a.
What hints, tips, pointers are there for dealing with problematical
phlebotomists?... besides
. ask for another phlebotomist?...
. ask for a more senior phleobotomist?...
. ask for a supervisor?...
. or ...?
. ...?
b.
How can you prepare better if you know you're a hard stick type
patient?...
> b.
> How can you prepare better if you know you're a hard stick type
> patient?...
Well - to be quite frank the type of problems you mention is more likely to
not be present in younger, healthy, well trained individuals - so for a
start - don't grow old and frail, don't gain excessive weight, don't stop
exercising - and don't get sick.
So for the remaining part of us that did grow older, did gain weight and
eventually did get sick -
If you are aware that blood is most easily drawn from for instance your left
arm, tell them.
If you know that a certain vein is good for sampling - tell them.
Do not tell them that it is impossible, that the last time blood was drawn
they had to try for 1 hour and that you have a law suit running due to
unnnecessary suffering from the last vein puncture
If you could try to control your anxiety - do it! Nervous patients,
uncomfortable patients or scared patients are most likely to experience
problems. - And please note - I am not saying the phlebotomist is not
aproblem, but very often the problem lies with the patient. Also - if you
are known as "the trouble patient" - the one that always complains, shouts
or scream - the one who is in pain even before unwrapping the needle - this
could heavily influence the situation.
The lab people is actually doing their best - they want this process to run
as smoothly and quickly as possible - they are well trained and highly
routined in this job.
Manky Badger - 19 Feb 2008 16:00 GMT
>> b.
>> How can you prepare better if you know you're a hard stick type
>> patient?...
> but very often the problem lies with the patient.
For some inexplicable reason there are these patients who love being
"difficult to bleed".
I've lost count of the amount of patients who pride themselves on being
difficult to get blood from. They will deliberately fidget, move, and yank
their arms about during phlebotomy (which must be incredibly painful) purely
for the satisfaction of having the poor phlebotomist unable to get a blood
sample.
I can distictly remember pinning one such troublesome one's arm in a
vice-like grip so they could not move. I easily extracted 20ml of blood but
they were very unhappy that I'd got the blood sample. Presumably they feel
being "difficult to bleed" makes them stand out from the ordinary?
GS - 19 Feb 2008 22:39 GMT
>>> b.
>>> How can you prepare better if you know you're a hard stick type
[quoted text clipped - 13 lines]
> but they were very unhappy that I'd got the blood sample. Presumably they
> feel being "difficult to bleed" makes them stand out from the ordinary?
I know of a haematologist who rarely had problems getting blood - he used to
throw the syringe like a dart at the vein....
There is a guaranteed method of gettng blood....cut off a finger...
GS