Blood level measurement at home via finger prick

volumetric absorptive micro sampling (VAMS)

The blood level measurement via a finger prick is called 'volumetric absorptive microsampling' (VAMS). This test allows you to take blood samples yourself at home with the help of a finger prick. You collect the blood with a small sponge. After this, you can return this sponge with the return envelope to the NKI. This blood can then be used to determine the amount of medicine in your body. The doctor will discuss the results of this measurement with you (by telephone).

An advantage of VAMS is that the mirror result will be known by the time you come in for your check-up appointment / regular visit to the outpatient clinic. The results will be discussed with you directly during this visit. If an additional blood level check is required, you can do this at home and you do not have to come to the hospital separately.

What did you receive?

You have received the following components:

  • 1 return envelope
  • 1 manual for blood collection via finger prick
  • 2 lancets (1 spare)
  • 1 piece of gauze
  • 2 bandages (1 spare)
  • 1 collection kit in silver bag
  • 1 desiccant in silver bag

With the return envelope you can send your collection kit together with the completed manual to the NKI.

The manual will help you step by step to perform the finger prick. On the form in the manual, you write the date and time that you will take the blood sample and the date and time of the last intake of your medicine. Send this completed form back to the NKI together with the collection kit.

Two disposable lancets are included. You need 1 lancet. The other lancet is included as a spare. The lancet can only be used once.

One piece of gauze is included. You will need this to remove the first drop of blood. In addition, two bandages are included. You can use this to tape the finger after the blood draw.

When using, tear open the silver bag and remove the purple collection kit. Leave the desiccant bag in the aluminum bag. The desiccant bag is needed to absorb moisture during transport, if necessary. After blood collection, place the closed collection kit back in the silver bag. Then put the aluminium bag, closed with the completed manual, in the return envelope.

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Instruction Manual

Are you unable to access the manual? You can download a digital version below.

Performing home collection

Learn more about performing the home collection steps through the manual

Are you taking a home sample before your visit to the outpatient clinic? Then please remember to schedule it no later than two weeks before your check-up appointment at the NKI.

Has your doctor asked you to take a blood sample between appointments, for example after a dose adjustment? Then please perform the home collection one week after the dose adjustment.

After performing the finger prick, you can return the collection kit together with the completed manual in the return envelope to the NKI. Please send us your kit at least 2 weeks before your appointment. We advise you to post the envelope within 24 hours via regular mail. A stamp is not necessary. 

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Instructional video

Learn more about how to perform the sample collection in this video.

Requesting a new collection kit

Three weeks before your check-up appointment, a new collection kit will be sent to you by post. You can also pick up your collection kit at the Oncotheek or request it by e-mail or telephone to send to you.

The result

You can discuss the results during your check-up appointment at the NKI or by telephone with your doctor.

General questions

What is the difference between home sample collection with finger prick and blood tests in the hospital?

When you collect a sample at home, you prick your finger yourself and suck up a few drops of blood with a special sponge.

In the hospital, blood is taken through a vein in your arm into a tube. The advantage of taking a blood sample at home is that you can easily do it yourself, without the need for a vial of blood. You will also be able to receive the results during your visit to the hospital.

How is my privacy guaranteed when returning the set?

Your sample will only be linked to your patient number, not to your name or date of birth. The return envelope will be sent to the NKI via a postal number, so that your name and address are not visible.

Questions about the test

Can I use the first drop of blood that appears after the fingerprick?

We recommend that you wipe away the first drop of blood with the included piece of gauze. You can suck up the second drop of blood and everyting that follows with the sponge.

Can I remove the swabs with the sponges from the plastic sleeve?

No, please leave the swabs in their plastic sleeve. Pull open the valves of the collection kit and keep them open while collecting your blood. 

What should I do if I can't get a drop of blood out of my finger?

  • Use the spare lancet and prick a different finger if necessary.
  • Ask someone close to you to help you with the finger prick if you have trouble doing it yourself.
  • Make sure your hands are warm and place your finger on a hard surface.
  • Massage your hands beforehand for better blood circulation.

Is it bad if the sponge is still a little white?

Yes, please make sure that the sponge is completely red. A white spot on the sponge indicates too little blood in the sponge. Please absorb another drop of blood until the sponge is completely red.

Can I prick the same finger again or do I have to use a different finger?

You may prick the same finger again, but it can be more pleasant and successful to use a different finger.

What should I do if I accidentally touch the sponge with my finger?

This is not a problem. You can safely return the collection kit to the hospital.

I have already used my collection kit, but I will soon need a new home sampling collection kit. What should I do?

You can request a new home collection kit from the Oncotheek.

What if I can't ship the collected samples out the same day?

You can store the envelope at room temperature and post it the next day.

Note: do not store the envelope in the bathroom. 

How long does the sponge have to dry before I can package it?

You can put the sponges directly in the packaging. The packaging contains air holes, allowing the sponges to dry further.

Problems with collection

I used the first drop of blood, is this a problem?

It is better to wipe away the first drop of blood before absorbing blood with the sponge.

Did you absorb the first drop directly with the sponge? Then we can still use the second sponge to determine the blood level. You can then simply return the collection kit with the two sponges to the NKI. On the white barcode label, please indicate with an arrow which sponge was used to suck up the first drop. You can also note this on the manual.

How do I deal with an incorrectly collected sample? (too little or too much blood)

  • If there is too little blood: add another drop immediately to completely saturate the sponge. Is there no droplet available from the same finger? Then please prick a new finger with the spare lancet and fill the sponges completely.
  • If there is too much blood: the sponge can become oversaturated. If this is the case, please use the second sponge. Use an arrow on the white barcode label to indicate which sponge is oversaturated. You can also note this down on the manual.

The lancet doesn't work, what should I do?

  • Check if you have removed the cap from the lancet and then try again.
  • If the lancet still does not work, use the spare lancet instead.
  • If the spare lancet doesn't work either, please contact the Oncotheek. They will send you a new set.

What if I am late with taking my blood sample?

If this is the case for you, please do not take the sample at home. Use the home sampling kit next time. Your blood level will be determined via the regular blood collection appointment.

In the case of a telephone appointment, we recommend that you still take the blood and send it in.

What if I can't take blood myself, or if I don't like this method?

Please inform the Oncotheek or your doctor. Your blood level will be measured via the regular blood collection in the hospital instead.

I have already used my collection kit, but I will soon need a new home collection kit. What should I do?

You can request a new home collection kit from the Oncotheek.

What should I do if the blood draw at home failed?

Please contact the Oncotheek. If you have an appointment at the hospital coming up, your blood level will be determined via regular blood draw.

If you have a phone appointment, we recommend that you contact the Oncotheek. They can send you a new home collection kit.

What should I do if I lost the return envelope?

Please contact the Oncotheek. They will send you a new return envelope.

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