Needlestick Injury d/t careless error. Seriously rethinking if I'm cut out for this.

Nursing Students General Students

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In clinical, I had two injections to give to a patient: insulin and Lovenox. The insulin went at first, but after injecting I went to recap the needle (for what reason, I don't know). Caught my mistake and quickly pushed up the safety cap. Already nervous that I had made such an egregious error in front of my professor, I went to prepare and inject the Lovenox. The only available needle was 1-inch (although I'm used to half-inch or 3/4-inch for SubQ injections), so I had to insert the needle half-way and at a 45 degree angle. As I pulled out the needle with my right hand, I hesitated and made a motion to recap (WHY!!??), sticking myself in the left hand. I went to the ED and through the appropriate processes. The patient has no hx of Hep B and C or HIV (thank God). I've given injections before and never has it crossed my mind to recap a dirty needle, let alone twice! I've practiced injections in lab, but because we don't have enough needles to continuously throw away, I've been recapping the needle after practicing the injection (and perhaps picking up the bad habit of recapping a dirty needle). I'm in my last semester and cannot believe I made this mistake. It has shook my confidence in becoming a competent nurse. Is this a sign that I just don't have what it takes? To make such a simple and important error seems inexcusable.

Specializes in hospice.

Habit is SO powerful. People underestimate it until they have an experience that teaches them otherwise. Try to figure out how to practice without immediately recapping the needle during your process and retrain yourself.

AGE87 and mrsboots87 gave some good suggestions.

And yes, we've all screwed up somehow. And we all will again.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
If any nurse ever tells you they have never made a mistake, they are lying. Hang in there. It happens to us all.
Amen!

Stop panicking because it will cause you to make mistakes. Set up everything carefully. Work slowly running through every step as you give the injection. Put he dirty syringe down and think of the next steps, then proceed. Eventually the steps will become habit. Good luck!

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