1. Fingerstick Training Ellen Bloom, MPH Indiana Lead and Healthy Homes Program Indiana State Department of Health

2. Avoiding Contamination Lead is everywhere in the environment There is a high potential for lead contamination of capillary specimens Lead equipment should not be used for other tests All lead equipment should be kept in a dust-proof supply container

3. Supplies Paper towels Anti-bacterial soap Alcohol wipes Gauze Lancets Filter paper Adhesive bandages Ziploc bags

4. Preparation After washing child’s hands, dry with paper towel from dust-proof supply box Hands of small children should be held at the wrist to prevent contamination Implement Universal Precautions Use powder-free gloves Cover collection site with paper towel from dust-proof supply box

5. Preparation Scrub draw site with alcohol pad and allow to air dry for 30 seconds. Do not rub dry. Massaging and warming the site may be helpful

6. Collection Choose a draw site that will not be contaminated by blood flow under a fingernail Make a quick, firm, deep puncture After puncturing, wipe off the first drop of blood with sterile gauze Keep the draw site lower than the child’s heart Massage may be helpful, but avoid squeezing near the draw site

7. Contact Information Ellen Bloom, MPH Health Educator Indiana State Department of Health Lead and Healthy Homes Program 2 N. Meridian 5J Indianapolis, IN 46204 317-233-1290 ebloom2@isdh.in.gov