Needlestick injuries during surgery
- 0Jun 4 by ruralgirl08If an OR staff member is injured during a case from a dirty hypo/blade/suture. When does the surgeon gain consent from the patient to test their bloodwork: before surgery, or after the exposure happens? What does your hospital do?
The reason I am asking is I think our current process is possibly old and outdated. PM me if you would prefer, Thanks!
- 0Jun 4 by peabozzlewhere I work, the charge nurse gets consent only if a needle stick happens. Our policy actually states that consent is not needed from the patient, but we always ask the family or significant other to sign a consent, as the patient is usually under effects of anesthesia at the point the needlestick happens. I am the charge nurse, and never have I had a family or patient give me any flak about drawing blood in a case like that. We always explain what we are testing for & why, and assure them that they won't be charged.
- 0Jun 5 by ruralgirl08Our current process is to have the surgeon as the patient/family in recovery. This has recently been a problem because the process has been challenged (a surgeon refusing to gain consent or give the order because "its not their problem".) As nurses can't give orders: it can put non-medical staff at risk. Is this covered right on your surgical consent, and addressed prior to every case? Like blood products, photography, ect?
- 0Jun 9 by TraumaORnurseOur consent for treatment has a specific section that asks for permission to test for HIV & hepatitis in the event of a needle stick. The patient initials "yes, I consent" or "no, I do not consent."
Waiting until after surgery doesn't seem appropriate. Anyone with a needle stick must report to employee health or the ER within 2 hours of the incident & are held there until the patient's rapid HIV comes back.