Page 106 - Buku Panduan Perkhidmatan MKAKB

then wash the affected area with soap and water as soon as possible.

• Sharps such as lancets and broken glass must be discarded in a “sharps” container for safe disposal
by incineration or autoclaving. Materials that are not sharp but are contaminated with blood must
be discarded in a covered pan or autoclave bag for safe disposal by incineration or autoclaving.
• Collect blood in an area where there is proper lighting.

5. PROCEDURE

FLOW CHART DESCRIPTION OF ACTIVITY ILLUSTRATION

1. Label the frosted end of the
1. Label the slide with the glass slide with the patient’s
patient’s details and record in the details, and document in

register. record form or a malaria
register. See SOP 06: Labelling

malaria blood films.

2. Wearing protective latex
gloves, select the third finger
from the thumb of the non-
dominant hand (or big toe
for infants, not the heel).

2–3. Wearing latex gloves, Do not use the thumb for

clean the third finger from the thumb either children or adults.
with 70% ethanol or an alcohol swab. 3. Hold the patient’s hand, palm
Let the finger dry in air. facing upwards, and clean the
selected finger with a piece of

cotton soaked lightly in
70% ethanol or alcohol swab.
Use firm strokes to remove
dirt and oil from the ball of
the finger and to stimulate
blood circulation. Make sure
the finger is warm by applying
gentle massage if required.
Let the alcohol dry from
the finger.

4. Using a new, sterile lancet
4. Prick the finger with a new, and a quick rolling action,

sterile lancet. puncture the centre of the ball

of the finger or toe.

5. Apply gentle pressure to the
finger (or toe), and express
5–6. Express the first drop of blood and

wipe it off with dry cotton. the first drop of blood.
6. Wipe the first drop of blood

off with dry cotton, making

sure that no cotton strands
remain on the finger that

might stick to the blood.

7. Working quickly and handling
7. Express and touch the blood with the the slides only by the edges,
slide to collect a small drop of blood, and collect blood by applying

use it to make the thin film. gentle pressure to the finger
and touching the slide to the

blood; collect a single small
drop of blood on the middle

of the slide for the thin film.

Buku Panduan MKAKB 71