The Power of Positive Thinking
Even the most seasoned phlebotomist or tech will tell you everyone has a bad day when it comes to drawing blood. I would have to agree with that. However, the feeling of satisfaction that comes from having a great day lasts a lot longer.
As part of our internship experience, we go up on the floors for morning draws a few times a week. There are mornings when I wake up not all that excited about having to draw. But I try to keep a positive attitude and hope for some decent veins.
The other morning I woke up and I was just happy--no special reason--just woke up with a smile. I got to the hospital at 6 a.m. to go up with the phlebotomy team and decided it was going to be a good day. The first three patients were relatively easy, one arm, two hand veins.
The fourth patient was on the larger side and was lying in his chair, which was essentially jammed against the wall. One arm was off limits because of a fistula, so I proceeded to look in the arm that was against the wall at a very awkward angle.
I'm always diligent about taking my time to locate a vein, but I couldn't feel ANYTHING! So I moved on to looking at his hand ... still nothing. I asked him to hang his hand down to the side for a moment, and went back to looking.
Eventually, I could sort of feel a vein, but it was hard to get a good sense of the direction and size. I was probably about 70 percent confident I would get it, but I went for it. I hit it right away, no problems, filled all the tubes.
When I was cleaning up and labeling my tubes, the patient asked me what my name was. Of course, I was thinking, "Oh no, that must have hurt," so I gave him my name.
He said, "I just wanted to know who to ask for next time. Nobody ever gets me on the first try." He also said that he was once poked 17 times before they got him. I have to tell you I may have given myself a little high five in my head!
Then on to the fifth patient--a sweet, small elderly lady, with very cold hands. She had ports/IVs in both arms, so I had to look in her hands. One hand was very bruised, so I was down to the other hand to find a vein.
I'm not exaggerating when I say her hands were freezing! I couldn't feel anything. Then I remembered I had an infant heel warmer on my tray, so I figured I would give it a try.
After a few minutes, it did the trick. All the while, I was chatting with the patient. She told me that the warmer felt good, so I put it on her other hand while I was drawing her just to try to even out the warmth. She thanked me for warming up her hands, I helped her fix up her blankets for a little more warmth and left her with a smile on her face and mine.
That smile carried over most of the day. I'm not saying I have superior skills at phlebotomy--believe me, I'm humble enough to know I have a lot to learn. But it feels good to know patience and persistence pay off. If you can make a patient happier or more comfortable in the meantime, I consider that a great day.
As hectic as the lab can get, if you can spare that extra moment or two to connect with a patient, do it. Not only is it helpful for the patient, it will help you as well.