Saturday, September 1, 2012

Stuck By a Student

Let me set you straight on this.  I am a certified gutless wonder when it comes to getting needles stuck into me.  I have to get a blood test every 4-6 months to test my glucose, cholesterol, thyroid hormone and whatever else my nurse practitioner, Kathy can think of.  I do not enjoy it.

Today Art and I both went in to get our blood drawn.  We got our numbers and he went in immediately with me following behind.  What?  Did you think I'd go first?

He got right to his cubicle where the smiling nurse was waiting.

When I went to my assigned cubicle, someone was still sitting there.  The fellow outside asked me if I wouldn't mind waiting in the waiting room.

I waited.  I wondered why I had to since I saw several other seats with nurses who had no patients.

Finally, the fellow came out to get me and said I should come to another little room where I could have my blood drawn.  I went in and saw a nurse who looked wonderfully competent.  She smiled encouragingly.  I was relieved.

I sat down.

Then the fellow asked me with a halting voice what my birthdate was and what my social security number was.  That was puzzling.  Usually, they just look at my military card and that would be enough.  I gave him the information.

"Ummm...  I mean your husband's social security number," he corrected.  I'm wondering why he was asking me all this.  Why wasn't that very experienced looking nurse doing this?  Why was this taking so long?

Then the fellow asked me which arm I preferred.  Why was he asking me this?  I told him my left.

He moved everything so my left arm could be skewered.  Uh ohhhhh...  He then brought out the needle and little capsules that would be used.  Uhhhh oh....

Now  I was nearly freaking out.  I'm thinking... I'll bet this kid has never done this before.  I'll bet he might stick that needle right to my bone.  I'll bet he won't know which direction to stick the needle.

"Clench your fist," he said.  I could barely understand, let alone hear him.  Why didn't he give me that little rubber ball that they always give me to pump?  It was right next to him.

He tied on the rubber tourniquet while mumbling the sequence to himself.

"Should I stop clenching?" I asked.

"If you want to," he answered.  What?  Didn't he know?  "Is the table height comfortable for you?" he asked.

"Don't worry about me," I said faking a chuckle.  "Please make it easiest for you."  I meant that.

I reminded myself that I am a teacher.  I know students need to learn.  I have to give this young person a chance.  I looked at the nurse instructor who kept on smiling the entire time.

The student technician then began tapping the inside of my elbow trying to find my vein.   Sensing that he was really tapping a place that no other nurse had tapped before, I pointed to where it was usually done.

Then I turned away.

After more taps, I felt the poke.  It wasn't bad at all and I could tell my blood must have been flowing nicely because I could swear I heard a sigh of relief.... or maybe that was me.

When I turned around again, the capsules were full and I was ready to leave... but no... that wasn't all.  The nurse brought out a urine sample bottle with some sanitary wipes.

"Do you know how to do a clean catch?" he asked barely meeting my eyes.  I could guess, but I said no.  I could almost see his face drop to the floor as he tried to form the right words of explanation.

"This is for a diabetes sugar test," said the nurse.  "It isn't really necessary."

Let me tell you, I don't know who was happier, me or the student technician.

I smiled and told him, "You were very good."

When I went back to the waiting room, Art stood and asked perplexedly, "What kept you?  I've been waiting out here forever.  I got done really fast.  It was a breeze."

Next time we go for a blood test, I'm going in first.

24 comments:

  1. Oh, poor Kay - you're right though, nurses do have to learn and to do so they must practise. The first few times they do everything by the book and it takes forever. Yes, you go in first next time:-)

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  2. For being so scared, you handled that remarkably well, brave Kay.

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  3. How to make an unpleasant experience worse!! I have to have blood tests pretty frequently too, and it's always difficult. But some nurses manage better than others and hit the vein first or second time. Others take several shots before they find the target. Hopefully next time you go you'll get someone more experienced.

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  4. When I was in the hospital I was such a cooperative patient (I just wanted to leave!) that the duty nurse came in a couple of times with a trainee and asked if they could attempt the evening blood draw. I'd forgotten that.

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  5. Oh my. I hate those too and but I don't get too anxious about it.

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  6. It's not fun to be diabetic...glad you survived!

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  7. You were a trooper, Kay. The student was probably lucky he got you for a patient since not everyone would have been as kind to him.

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  8. Dear Teacher -- Yes, we all have to learn first, but the new techs and nurses all practiced on a rubbery arm with fake veins and fake fluid in them. It does go slower when the trainee has to be observed by the teacher.

    There is no one, "right" way for the detailed specifics to be done, (short of the few things to protect all concerned.) I usually tell folks in hospital beds to hang their arm down and not clench their fist. (Gravity helps; just take a look at your veins with your hand hanging down and then put your hand in the air to see them disappear.)

    Some people get so nervous (uh, maybe Kay,) that their veins can actually spasm and collapse just as we try to poke. Never seen anybody go down to the bone, though. The veins we want are just under the skin. Especially for older folks with whispy, thin, rolling, wimpy veins, it's not the nurse or tech's fault a blood draw could take more than one poke. When patient's have bad veins, it's not our fault! I've been trying to get folks to grow better veins for years.

    We have all kinds of tricks to wring blood out of you: warm soaks, tapping makes the vessels respond and expand a bit, rubbing hard with the alcohol wipe can make them come up better, taping each side of the potential spot to keep a vein from rolling as we poke through the skin, using a blood pressure cuff puffed up and tight to get a vein to appear.

    In most places you want the tech or phlebotomy person to draw your blood. Nurses and docs don't do it often enough. Nurses have to start an IV line to give fluids or IV meds, and if you have wimpy veins, we can move that needle tip left and right trying to find a good start. Then we retract the starter needle and leave the tiny little plastic tube in your vein.

    Just don't look, Kay. Cheers, DrumMajor

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    1. This was so very interesting, DrumMajor. I NEVER look. Never! What I really hate is when they have to do it on TOP of the hand. Yuuuuck!!!!

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    2. I'm about fainting, just reading this . . .

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  9. Too funny! And again another thing we have in common. I went in for my regular blood tests last week and had a student too!. But my experience was a bit different. The regular technician ASKED me if I would mind having a student do the blood draw. I said no, but there was that slight hesitation. The young woman in training was very competent, and while I never look either, I never even felt the needle. She had to draw three vials and it was over very quickly. Then she asked if she passed, with a big smile. I had a big smile too, and told her how well she had done.

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  10. oh my gosh thats so funny,

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  11. Everyone has to start somewhere, even you as a student teacher.

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  12. no 'student' is above being asked, "have you done this before??" With your needle experience, you coulda clued him in, : ).

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    1. A 60 year old lady always has advice to offer a 25 year old. The problem with people ahem around our age is that we still see ourselves as 20 year old and are too hesitant to keep the youngins in check.

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  13. Ha! Glad you didn't have to stick yourself! I went through a kumaden regimen for six months when I had to inject myself right in the stomach area every day. I learned how to do it.

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    1. The stomach???? Aaaaaaaaack! I seriously don't think I could do that, Hank.

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  14. I'm laughing because Art didn't have any trouble at all! Poor you Kay.

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  15. Well, at least he didn't hurt you. Sometimes I've had really agonizing sticks like that from students. I avoid them if I can! If I can't I point helpfully to the good vein and hope for the best! :-)

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  16. That was bad but what is worse is when your gynecologist bring in an entire troop of students when you are already in the stirrups and asks you, with the crowd already gathered staring at your whoo-whoo, if it's okay to let them observe.

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  17. But Kay, you have VEINS on the top of your hand! Just grow some more and you'll be fine. Yes, you might get a bruise, no matter where they poke. DrumMajor

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  18. I always go first. I hate the anticipation. Also, I can get downstairs faster to buy a coffee. Dianne

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