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How to take blood for paediatric patients?!?!

the_historian

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Feb 21, 2018
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I am currently rotating in paediatrics and I’m struggling mightily in performing blood taking/ venepuncture/ iv access on paediatric patient, esp. neonate/ infant/ child who struggles greatly. Any tips? Many thanks.
 
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WheezyBaby

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These patients can be notoriously difficult, and subjecting them to repeated attempts at venipuncture is not benign. Your hospital has an attempt limit and an escalation pathway for a reason. The best way to improve is to continue to take your allotted attempts and to ask more skilled individuals to watch their attempt (or if they're gracious to watch yours and coach you)
 
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A-Fib

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Jan 14, 2019
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Most of the time for CBC or CMP we do a little puncture on the heel or finger, then squeeze and scoop drops of blood into tubes with caps until desired amount is reached.

IV - very difficult and usually two people hold a swaddled baby down, an experienced nurse puts in a 22G.
 
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