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Strategies for Difficult Venipuncture

A phlebotomy team collaboration hub featuring real‑world case logs of venipuncture challenges, dispatch communication, coworker support tactics, and workflow protocols to optimize patient draws, difficult sticks, and team coordination.

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    This morning, I went to Spokane Falls first, due to having two timed draws at 8am, I had just enough time to do this facility before those timed draws. I knew I had two stats for Dombrowski, Cindy. I was only able to obtain the urine sample, so I left in the Spokane chat that this would need to be tried by someone else, it was a cant stick for me and the nurse wasn't even willing to try because of her limited veins. I documented can't stick on the requisition and the PSL. Laura agreed that she was a tough stick on teams and said she would take care of it. Then she called me, she told me how many veins pop up when you use a certain trick on her. I thanked her for the tip, she told me that Paul was trying to say that I didn't tell anyone about my can't stick and Laura said that she stood up for me and showed him the paperwork. I text her and said thank you for standing up for me, and she said, "Yeah, no problem, you didn't do anything wrong and that guy is an ass. And we're a team, I feel like you and I could work well together. We just need to let bygones be bygones and put our best feet forward." I did not respond because I don't need her bringing up the past so much and trying to force us to work together more. I was also extremely busy and didn't have time for it. We were getting along fine, she didn't need to continue to bring it up and 1 shouldn't be forced to work with her more if there's no need. She went to Spokane Falls to get the cultures and by that time they were canceled. She put in dispatch that she would be taking a two-hour lunch later at 1430, it was 1221 at this time, and one minute after she sent that message, I asked dispatch to assign Jordan Avalon's timed draw and regency's routines/stat. An hour later, which I am assuming was after she got out of Rockwood, she asked dispatch to do this again, even though it was already done. Dispatch told Jordan her orders were on the board. I finished my routines at Cascadia and when I was at aurora I had a can't stick for an Edward Geter, I had a nurse in there helping me with heat packs and trying to get the patient to even let me poke him for he was paranoid and disoriented, it took some time and was a hard draw. I posted in the chat and the nurse I spoke with told me to wait and try again later, she was an RN, I forgot her name. I let dispatch know and they told me the order would need to be called in again, that it was canceled, 1 posted this in the team's chat and dispatch and called Aurora to let them know.

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