Spiel J K
Aust Coll Midwives Inc J. 1997 Jun;10(2):8-13; discussion 7. doi: 10.1016/s1031-170x(97)80039-6.
Fourteen years ago, Patricia Townshend (1980) suggested that, "blood letting by heel prick should become a procedure that requires a certificate of competence". To date, her suggestion has not been adopted, as competency is not a requirement to undertake this procedure. However, over the years many institutions have introduced accreditation for similar skills, such as diabetic monitoring and venepuncture. As a consequence, I believe standards of patient care have improved immensely. No longer can we assume all midwives are using the same techniques for neonatal capillary blood collection. From my observations of varied practice, such as twisting the blade and making multiple punctures for the one screening test, coupled with the poor quality of blood spot specimens frequently received by the central screening laboratory, it could be suggested that the introduction of accreditation for this skill, is well justified.
十四年前，帕特里夏·汤森德（1980年）提出，“足跟采血应成为一种需要具备资质证书的操作”。迄今为止，她的建议尚未被采纳，因为进行该操作并不要求具备相应资质。然而，多年来许多机构已针对类似技能引入了认证，如糖尿病监测和静脉穿刺。因此，我认为患者护理标准有了极大提高。我们再也不能假定所有助产士在采集新生儿毛细血管血时都使用相同的技术。从我对各种不同操作的观察来看，比如为一次筛查测试扭转刀片并进行多次穿刺，再加上中央筛查实验室经常收到的血斑样本质量不佳，可以认为引入这项技能的认证是很有道理的。
