Yenta -“however, i disagree on the butterfly usage.”
I will not fault you on your opinion because you are just a student. But it is incompetence to always use a butterfly, even though I know many do. One of my phlebotomy books states that you have to use pediatric tubes with the butterfly. (Noone does -not even me.) The problem with regular tubes is you can cause the vein to collapse and/or cause hemolysis. So if all they are drawing with -is the butterfly -this is incompetence. The purpose is for only in difficult situations. And if you do decide to only use butterflies and only ped tubes, even for adults, the lab will have a cow and you will be fired before you can say -“Hi, I’m the vampire.”
“i still think its better the tech can get it one shot and not get the pt annoyed she missed it on the first second or even third try w/ a needle & vacutainer.”
Sorry to say, most competent practioners (like me) can get it with one shot using the needle, on most pts.!