NEONATAL PAIN REDUCTION IN THE HEEL PRICK TEST: AN EXPERIENCE REPORT COMPARING BROKEN NEEDLE AND CONVENTIONAL TECHNIQUE

Abstract

Introduction: The heel prick test (PNTN) is crucial for the early diagnosis of neonatal diseases. This study investigates the Brokén Needle technique as an alternative to conventional collection, aiming to reduce discomfort in newborns. Methodology: Experience report during a nursing internship in the Neonatal Intermediate Care Unit (NICU) of a public hospital in Dourados, Mato Grosso do Sul (February to June 2025). Thirty collections were performed (15 with Brokén Needle and 15 conventional), assessed by structured observation, notes, and the NIPS (Neonatal Infant Pain Scale). Clinical data were analyzed without patient identification. Results and Discussion: The Brokén Needle technique presented less pain (NIPS 2-3 points in 80% of cases) compared to the conventional technique (NIPS 7 points in 90%). Although collection with a "broken needle" took longer (5-8 minutes), the conventional technique was faster (2-4 minutes). The lack of suitable lancets for the conventional technique highlighted infrastructure challenges. Conclusion: The Brokén Needle proved to be less painful and has potential for application in neonatology. The study highlights the need for more resources and research on the technique, contributing to the training of more critical and compassionate healthcare professionals.