HIV+

Nurses General Nursing

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Hi, im a single 31yr old OR nurse. About 8 months ago, I was stuck in a substerile room with a 18g hollow core needle. Someone had left it at the sink and I did not notice it. It was laying on a towel with some instruments and I was putting them away and It stuck me. Like an idiot, I did not think anything of it. I left the hospital and the next day a co-worker asked me if I went to the ER. I told her I had worked over 2 hours and really, I forgot. It was such a busy night. The hospital's employee health said there was nothing they could do. They wouoldn't even do a courtesy test. I called the local health dept. and scheduled a test in Oct 2000. It came back negative. For the next 6 months I was worried, but just knew everything would be allright. In Feb 2001, I had my 6 months test. It was negative and I was overjoyed. I recently started traveling nursing in the OR. Last Thursday, I was stuck with a suture the surgeon was using to close the peritoneum. This time I went to the ER and sat 3 hours for a preliminary test. I was told to follow up with Employee Health on Tuesady of this week. Tuesday, I was told that I could not be seen because I was not an employee of the hospital.I asked of my test results on Thursday and about the patient's and was told they knew nothing about it. Today after work, I walk in the door and the phone is ringing. Its the ER physician I saw last week. He told me my test came back positive. I didn't believe him. I mean, I just was tested in Feb and told him the results were negative. He told me to have the Western Blot test because sometimes, but in a minute cases, there is a false positive. I am so scarred. What will become on my career?? Can I be terminated?? How do I tell my family? I can't stop crying. My mind is so confused. I can't remember treatment options. My life is over. Please someone just help. I have prayed for hours and I feel numb. I'm scarred, confused, and I just don't know what to do. RH

I feel for anyone that this happends to. We all know this is reality. I am also a travler and before I decide to choose a site I always make sure all injuries are covered by the hospital +/or my company. The hospital I was at previously was in Fort Pierce FL, which is the highest Aids:resident ratio. It was not a strange night for me to have 4-5 HIV+ pt. This hospital did have the rx to prevent HIV in case of blood to blood contact. If you got stuck or splashed you immediatley went to the ED and recieved medication you had to take for 2 wks in order to prevent the virus from binding to your cells. Which according to the research has a high chance of success. This option was available to anyone working in the facility. They never tested the pt it was just automatic. This did give my husband and myself a secure feeling.

You do however need to contact a lawyer, there is no reason you should have been blown off by the hospital, this is unappropriate. If the hospital doesn't protect you your agency should. In actuality your agency should'n do business with that hospital.

Remember this is not the end of your life, people are living a full life with the proper care. An older friend of mine has been HIV+ for 23 years and has been "full blown" AIDS for 10 of that. He just recently went for his physical and blood work up, all of his labs came back normal. Except for the 1 positive saying he carries the vires he is in remission. He isn't rich, just follows the regiem,eats well, and exercises. He still goes out and has a great time with friends, sometimes parties abit too hard for me, but he is happy.

Do your research that got you your degree, find a good doc, and try to get the hospital to pay for your expenses.

Good luck, my heart is with you.

Specializes in Research,Peds,Neuro,Psych,.

I am responding to the post from "hangininthere". First of all, AIDS is something that is diagnosed after a person has had HIV for several years. OR RN could not have had AIDS. And I hate to sound pessimistic, but HIV and AIDS cannot be cured at this time. THERE IS NO CURE FOR HIV AND AIDS. Praying is wonderful, and I love God, but only medication and good health practices can keep this virus at bay. We have had some patients come to our clinic on death's door because they were told by religious leaders that God would "take care of them". Once they started taking meds regularly, they eventually began live full lives, just like person described in the post before me. God made skilled and knowlegeable people who became doctors--and that is the only miracle here.

There are MANY instances when HIV tests have resulted positive initially, and then found to be negative. Sometimes when people have a virus living in their body (ANY virus) it CAN cause the test for HIV to be a false positive. All nurses should take the time to educate themselves about the facts of HIV and AIDS.

Originally posted by BeachNurse:

I am responding to the post from "hangininthere". First of all, AIDS is something that is diagnosed after a person has had HIV for several years. OR RN could not have had AIDS. And I hate to sound pessimistic, but HIV and AIDS cannot be cured at this time. THERE IS NO CURE FOR HIV AND AIDS. Praying is wonderful, and I love God, but only medication and good health practices can keep this virus at bay. We have had some patients come to our clinic on death's door because they were told by religious leaders that God would "take care of them". Once they started taking meds regularly, they eventually began live full lives, just like person described in the post before me. God made skilled and knowlegeable people who became doctors--and that is the only miracle here.

There are MANY instances when HIV tests have resulted positive initially, and then found to be negative. Sometimes when people have a virus living in their body (ANY virus) it CAN cause the test for HIV to be a false positive. All nurses should take the time to educate themselves about the facts of HIV and AIDS.

Thank You for your most HUMBLE input!!! We would have never known any of this had you not informed us. We are forever indebted to you for sharing your "WEALTH of KNOWLEDGE"!!! With talent such as yours, Why are you not a ROCKET SCIENTIST or a BRAIN SURGEON!!! Instead, you waste your time and talent being a DORK!!! GOOD DAY!!!

Specializes in Research,Peds,Neuro,Psych,.

Wow, you are really offended. I work with the National Institutes of Health and AIDS research, and yes, I do feel like I am knowlegeable. There is much ignorance on this topic, and I would not be a good nurse if I did not educate. Your anger does not deter me from my cause.

[ June 16, 2001: Message edited by: BeachNurse ]

Specializes in Pediatric Rehabilitation.

"Originally posted by BeachNurse:

I am responding to the post from "hangininthere". First of all, AIDS is something that is diagnosed after a person has had HIV for several years. OR RN could not have had AIDS. And I hate to sound pessimistic, but HIV and AIDS cannot be cured at this time. THERE IS NO CURE FOR HIV AND AIDS"

uh beachnurse, i'm no rocket scientist..nor do I claim to be a spokesperson for infection control, but last time I checked, AIDS was not diagnosed in terms of years with HIV, but rather in terms of lab values.

As for being offended, I don't think anyone intended to imply there is a cure for HIV/AIDS. I think credit was given to God, because He DOES have the cure!

The last few posts on this subject are so silly- They seem to stem from the fact that someone made a comment about their believe system. Where I come from it is refered to as a "coping mechanism". When a pt refers to a spiritual matter,we are to foster, support and listen.

The problem appears to be, in this case, that a nurse made a comment that was not true factually........and beach had every right to set the record straight.

So many people do not understand HIV and AIDS, and yes, they are two different processes. The more education on this matter, the better. By the way, the viral load from a needle stick is very low for HIV, and therefore the chances of developing the actual disease are low, however, HEP B is another story. If you haven't got your HEP B shots- get them. THe chances of getting HEP B from a needle stick are much higher than HIV.

I don't get Level2Trauma's response either. What's your point? Snarling sarcasm isn't a very flattering quality; indeed it's the internet equivalent of 12-year olds making prank phone calls in the middle of the night, then giggling about it.

My father died of aids 8 years ago at the age of 67. He treated his illness as agressivly as he could at the time and still had many "bad times" without his belief in God his life would have been shorter and the "bad times" worse.

I just want to let you know I was reading your posts and all of the other posts on all the advice and I was in tears and praying for you the whole time I was reading the posts. Then I got to the last post and you replied saying you had an answer to your prayers. I cried. God is wonderful and has a reason for everything. He has blessed you and also your family.

Take care.

First, I want to thank everyone for their support, prayers and advice. I had a 6 week blood test recently and again, the ELISA came back positive, but this time, the Western Blot came back inconclusive. I was asked to provide another blood sample and missed the phone call today, but the results are in and tomorrow I find out. For 3 weeks I have imagined the worst, prayed to stop worrying and tried to be positive, but tonight, I sit here afraid. I feel that this test will come back positive. I must admit that when HIV was being discussed in nursing school, it was not my top priority. I was more concerned with cardiac and pulmonary topics than HIV. actually, I'm ashamed to say that my knowledge of HIV is poor. I have recently been searching out info on the net to better prepare myself. Tomorrow I will have to call my parents and tell them the results. They have been praying and worrying with me. Being 4, 000 miles away has really made me depend on GOD. He has comforted me and I feel is preparing me for the bad news. I'm not sure of my future work plans. I know that I will no longer travel, and I've been offered a first assisiting job back in TN and with the news of me being infected, I will have to turn it down. I will no longer be able to scrub. I love scrubbing. It has kept me happy, upbeat and I've enjoyed going to work everyday. This will be such a change. I know I'm rattling on, but I'm rather nervous. I will post the test results tomorrow. Until then, Thanks again. God Bless. Rex

Keep us all updated, please, you are in our prayers.

Brandy

Specializes in Research,Peds,Neuro,Psych,.

OR-RN, I am praying for you, too. I hope that your results will bring you good news. However, if you do get bad news, please please begin treatment immediately. The new HIV medications that are available are AMAZING. Being HIV positive does NOT mean you have to develop AIDS!!! This is an important concept to remember, because early treatment is best.

The medications can slow the virus down from replicating. Many people have had viral loads (counts) up to nearly a million, then become undetectable with good adherence to meds.

If your results are positive, it will be utterly devastating to you, for sure. But please do not feel hopeless...with proper care you can lead a very normal (and even healthy) life. Let your faith make you even stronger, but don't ignore the medical treatments that can help save your life.

Take care and all my best wishes to you!

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