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How will we get through this blood test?

11 replies

popgoestheweezel · 14/05/2012 20:20

After seeing the pead last week ds is having a multi disciplinary assessment for ASD. Part of this is taking ds to a drop in clinic at the hospital for blood tests.
We tried taking him last week, when we arrived they put anaesthetic cream on his arms and put plasters over them (ds very unhappy about both) and told us it would take half an hour to work. We sat down in the waiting area which was very busy and hot (perfect for children with sensory issues) and ds started to get quite agitated. I tried to distract him by reading to him and suggesting we go and buy some sweets at the shop but he was just getting more and more unhappy, crying and whinging, a meltdown was on the horizon. I asked the receptionist how long the wait would be and she told me two and a half hours!
Ridiculous. We decided to go home and try again another day, the receptionist said tues and weds were quieter and gave us some of the anaesthetic cream to apply beforehand.
As ds heard this, he got even more distressed just at the thought of having to come back to the hospital at all, we hadn't even broached the subject of the needle itself as (unlike most asd types) he copes better when things just happen, anticipation is torture for him. He cried in the car all the way home "never take me back to that horrible place ever, ever again"
So, now we know that he will begin a massive meltdown as soon as we drive in through the hospital gates. We have asked our GP surgery, explained the circumstances, but they say they do not do bloods on under 12s.
I have visions of us having to hold him down kicking, biting and screaming, and then visions of him never forgiving us and being hospital-phobic for the rest of his life- Help!!!

OP posts:
steelev48 · 14/05/2012 20:36

Is there another hospital not too far away that you could go to instead?

I have twin boys. One of them is much like you've described your son to be when it comes to blood tests, the other is ok with these things. They both had blood tests within a few weeks of each other but at different hospitals. One of them had to go back another day after being very brave and psyching himself up only to have to prepare himself again and ended up having his blood taken by someone who was extremely inexperienced, with nothing to freeze his arm and the needle was in for AGES! My other son had a spray on his arm which worked instantly, 2 nurses and a play specialist to distract him, in and out of the hospital within minutes - he didn't even notice when the needle went in. Two completely different experiences. It would have been a complete nightmare if it had been the other way around!

So a different hospital might make all the difference.

slacklucy · 14/05/2012 20:49

my paed made an appoint with the hospital phlebotamist on the childrens ward, so we turned up, cream was applied we were left to it in the childrens playroom then she came back with a playworker & a nurse, we all sat on the floor & in the end he volunteered his arm... they were amazing.
This followed a blood test a couple of months earlier when we had to pin him to the bed & he ended up needing Oxygen as he was so distressed.

StarshitTerrorise · 14/05/2012 20:53

Ditch the cream. Have someone hold his place in the queue and do it at a different venue.

The cream thing just dramatises the whole thing of my kids and the whole Puting it on, sticking on cling film plaster, apprehension regarding wierd creamy plaster, thn ripping off plaster and sticking needle in is just TOO much.

moosemama · 14/05/2012 20:54

That sounds awful. At our hospital, which is generally pretty hopeless with most things paediatric, they take children straight in ahead of the queue. It's a 'take a ticket' set-up, but with children you just knock on the door and get called in as soon as they have someone free.

I always ring ahead with ds1 as well and let them know I will be there in half an hour and he has ASD etc. They've always been great with him and the head phlebotomist always does his blood tests, because she's the most experienced and therefore quicker and less painful.

I wonder if it's worth ringing and asking to speak to the head phlebotomist. You should also be able to request a play-worker to be there. They are trained in helping children through all sorts of medical tests and can be a really big help.

I'd definitely phone up the phlebotomy department in the first instance and if they can't/won't help, call your hospitals Patient Liaison people (PALs) and ask them to get involved.

Ask about the spray steelev48 mentioned as well. One of my dcs had that in hospital and it does work straight away, no need for emla cream and plasters or cling-film etc.

StarshitTerrorise · 14/05/2012 20:55

Oh and yeah, freeze spray can be an alternative but my kids need neither.

Ds 5 (ASD) and dd 3. What they need is matter of fact no nonsense.

moosemama · 14/05/2012 20:55

Cross posted with everyone as usual. Blush

popgoestheweezel · 14/05/2012 22:31

The cream definitely dramatises the whole thing, again, esp for those with sensory issues. It was made worse by the nurse very sternly warning that if it started itching it had to be washed off straight away. Cue ds crying 'it's itching mummy, its itching me!' dd then panicking 'It must be washed off right now mummy! The nurse said so!'.
The excruciating cries of pain when we (as gently as possible) took the two plasters off made me wonder what on earth his reaction might be to the needle going in!

OP posts:
moosemama · 15/05/2012 10:10

For future reference, you can buy a product from the chemist that you put onto the back of plasters before you pull them off and apparently it stops it hurting. I think it must dissolve the glue or something.

Boots sell it Plaster Removal Spray.

Catsdontcare · 15/05/2012 10:15

I agree with ditching the cream they used freeze spray on ds. They were excellent at our hospital had it down to a fine art! I sat on the bed with ds between my legs and one nurse had a toy and was talking to him, whilst I held him, the second nurse held a book up over his arm and the third took his blood. Yes he did cry but it was done very quickly. He was more upset by the plaster afterwards than anything.

Catsdontcare · 15/05/2012 10:16

Sending a theme with plasters here!

2old2beamum · 15/05/2012 12:09

Agree with starshit bloods need to be taken,fact of life, end of. DD when 3 insisted in going in on her own and was fine.
BTW I find "magic cream" and freeze spray scare the veins awayConfused

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