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.
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)
Make sure to anchor the vein down and tie a tight enough tourniquet. One you feel the vein make sure you feel it while you anchor in case it moved. Lock your eyes on exactly where you want to poke and then trust you did.