Rcn paeds framework

RCN Competences

Competences:
an education and training
competence framework for
capillary blood sampling and
venepuncture in children
and young people

Acknowledgements
We would like to thank the NHS Modernisation Agency Review group
for sponsoring the development of the original
Anne Casey, Editor and Adviser, Royal College of
framework, first published in 2005. We are grateful to
Nursing
the following people for their assistance in the
production of the original framework document and Jennie Craske, Pain and Sedation Clinical Nurse
this updated version: Specialist, Royal Liverpool Children’s Hospital NHS
Trust
Expert group
Annette K. Dearmun, Lecturer Practitioner, Oxford
Karen Bravery, Nurse Practitioner/Practice Radcliffe Hospitals NHS Trust
Development Lead Intravenous Therapy for Infection,
Ansley McGibbon, Senior Nurse, Practice, Research,
Cancer and Immunity, Great Ormond Street Hospital for
Development and Education Unit, Lothian University
Children NHS Trust
Hospitals, Edinburgh
Pauline Brown, Lead Nurse IV Therapy, Royal Liverpool
Steve McKenna, Charge Nurse, Paediatric Ambulatory
Children’s Hospital NHS Trust
Care/Outpatients, Royal Free Hampstead NHS Trust
Julie Flaherty, Children’s Nurse Consultant, Unscheduled
Fiona Smith, Adviser in Children and Young People’s
Care, Salford Royal Foundation Trust
Nursing, Royal College of Nursing
Liz Gormley-Fleming, Senior Lecturer, Children’s
Nursing, University of Hertfordshire
We are also grateful to the Royal College of Paediatrics
Alison Hegarty, Teacher Practitioner, IV Therapy,
and Child Health for its support of the content of this
Central Manchester and Manchester Children’s Hospital
publication.
NHS Trust
Valerie McGurk, Practice Development Facilitator,
Paediatrics, Northampton General Hospital Trust
Louise Mills, Nurse Practitioner for Intravenous
Therapy, Great Ormond Street Hospital for Children
NHS Trust
Sally Ramsay, Independent Nursing Adviser, Ramsay
Consulting
Jo Rothwell, Lead Nurse, IV Therapy, Central
Manchester and Manchester Children’s Hospital NHS
Trust

Disclaimer
This publication contains information, advice and guidance to help members of the RCN. It is intended for use within the UK but readers are
advised that practices may vary in each country and outside the UK.

The information in this booklet has been complied from professional sources, but it’s accuracy is not guaranteed. While every effort has been
made to ensure that the RCN provides accurate and expert information and guidance, it is impossible to predict all the circumstances in which
it may be used. Accordingly, the RCN shall not be liable to any person or entity with respect to any loss or damage caused or alleged to be
caused directly or indirectly by what is contained in or left out of this information and guidance.

Published by the Royal College of Nursing, 20 Cavendish Square, London, W1G 0RN
© 2010 Royal College of Nursing. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means electronic, mechanical, photocopying, recording or otherwise, without prior permission of the Publishers. This
publication may not be lent, resold, hired out or otherwise disposed of by ways of trade in any form of binding or cover other than that in which
it is published, without the prior consent of the Publishers.

ROYAL COLLEGE OF NURSING

Competences:
an education and training competence framework for capillary blood
sampling and venepuncture in children and young people
Approved by the RCN Accreditation Unit until 31 July 2011

Contents
Introduction 2

1. Guidance for programme development 3

Education pathways 3

Teaching and learning strategies 3

Assessment 3

2. Competences, learning outcomes and indicative content 4

Domain 1: professional and legal issues 4

Domain 2: preparing self, child and family 4

Domain 3:performing capillary blood sampling and venepuncture 5

Domain 4: risks and hazards 6

3. References and further reading 8

4. Online resources 12

1

RCN COMPETENCES – CAPILLARY BLOOD SAMPLING AND VENEPUNCTURE

Introduction
Developing skills in performing capillary blood sampling The framework should also be used to develop new
and venepuncture can facilitate holistic care and timely programmes, and to review and revise existing ones. By
treatment. For nurses working with children and young using this framework, other professionals and employers
people this is usually regarded as an expanded role. Before can be confident in the standard and proficiency of
starting a programme of education and training practitioners.
practitioners should be should be competent and
confident to care for children and young people. Developing competence within age bands
Competence can be defined as: “The state of having the There are considerable differences between children of
knowledge, judgement, skills, energy, experience and varying ages, and we recommend that practitioners
motivation required to respond adequately to the demands develop competence within specific age bands according
of one’s professional responsibilities” (Roach, 1992). to their area of practice:
This education and training competence framework for G 0 to 1 year
capillary blood sampling and venepuncture in children G 1 to 5 years
and young people is an important step forward. First
published in 2005, it has been revised to reflect a number G 5 years and above.
of current political and professional issues and initiatives,
including:
G Agenda for Change (DH, 1999)
G the need for leadership in specialist nursing
G the need for the development of standards
G High quality care for all: the NHS next stage review
(DH, 2008) and its equivalents in Scotland, Wales and
Northern Ireland
G the increased focus on work-based and lifelong
learning plus supervision
G the changing focus towards professional rather than
academic accreditation
G multi-skilling health care practitioners to effectively
meet the needs of service users.
This framework describes the competences, learning
outcomes and the indicative content necessary for
education and training programmes to meet the needs of
children and young people. It aims to support consistent
curriculum and practice development so that practitioners
can develop and, maintain the ability to carry out this task,
regardless of where they work.

2


1
Guidance for programme development
When either planning new courses or reviewing existing Assessment
courses, we recommend that hospitals and universities use
this as their competence framework. As a minimum each programme needs to assess
competence in practice. Practice assessments should
reflect the competences and learning outcomes. There are
Education pathways various assessment methods that are appropriate:

This framework can be used to develop hospital-based G observation under supervision and demonstration
training programmes for nurses working with children G reflective practice
and young people. Alternatively, it can be used to review G portfolio of evidence showing skills, experience and
existing programmes to ensure that they meet the needs of development
children and young people. Training may be linked to
other competences, such as those required for cannulation. G formal examination.
Each of these relies on the use of practice assessors.
Programme developers should consider who this may be
Teaching and learning strategies and the criteria needed to become and maintain this
status. We recommend that an assessor should be
Capillary blood sampling and venepuncture in children experienced in capillary blood sampling and
and young people is a practical skill, which is underpinned venepuncture in children and young people. Their ability
by theoretical knowledge. Teaching and learning strategies to assess others should be determined by a formal
should focus on developing the competence and assessment process. We also advise that they receive clear
confidence of the practitioner in performing the procedure guidance on their role and responsibilities.
safely, and with minimum distress to the child or young
Regular updating and assessment of skills can assist in
person. Assessment of prior knowledge, particularly in
ensuring ongoing competence. We suggest that this takes
caring for the child undergoing intravenous therapy, can
place annually.
be useful in developing programmes that reflect the
individual needs of the practitioner.
A variety of new ways of learning can be used for these
programmes:
G workbooks
G problem-based learning
G taught provision
G scenarios
G supervised practice
G e-learning
G simulation
G blended learning.

3


2
Competences, learning outcomes
and indicative content

Domain 1: G reflect on own practice, identifying accountability and
competence issues.
professional and legal issues
Indicative content
Competences G Department of Health requirements for record-keeping.
G Performs capillary blood sampling and venepuncture G The Nursing and Midwifery Council Code (NMC, 2008).
in accordance with legal, professional and policy
G Legal, professional and local policies regarding
requirements.
enhanced nursing roles.
G Uses appropriate evidence to underpin best practice in G Accountability when performing capillary blood
capillary blood sampling and venepuncture in children sampling and venepuncture.
and young people.
G Local policies and procedures for capillary blood
G Records and reports information in a manner that is sampling and venepuncture in children and young
clear, concise, timely and accurate. people.
G Reflects on own practice and takes action to develop G Evidence base for good practice in capillary blood
and improve knowledge and skills. sampling and venepuncture.
G Describes circumstances where it is inappropriate to G Policies and good practice guidance in obtaining
perform capillary blood sampling and venepuncture informed consent.
and the alternative action to take.
G Policies and good practice guidance for holding and
G Demonstrates best practice in gaining informed restraining children.
consent from the child and family.
G Demonstrates awareness of the limits of own
skill/competence/knowledge. Domain 2:
preparing self/child/family
Learning outcomes
At the end of a course of study and period of supervised
Competences
practice the nurse will be able to:
G Performs the preparatory processes for capillary blood
G discuss the legal and professional issues associated sampling or venepuncture in a safe and effective
with performing capillary blood sampling and manner.
venepuncture
G Uses appropriate procedures for correctly identifying
G outline current evidence to support best practice in the patient.
capillary blood sampling and venepuncture
G Describes the anatomy and physiology applicable to
G describe the process for obtaining informed consent capillary blood sampling and venepuncture.
from the child/young person and family
G Assesses the child’s physical and psychological needs
G give an account of professional and local policies before, during and after capillary blood sampling and
relevant to performing capillary blood sampling and venepuncture and uses these in preparing a care plan.
venepuncture
G Employs appropriate methods to select and prepare
G describe the legal requirements for good recordkeeping suitable sites for capillary blood sampling and
in relation to capillary blood sampling and venepuncture selects suitable collection devices and
venepuncture equipment and gives rationale for choice.
4


G Demonstrates knowledge of pharmacological and non- G The use of play to communicate with children.
pharmacological pain relief.
G Distraction techniques.
G Applies local anaesthetic cream correctly to an
G Role of the play specialist and psychologist in
appropriate site.
preparing children for blood sampling procedures.
G Identifies when other health professionals e.g. play
specialist, child psychologist, should be involved in G Needles: helping to take away the fear (Action for Sick
preparation. Children, 1994).

G Uses strategies to minimise the risk of injury to others G Creating a safe, comfortable, calm and child-focused
who may be present. environment.
G Importance of the practitioner’s attitude (empathetic
Learning outcomes rather than directive).
At the end of a period of study and supervised practice the G Patient group directives.
nurse will be able to: G Local anaesthetic preparations.
G give an account of the anatomy and physiology of G Vein selection: influencing factors and methods.
capillaries and veins, and describe the relevance for
capillary blood sampling and venepuncture G Cleaning the skin.
G explain the theory of capillary blood sampling and
venepuncture in children and young people
Domain 3: performing capillary
G describe the methods used to identify appropriate and
inappropriate sites for capillary blood sampling and blood sampling and
venepuncture venepuncture
G develop a care plan appropriate to the child’s physical
developmental and psychological needs before, during,
and after capillary blood sampling and venepuncture Competences

G demonstrate good practice when preparing self, child G Demonstrates the safe application of the principles of
and family for capillary blood sampling and “restraining, holding still and containing children”
venepuncture (RCN, 2003b).
G create a safe environment for performing capillary G Demonstrates the correct procedures for minimising
blood sampling and venepuncture infection, including hand washing, use of gloves, apron
and aseptic technique.
G identify the various devices and equipment used for
capillary blood sampling and venepuncture for G Uses appropriate strategies for minimising pain
children of different ages associated with capillary blood sampling and
venepuncture.
G explain the interventions that minimise a child or
young person’s pain and anxiety during capillary blood G Applies pressure or a tourniquet appropriately and
sampling and venepuncture safely.
G describe the roles of other health professionals in G Takes appropriate action to prevent iatrogenic
preparing children or young people for painful anaemia.
procedures
G Demonstrates practical ability and dexterity during
G give an account of the use of patient group directives. capillary blood sampling and venepuncture.
G Responds appropriately to troubleshoot or overcome
Indicative content any difficulties experienced during the procedure.
G Anatomy and physiology of capillaries, veins, arteries G Identifies the appropriate blood container and reagent
and nerves. for the tests required, and fills them in the correct
G Theory of capillary blood sampling and venepuncture. order.
G Devices and equipment for capillary blood sampling G Fills, labels and dispatches containers correctly,
and venepuncture and their use. demonstrating knowledge of factors that can adversely
influence the results.
G Cognitive development, and a child or young person’s
perception of pain. G Identifies reasons why capillary blood sampling and
5


venepuncture may be unsuccessful and describes G Blood volumes.
actions to address this.
G Containers, reagents, order of filling.
G Describes correct care of the site following the
G Laboratory requirements.
procedure.
G Emergency situations: their prevention and resolution
G Removes and disposes of devices and equipment in e.g. patient moving, arterial puncture, fainting.
accordance with infection control and health and
safety policies. G Labelling specimens.
G Communicates with the child and family during and G Completing investigation request forms.
after the procedure in a manner that minimises G Problems with sample quality that could lead to
anxiety and encourages compliance. erroneous results.
G Describes the indications for some frequently used G Encouraging and rewarding children.
blood tests.

Learning outcomes Domain 4: risks and hazards
At the end of a period of study and supervised practice the
nurse will be able to: Competences
G perform checking procedures that maximise patient G Describes the risks and complications to self and child
safety associated with capillary blood sampling and
G wash his/her hands in accordance with good practice venepuncture, and acts to prevent these
guidance G Explains the infection control and health and safety
G demonstrate good practice when holding the child or procedures required for safe capillary blood sampling
young person still during the procedure and venepuncture
G identify the containers and volumes required for G Recognises, reports and records errors or adverse
effective blood sampling in children and young people incidents associated with capillary blood sampling and
venepuncture
G demonstrate knowledge of the correct sequence for
filling blood containers to avoid contaminating G Follows appropriate policies and procedures when
specimens disposing of equipment and hazardous substances

G calculate the maximum amount of blood that should G Takes action to maximise the safety of the child, family
be taken from a child and self when performing capillary blood sampling
and venepuncture.
G perform capillary blood sampling and venepuncture
safely on children and young people of varying ages Learning outcomes
G identify strategies for minimising anxiety and pain At the end of a period of study and supervised practice the
when performing capillary blood sampling and nurse will be able to:
venepuncture
G outline the risks and complications associated with
G demonstrate knowledge of the indications for certain capillary blood sampling and venepuncture, their
commonly used blood tests prevention and treatment
G access reference ranges to compare blood results G discuss infection control and health and safety policies
G describe factors that can lead to erroneous test results and procedures applicable to capillary blood sampling
and venepuncture
G describe techniques for encouraging and rewarding the
child undergoing peripheral venous cannulation. G describe the procedures for reporting errors and
adverse incidents
Indicative content G give account of relevant health and safety and infection
control policies
G Effective hand washing.
G demonstrate knowledge of factors that influence the
G Restraining and holding still.
safety of the child, family and self during capillary
G Communication strategies. blood sampling and venepuncture
G Applying pressure and tourniquets. G create a safe environment for performing capillary
6


blood sampling and venepuncture.

Indicative content
G Safe practice in handling and disposing of sharps.
G Role of the National Patient Safety Agency and
Medicines and Healthcare Products Regulatory
Agency, and equivalent organisations in Scotland and
Northern Ireland.
G Right patient – right care (NPSA, 2004a).
G Health and Safety at Work Act 1974 and other
regulations (HSE).
G Government and NHS guidance on preventing
infection.
G Needlestick injuries: the point of prevention (RCN,
2009).

7


3
References and further reading

Action for Sick Children (1994) Needles: helping to take Cooke DA (1994) Potential inaccuracy of finger prick
away the fear, London: AfSC. blood samples, British Journal of General Practice,
44(378), p.42.
Arrowsmith J and Campbell C. (2000) A comparison of
local anaesthetics for venepuncture, Archives of Disease in Currer M (2008) Use of simulators in paediatric and
Childhood, 82, pp.309-310. neonatal training, Infant, 4(4), pp.132-136.
Bellieri CV, Cordelli DM, Rafaelli M, Ricci B, Morgese G and Department of Health (1999) Agenda for Change:
Buonocore G. (2006) Analgesic effect of watching TV modernising NHS pay systems, HSC 1999/227, London:
during venepuncture, Archives of Disease in Childhood, DH.
91, pp.1015-1017. Department of Health (2000) NHS plan: a plan for
Bijttebier P and Vertommen H (1998) The impact of investment, a plan for reform, London: DH.
previous experience on children’s reactions to Department of Health (2001a) Reference guide to consent
venepunctures, Journal of Health Psychology, 3, 1, pp.39- for examination or treatment, London: DH.
46.
Department of Health (2001b) Seeking consent: working
Boie ET, Moore GP, Chad BS, Nelson D (1999) Do parents with children, London: DH.
want to be present during invasive procedures performed
on their children in the emergency department? A survey Department of Health (2001c) Building a safer NHS for
of 400 parents, Annals of Emergency Medicine, 34(1), patients: implementing an organisation with a memory,
pp.70-74. London: DH.

British Medical Association (2001) Consent, rights and Department of Health (2002) Guidance for clinical health
choices in health care for children and young people, care workers, London: DH.
London: BMJ Books. Department of Health (2003a) Getting the right start:
Brook G (2000) Children’s competence to consent: a National Service Framework for children Standards for
framework for practice, Paediatric Nursing 12(5) pp.31-34. hospital services, London: DH.

Broome ME (1990) Preparation of children for painful Department of Health (2003b) Winning ways: working
procedures, Paediatric Nursing, 16(6), pp.573-541. together to reduce health care associated infection in
England. London: DH.
Brykczynska G (1987) Ethical issues in paediatric nursing,
Nursing, 23, pp.862-864. Department of Health (2004a) National Service
Framework for children and young people who are ill,
Buckbee K (1994) Implementing a pediatric phlebotomy London: DH.
protocol, Medical Laboratory Observer, 26(4), pp.32-35.
Department of Health (2004b) The NHS Knowledge and
Caws L and Pfund R (1999) Venepuncture and cannulation Skills Framework (KSF) and development review process,
in infants and children, Journal of Child Health Care, (2), London: DH.
pp.11-16.
Department for Education and Skills (2005) Common core
Coates T (1998) Venepuncture and intravenous of skills and knowledge for the children’s workforce,
cannulation or: how to take blood and put up a drip, The London:DfES.
Practicing Midwife, 1(10), pp.28-31.
Eriksson M, Gradin M and Schollin J (1999) Oral glucose
Collier J and Robinson S (1997) Holding children still for and venepuncture reduce blood sampling pain in
procedures, Paediatric Nursing, 9(4), pp.12-14. newborns, Early Human Development, 55, pp.211-218.
Collins M, Phillips S and Dougherty L (2006) A structured Fernald CD and Corry JJ (1981) Empathetic versus
learning programme for venepuncture and cannulation, directive preparation of children for needles,
Nursing Standard, 20(26) pp.34-40. Children’sHealth Care, 10(2), pp.44-47.
8


Franck L and Jones J (2003) Computer-taught coping Kayley J, Bravery K and Dougherty L (2006) Strategies to
techniques for venepuncture: prelimanry findings from reduce the risk of needle and sharps injuries, Nursing
usability testing with children, parents and staff, Journal of Times, 102(10), pp.30-32.
Child Health Care, 7(1), pp.41-54.
Kennedy RM, Luhmann J and Zempsky WT (2008)
Franklin L (1998) Skin cleansing and infection control in Clinical implications of unmanaged needle insertion pain
peripheral venepuncture and cannulation, Paediatric and distress in children, Pediatrics issues supplement, 122,
Nursing, 10, 9, pp.33-34. pp.S130-S133.
Frost S and Kelsey K (2008) ‘Venepuncture’, in Kelsey J and Lamb J (2008) Intravenous therapy in nursing practice
McEwen G (editors) Clinical skills in child health practice, (2nd edition), Oxford: Blackwell Publishing.
London: Churchill Livingstone Elsevier.
Larsson BA, Tannfeld TG, Lagercrantz H and Olsson GL
Gaskell S, Binns F, Heyhoe M and Jackson B (2005) Taking (1998) Venepuncture is more effective and less painful
the sting out of needles: Education for staff in primary than heel lancing for blood tests in neonates, Pediatrics,
care, Paediatric Nursing, 17(4), pp. 24-28.
101(5), pp.882-886.
Goodenough TB, Perrott DA, Champion DA and Thomas
Lavery I. Ingham P (2005) Venepuncture: best practice,
W (2000) Painful pricks and prickle pains: is there a
Nursing Standard, 19 (49), pp.55-65.
relation between children’s ratings of venipuncture pain
and parental assessments of usual reaction to other pains? Lavery I and Smith E (2008) Venepuncture practice and
Clinical Journal of Pain, 16(2), pp.135-143. the 2008 Nursing and Midwifery Code, British Journal of
Goren A, Laufer J, Yativ N, Kuint J, Ackon MB, Rubinshtein Nursing, 17(13), pp.824-828.
M, Paret G and Augarten A (2001) Transillumination of the Lilley M (2006) ‘Venepuncture and cannulation’, in Trigg E
palm for venipuncture in infants, Pediatric Emergency and Mohammed TA (editors) Practices in children’s
Care, 17(2), pp.130-131. nursing: guidelines for hospital and community, London:
Halimaa SL (2003) Pain management in nursing Churchill Livingstone Elsevier.
procedures on premature babies, Journal of Advanced Mallett J and Dougherty L (2008) Marsden manual of
Nursing, 42(6), pp.587-597. clinical nursinq procedures (7th edition), Oxford:
Health and Safety Executive (2002) Control of substances Blackwell Science.
hazardous to health, London: HSE. National Association of Hospital Pay Staff (2002)
Health Protection Scotland (2009) Occupational exposure Needleplay. Guidelines for professional practice (Number
management including sharps policy and procedure. 6), Beaconsfield: NAHPS.
Available from www.documents.hps.scot.nhs.uk
National Patient Safety Agency (2004a) Right patient –
(Internet).
right care, London: NPSA.
Higgins D (2004) Practical procedures - venepuncture,
Nursing Times 100(39), pp.30-31. National Patient Safety Agency (2004b) Seven steps to
patient safety, London: NPSA.
Hobson P (2008) Venepuncture and cannulation:
theoretical aspects, British Journal of Healthcare NHS Education for Scotland (2004) Transferring the skills.
Assistants, 2(2), pp.75-78. Quality assurance framework for

Hodgins MJ and Lander J (1997) Children’s coping with venepuncture, cannulation and intravenous therapy
venepuncture, Journal of Pain and Symptom Management, (draft), Edinburgh: NES.
13(5), pp.274-85. NHS Scotland (2005) Framework for developing nursing
Jeffery K (2008) ‘Supportive holding of children during roles. Available for download from www.scotland.gov.uk.
therapeutic interventions’, in Kelsey J and McEwen G Nursing and Midwifery Council (2007) Guidelines for
(editors) Clinical skills in child health practice, London: records and record-keeping, London: NMC.
Churchill Livingstone Elsevier.
Nursing and Midwifery Council (2008) The Code:
Kolk AM, van Hoof R and Fiedeldij Dop MJC (2000)
standards of conduct, performance and ethics for nurses
Preparing children for venepuncture. The effect of an
and midwives, London: NMC.
integrated intervention on distress before and during
venepuncture, Child: Care, Health and Development, 26(3), Pearch J (2005) Restraining children for clinical
pp.251-260. procedures, Paediatric Nursing, 17(9), pp. 36-38.
9


Nursing Standard (2005) Venepuncture: quick reference Scottish Executive (2005) Building a health service fit for
guide 5, Nursing Standard, 13(36), insert 2. the future, Edinburgh: TSO.
Perry J (1994) Communicating with toddlers in hospital, Scottish Government (2007) An action framework for
Paediatric Nursing, 6(5), pp.14-17. children and young people’s health in Scotland. Available
from www.scotland.gov.uk.
Philip RK and Beckett M (2000) Step by step guide.
Neonatal blood sampling: time for safer devices, Journal of Shepherd A, Glenesk A and Niven C (2006) A Scottish
Neonatal Nursing, 6(3), p. 3 (unnumbered). study of heel prick blood sampling in newborn babies,
Midwifery, 22(2), pp.158-168.
Price S (1995) Paediatric variations of nursing
interventions in Campbell S and Glasper EA (eds) Whaley Shah VS and Ohlsson A (2009) Venepuncture versus heel
and Wong Children’s Nursing, London: Mosby. lance for blood sampling in term neonates, The Cochrane
Collaboration. Available from
Pratt RJ, Pellowe C, Wilson JA, Loveday HP, Harper PJ, www.thecochranelibrary.com.
Jones SRLJ, McDougall C, and Wilcox MH (2007) Epic 2:
Skills for Health (2004) Children’s national workforce
national evidence-based guidelines for preventing health
competence framework guide, London: SfH.
care-associated infections in NHS hospitals in England.
Journal of Hospital Infection 655(suppl), pp.S1-S64. Smalley A (1999) Needle phobia, Paediatric Nursing, 11(2),
pp.17-20.
Proudfoot C and Gamble C (2006) Site specific reactions to
amethocaine, Paediatric Nursing, 18(5), pp.26-28. Stevens B, Yamada J and Ohlsson A (2003) Sucrose for
analgesia in newborn infants undergoing painful
Roach MS (1992) The human act of caring, Ottowa, procedures, The Cochrane Library, (3), 2003.
Ontario: Canadian Hospital Association, p.61.
Taddio A, Sha V, Gilbert-MacLeod C and Katz J (2002)
Rosenthal K (2005) Tips for venepuncture in children, Conditioning and hyperalgesia in newborns exposed to
Nursing, 35(12), p.31. repeated heel lances, Journal of the American Medical
Royal College of Nursing (2003a) The recognition and Association, 288 (7), pp.857-861.
assessment of acute pain in children: implementation Tak JH and Van Bon WHJ (2006) Pain and distress-
guide London: RCN. reducing interventions for venepuncture in children, Child:
Royal College of Nursing (2003b) Restraining, holding still Care, Health and Development, 32(3), pp.257-268.
and containing children and young people: guidance for Thompson P (2008) Blood sampling
nursing staff, London: RCN. (neonates):venepuncture versus heel lance. Evidence
Royal College of Nursing (2005a) RCN standards for summaries, Joanna Briggs Institute.
infusion therapy, RCN: London. Thurgate C and Heppell S (2005) Needlephobia –
challenging venepuncture practice in ambulatory care,
Royal College of Nursing (2005b) Competences: an
Paediatric Nursing, 17(9), pp.15-18.
integrated competence framework for training
programmes in the safe administration of chemotherapy Tim JC, Adams J and Elliott TSJ (2003) Healthcare workers’
to children and young knowledge of inoculation injuries and glove use, British
Journal of Nursing, 12(4), pp.215-222.
people, London: RCN.
Twycross A (1998) Children’s cognitive level and their
Royal College of Nursing (2005c) Good practice in perception of pain, Paediatric Nursing, 10 (3), pp.24-27.
infection prevention and control: guidance for nursing
staff, London: RCN. Vessey JA (1994) Use of distraction with children during
an acute pain experience, Nursing Research, 43, 6, pp.369-
Royal College of Nursing (2009) Needlestick injuries: the 372.
point of prevention. London: RCN.
Welsh Assembly Government (2005) National Service
Shah V and Ohlsson A (2003) Venepuncture versus heel Framework for children, young people and maternity
lance for blood sampling in neonates, The services in Wales. Available from www.wales.nhs.uk.
CochraneLibrary, (2): 2003 (CD001452).
Williamson D and Holt PJA (2001) Calcified cutaneous
Saunders S (2008) Venepuncture: evidence summaries, nodules on the heels of children: a complication of heel sticks
Adelaide: Joanna Briggs Institute. as a neonate, Pediatric Dermatology, 18(2), pp.138-140.
10


Willock J,Richardson J, Brazier A (2004) Peripheral
venepuncture in infants and children, Nursing Standard,
18, 27, pp.43-50.
Wilson KJW and Waugh A (2001) Anatomy and physiology
(9th edition), Edinburgh: Churchill Livingstone.
Wilson J (2006) Infection control in clinical practice (3rd
edition), London: Baillière Tindall.
Wolfram RW and Turner ED (1996) Effects of parental
presence during children’s venepuncture, Academic
Emergency Medicine, 3(1), pp.58-64.
Wood C. (2002) Introducing a protocol for procedure pain,
Paediatric Nursing, 14(8), pp.30-33.

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4
Online resources

G Action for Sick Children G Northern Ireland Practice and Education Council for
www.actionforsickchildren.org Nurses and Midwives
www.nipec.n-i.nhs.uk
G Department for Education and Skills
www.des.gov.uk G NHS Education for Scotland
www.nes.scot.nhs.uk
G Department of Health, Social services and Public
safety, Northern Ireland G NHS Scotland
www.dhspsni.gov.uk www.show.nhs.uk

G Department of Health (England) G NHS Wales
www.dh.gov.uk www.wales.nhs.uk

G Evidence-based Practice in Infection Control G Nursing and Midwifery Council
www.epic.tvu.ac.uk www.nmc-uk.org

G NHS Evidence G Royal College of Nursing
www.evidence.nhs.uk www.rcn.org.uk

G Health and Safety Executive G Royal College of Paediatrics and Child Health
www.hse.gov.uk www.rcpch.ac.uk

G National Association of Hospital Play Staff G Skills for Health
www.nahps.org.uk www.skillsforhealth.org.uk

G UK Health and Safety legislation G Hand hygiene, Scotland
www.coshh-essentials.org.uk www.washyourhandsofthem.com

G Health Care Standards Unit
www.hcsu.org.uk

G National Patient Safety Agency
www.npsa.gov.uk

G NHS Litigation Authority
www.nhsla.com

G Infection Prevention Society
www.ips.uk.net

G Joanna Briggs Institute
www.jbi.edu.au

G National Patient Safety Agency
www.npsa.nhs.uk

12

The RCN represents nurses and nursing, promotes
excellence in practice and shapes health policies

November 2005, revised July 2010

RCN Online
www.rcn.org.uk

RCN Direct
www.rcn.org.uk/direct
0345 772 6100

Published by the Royal College of Nursing
20 Cavendish Square
London
W1G 0RN

020 7409 3333

Publication code 003 004
ISBN 978-1-906633-45-5

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