETTINGS WITHOUT LABORATORY SUPPORT
CLSI GP33 A : 1ED 2010 ACCURACY IN PATIENT AND SAMPLE IDENTIFICATION
CLSI POCT12 A3 : 3ED 2013 Point-of-Care Blood Glucose Testing in Acute and Chronic Care Facilities; Approved Guideline—Third Edition<br>
CLSI C46 A2 : 2ED 2009 BLOOD GAS AND PH ANALYSIS AND RELATED MEASUREMENTS

CLSI H21 A5 : 5ED 2008 COLLECTION, TRANSPORT, AND PROCESSING OF BLOOD SPECIMENS FOR TESTING PLASMA-BASED COAGULATION ASSAYS AND MOLECULAR HEMOSTASIS ASSAYS
CLSI M29 A3 : 3ED 2005 ACQUIRED INFECTIONS; APPROVED GUIDELINE
CLSI NBS01 A5 : 5ED 2007 BLOOD COLLECTION ON FILTER PAPER FOR NEWBORN SCREENING PROGRAMS
CLSI H20 A2 : 2ED 2007 Reference Leukocyte (WBC) Differential Count (Proportional) and Evaluation of Instrumental Methods, 2nd Edition<br>
CLSI GP41 A6 : 6ED 2007 PROCEDURES FOR THE COLLECTION OF DIAGNOSTIC BLOOD SPECIMENS BY VENIPUNCTURE
CLSI H7 A3 : 3ED 2000 PROCEDURE FOR DETERMINING PACKED CELL VOLUME BY THE MICROHEMATOCRIT METHOD
CLSI GP43 A4 : 4ED 2004 PROCEDURES FOR THE COLLECTION OF ARTERIAL BLOOD SPECIMENS
CLSI H1 A5 : 5ED 2003 TUBES AND ADDITIVES FOR VENOUS BLOOD SPECIMEN COLLECTION
CLSI C46 A : 1ED 2001 BLOOD GAS AND PH ANALYSIS AND RELATED MEASUREMENTS
CLSI H18 A3 : 3ED 2004 PROCEDURES FOR THE HANDLING AND PROCESSING OF BLOOD SPECIMENS
CLSI X3 R : 1ED 2002 IMPLEMENTING A NEEDLESTICK AND SHARPS INJURY PREVENTION PROGRAM IN THE CLINICAL LABORATORY

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