While pediatric phlebotomy can be challenging, these guidelines can contribute to success.
- Communication: Always be honest with the child. Never lie to a child and say that it won't hurt. If the child asks if it will hurt, you could explain that it may feel like an insect bite or sting, but if they hold still, it will be over very soon.
- Correct hold of child: Ask the parent or guardian to assist. If you have determined that the child's parent is willing and able to help throughout the procedure, have the child sit on the parent's lap. The parent can gently "hug" the child to limit the child's movement and stabilize the arm used for venipuncture. Alternatively, the child can lie on a bed or exam table. If the parent does not choose to help, ask for assistance from a coworker.
- Correct hold of the child's arm: A healthcare professional familiar with the procedure should assist by holding the arm used for the blood collection. The holder should face the child and gently position the child's arm so that the arm is straight and palm facing up. Next, the holder should place one hand underneath the child's elbow, grasping it lightly yet firmly to stabilize it. With the other hand, the holder should hold the child's hand firmly. This hold will help prevent arm movement, even if the child is moving their body. This hold also allows the phlebotomist easy access to the venipuncture site during the procedure.
- Distractions: The phlebotomist may sometimes employ a technique to distract the child during the procedure. For example, to help the child keep still, tell them that the only thing they can move is their eyelashes. This forces the child to focus on moving only their eyelashes; before you know it, the procedure is done!
