The phlebotomist should always carefully observe the patient for clues indicating the patient's mental and physical readiness for the procedure before blood collection. This alertness must continue throughout the blood collection process. When the patient expresses needle phobia or a "fear of needles," it may help to offer strategies to help the patient get through the procedure safely. Sometimes, the anticipation of the needlestick may cause anxiety, and sometimes, seeing the blood filling the tubes makes a patient uneasy.
Engaging the patient in conversation during venipuncture may be helpful to keep the patient's mind off the procedure. In some instances, the phlebotomist may seek assistance from a qualified associate to distract the patient with conversation or provide comfort and support by offering to hold the patient's hand. If this is an outpatient, your observations and questioning may lead you to conclude that the best solution is to have the patient lie down during the venipuncture procedure.
Remember that the patient can refuse a blood draw; the phlebotomist should respect that right.
