HandsOnTop

Social story topics

Social story: Having a blood test

A blood test asks a child to sit still, let a stranger tie a band tight around their arm, and accept a sharp scratch while looking away. It is quick, but the waiting and the not knowing make it enormous. For autistic and neurodivergent children, honest preparation is the difference between a hard minute and a lost morning.

This story tells the truth about each step, including that the scratch hurts for a moment and then stops, and gives the child a job: squeeze a hand, count, look at a picture. Read it several times beforehand and bring it along so the collector can follow the same words.

A sample story

Illustration from a sample social story about having a blood test: Close view of the character seated in the clinic chair, left arm resting flat on the armrest, right hand curled into a fist resting on their knee.

My Blood Test Today

  1. 1Today I go to a clinic for a blood test.
  2. 2The nurse uses a small needle to take a little bit of blood from my arm.
  3. 3The nurse knows the blood helps the doctor find out if my body is well.
  4. 4I squeeze my hand into a fist and take a slow breath out.
  5. 5The blood test is done, and I have a small bandaid on my arm.

A sample made with HandsOnTop. Yours is written for your student.

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Tips for using it

  • Tell the truth about the scratch; a surprise hurts more than an expected one.
  • Give the child a job during the test, such as squeezing a hand or counting to five.
  • Ask for a numbing cream or spray if the clinic offers one, and put it in the story.

Common questions

Should the story say it will hurt?

Yes, briefly and honestly: "It feels like a sharp scratch for a few seconds, then it stops." Children trust stories that turn out to be true.

Can I include numbing cream?

If the clinic uses it, yes. Describe the cream going on and the wait, so the extra step is not a surprise.

What if the first attempt does not work?

Add a page that says sometimes the collector needs to try the other arm, and that this is normal. Preparing for it stops it being the thing that tips the visit over.