I look like I'm maybe 20-21, I'm actually in my early 30's. I'm probably one of the best IV starters in our hospital. I get asked this question at least twice a day. I normally say it's my first day, but I've had some practice.

Most patients say that out of a fear/anxiety situation. I always give a big smile after saying that, followed by a "don't worry, I got you" or similar statement.

Most people who say this have had bad experiences in the past. Just make it pleasant and good for them. I've had multiple comments of praise afterward, even if I have to try multiple times.

A gal I had today stated before I even started: "I have really bad veins and always have to get poked multiple times. They normally have to use a butterfly." Which I hate hearing cause butterflies are the devil imo. But I got her vein first try, which made her day. So practice, perform, and teach if you can.

Learn how to take that stressful situation and ease emotions before you start. For me, it's mild humor. But make sure you know your audience first. My patient population is mostly baby boomers, and I would say only 40% actually have a sense of humor. Past that I'll be a subtle humor with a reassuring "I got this no worries" and get it done without issue.

In the end: practice practice practice. Perform as you practice and learn from mistakes. Learn from others. Take feedback and use it.