Phil the New Phlebotomy Tech has unsuccessfully stuck his patient three times. Phil is sweating and his hand is shaking, while the formerly chatty patient has become tight-lipped and quiet. After Phil the New Phlebotomy Tech elevates and wraps the patients’ hand in a warm towel for a few minutes, he makes his fourth attempt. What (if anything) has Phil done wrong?
Explanation
Answer: D - Another phlebotomist should attempt the draw after two unsuccessful attempts. Lowering limbs, to engorge veins, is a proper technique for difficult sticks, but should be prior to the second attempt. While taking a break to regain composure may seem like a good idea, not reaching the point of needing a break is better for his patient and himself. At the beginning of the phlebotomy procedure, speaking to the patient in a confident and friendly manner does help to alleviate fears. However, it would not be effective in Phil’s’ current situation because both he and his patient have lost confidence in his ability. Passing a patient to another phlebotomist after two unsuccessful attempts is best for both the patient and the phlebotomist.
