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The Adventure Begins: A New MT’s Perspective

The Power of Positive Thinking

Published April 1, 2009 10:41 AM by Rhonda Daily

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.

 

posted by Rhonda Daily
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3 comments

Do you want to come and work for me?

Muain Haseeb, Lab - Director, Saint AnthonyHospital.Org May 3, 2009 6:03 PM
Chicago IL

Hello, Rhonda, %0d%0aAs your experience demonstrates, everyone who comes in contact with the patient plays an important part in their care.  Please try to keep your sense of satisfaction, even on the days that you can get blood from an "oil well".

Mary maikranz May 3, 2009 2:34 PM

Five years ago when I attended MT school in a Winston Salem, NC hospital, our class of 6 students was split up into two teams.  Between July 2003 and November 2003, three of us would stick Monday-Friday mornings from 7A to 8A one week; the other three would stick the next week.  That was cool because the group who did not stick on a particular week didn't have to show up until classes began at 8:30 AM.

What ended up NOT being so cool (for at least me) was that our program director assumed "we would most likely not have to stick" in our future jobs - and the 100 successful sticks we were required to complete only included adult patients (no infants or children).  Consider yourself lucky if you are getting that valuable experience in your program.  

I believe this NC hospital (a Level 1 trauma center) required MTs in their lab to stick "just for old times' sake."  The Blood Bank, Chemistry and Hematology departments of the lab sent a technologist to stick once a week.  A different one in each department got a turn so that no one stuck every day except for one sweet older lady who worked in AFB/Mycology/Parasitology who volunteered to do that so no one else who worked in Micro ever had to stick.  Blood Bank specimens and blood cultures were NEVER collected by lab personnel there - only phlebotomists or nurses - which also put me at a disadvantage when I got to a smaller hospital two years later, where the former phlebotomist/"mail-order" MLT/lab manager looked at me like I was freaking crazy when I attempted to explain this crap to her.

That was NOT enough ongoing phlebotomy experience for me to remain confident and comfortable in my ability to obtain blood from the "hard stick" patients.  In my generalist position at the next hospital where I worked, I got to collect from outpatients a little more than once a week...then I worked 2nd shift in Microbiology at Duke Medical Center (where MTs are WAY too busy to leave the lab and stick - and phlebotomists collect ALL the blood).

I dealt with some depression and anxiety issues associated with leaving my ex-husband four years ago (and his father making a threatening phone call to me shortly afterward, but enough about that) - which led to some severe anxiety about my ability to stick once I got to the hospital where I worked after six months at Duke (the one with the "mail-order" MLT manager who most of my colleagues did not like).  

Anyway, the only hospital I've worked in since then that required lab technologists to stick was one I traveled to in West Virginia for three months early last year (which is still in the Dark Ages, only staffing the lab with one phlebotomist on night shift, and expecting the techs to stick in the ER during morning run while that one phlebotomist joins her colleagues at 5 AM to stick on the floors).

My favorite work places since graduating as a MT were Duke, the first hospital in Lafayette, IN to which I traveled through an agency, and my current employer - all of which do not require me to stick AT ALL! :) :) :)

Stephanie Mathis, MT(ASCP), Generalist - Clinical Laboratory Scientist, Danville Regional Medical Center April 2, 2009 2:50 AM
Danville VA

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