First Rotation: Phlebotomy Section

Our Internship Training Program started last November 5, 2012 and my first section was Phlebotomy. I really don't have any intentions of blurting my internship in this page but since we need to submit a narrative report after each rotation, I gotta blog about it. I can't find the best concentration in the world at the moment because I really want to rest. I already drank a cup of coffee even though I am not allowed because of my PUD just to keep me awake.

Phlebotomy was the most exhausting section because you get to be the part time receptionist in the OPD, the encoder or the one who checks in the samples, the one who'll release the results and the one who'll extract blood during the warding. The first day was fine because I was only asked to observe on how they run the system through printing the worklist, righting the results before distributing it to the stations in the hospitals and the floors where I need to go. I met my RMTs who'll supervise my work and will help me all through out the section. 

On the second day was the start of real job. My RMT was Ate DAM. Well, not really her real name but it was her initials that you'll type in the "Draw Tech" if she is the one who extracted the blood. She was a very jolly person and I was very comfortable with her. I was with her for three days, from Monday to Wednesday at 7am to 4pm. At 4pm, it was Ate Shane's shift so I got to go with her during the warding at that time. The warding is every two hours, so I have to right the results and print the worklist fifiteen minutes before the time and in checking in the sample, it should always be militaty time. I observed that they have different styles from arranging the slides, speaking to the patient to the technique of extracting blood. Both of them let me extract blood through finger puncture and venipuncture. Ate Shane taught me her own way of finger puncture were you have to steady your forefinger and middle finger under the first fold of your patient's finger. This is to avoid the mess that you'll possibly commit. Next is that you have to gently massage your patient's finger and squeeze on the tip until a blood comes out. I was able to do her technique successfully. When I was with Ate DAM, I don't have to prepare the slides, the pricker, cottons and the spreader for her but with Ate Shane, I have to be aggressive in preparing them to minimize the time wasted.

On thursday, Ate DAM was off, so I have to to go with Sir A or Sir Allan during warding time. He has also another different style in training an intern. He'll ask you to go ahead on the room or ward where you have to extract blood and he'll say that he will just follow. At first, it freaked me out because I wasn't really confident on my moves but because of how he trained me, I was able to boost up my self esteem. I get to walk with confidence inside the ward and say the family name out loud. I wasn't really a people person but now, I have already coped up my weaknesses. Sir Allan refreshed my memory on the things about order of draw which Red Tab first, then Blue Tab, then Yellow Tab and then the Purple Tab. But when you extract blood through syringe, the order is Purple Tab, Blue Tab and then Yellow Tab. Another Sir Allan has taught me is that I need to listen to my confidence on inserting the needle and not to listen on the patient's where he or she wanted to be because in the end it is their blood that is needed to get them well.

Aside from Sir Allan, I also went warding with Miss  Nurse. Honestly, I forgot to ask her name because I just call her Ate or Ma'am. I know it is informal but they influenced me in calling them Ma'am because the bonding you get to see in the OPD section is like a family. She was like Ate DAM but a bit more strict. I named her Miss Nurse because she wears the scrub suit of a nurse and she is also indeed a nurse. She taught me another technique of finger puncture which is an opposit of Ate Shane's. Her technique was to squeeze the tip of the finger on the "under" part because we have more tissues in there, so that there would be more blood to come out. With Miss Nurse and Ate DAM, I was able to witness how to do the newborn screening which you have to puncture at the heel of the baby. Unfortunately, I wasn't able to perform it because they were so delicate and they need the most cautious puncturing on their heel. I have noticed that the flow of blood on the heel is slow so you have to squeeze it more tightly but gently in order for the blood to come out.

The last RMT that I went on warding with was Ate Illinor where she made me did most of the extractions of blood which I believe it was a good part of my training. More boost up self confidence and for the first time, I was able to extract blood from the vein near the ankle. I was also able to do finger puncture at the toes of patients because it is not allowed to extract blood on the arms when both of it has IV lining. 

Even though Phlebotomy is an exhausting section, it will be always the most enjoying section because you get to encounter different kind of people inside the hospital. If I would get a chance to apply for a job in their laboratory, I would take the job of a Phelobotomist who will do the warding. The RMTs who were with em for the past few days inspired me in my dreams in helping the little kids and the other people.