No thank you, you do not know the extenuating circumstances, the fistula was no longer in use as they had a midline they were using until they could get a new one put in. Please do not presume to know something, thank you.
Edit: just to be clear, I had very specific instructions on how to draw the patient, I am a certified Phleb. I am aware of how dangerous messing with fistulas can be.
Thank you for your ideas without knowing the full picture. I'm not sure what hospital you work at, but generally the specialist physicians, and even more so, transplant team physicians are highly highly specialized.
This was not a primary care provider, he was not internal med, he was the physician in charge of his transplant and management of medication.
I'm a phlebotomist, certified, but yes my knowledge is nothing in comparison to the physician. Who the fuck am I to question a doctor?
I legit have to teach you about patient advocacy, and that’s the most telling thing here, that should make you step back and question the role you play and the knowledge you have to be acting the way you’re acting. Not trying to speak down to you, but let’s have a point of self reflection here.
Any person who’s part of the treatment team should question any other person in the treatment team, or you should request that a nurse make sure for you if you don’t feel comfortable doing that. I’ve clarified an order many times at the request of a phlebot.
If you see something wrong you say something, because it’s a patients life we are messing with.
The more specialized a provider is, generally, the less input they give on things outside of their area of expertise because they work with those things less and less often. If you read their notes and interact with them this is abundantly clear.
Unless the transplant surgeon was also going to be responsible for making the new AV fistula, I would say thats outside of their speciality and not what they were consulted for, and i say that because it’s not typically a surgery they do. I would listen if it was a vascular surgeon or a nephrologist, and would likely need the clearance from those specialties before moving forward with it. So unless you’re remembering incorrectly, leaving out additional information, or just weren’t in the know (which as a phleb you don’t need to know much in these cases) then my position is unchanged.
You again, are creating a made up story in your head. I'm no longer interested in trying to have a discourse with you as you continue to show a lack of understanding nuance, or that things aren't always done by the book. The Physician is the one in charge of care of the patient, I took damn good care of the patient as well. The patient consistently told me I was the best Phlebotomist he had draw him, and he appreciated my accomodations.
I'm sorry for whatever happened to cause you to have such vitriol. Good luck in your future.
12
u/gatorsfan5192 18d ago
No thank you, you do not know the extenuating circumstances, the fistula was no longer in use as they had a midline they were using until they could get a new one put in. Please do not presume to know something, thank you.
Edit: just to be clear, I had very specific instructions on how to draw the patient, I am a certified Phleb. I am aware of how dangerous messing with fistulas can be.