I work in a very busy trauma center and had a needle stick Monday morning at work. I walked into a patient's room and noticed a butterfly needle sitting on the bedside table with no vacutainer attached and thought it was odd since I remember throwing everything away after drawing his blood. Put on gloves and picked up the set and in the process somehow felt a small prick on the back of my hand between my thumb and my index finger . immediately I took of my gloves and noticed a tiny drop of blood. It appeared that the opposite end of the set where the adapter needle for the blood tube grazed my hand. Immediately I irrigated my hand in the sink and washes with soap and water. Went to go talk to the charge nurse and got distracted by a new patient who was very upset. After this, I totally lost my train of thought and forgot to report the incident until 2 days later when I was at home. I immediately freaked out because i know the patient is HIV positive. tHe next night at work I notified my anm and charge nurse and spoke with 2 of our ER drs. Both of them said to not worry since the chance of conversion is so low at 0.3 % with such a superficial injury. And that meds really might now be needed. I still went to employee health office this morning once they opened Though and she did all the testing for HIV and hep and all the needed paperwork. She convinced me it would be worth it to start the meds for more piece of mind and to follow up with infectious disease. Has anyone on here had a similar situation and started PEP later than 48 hours? I'm beating myself up so bad about this, its killing me!
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I work in a very busy trauma center and had a needle stick Monday morning at work. I walked into a patient's room and noticed a butterfly needle sitting on the bedside table with no vacutainer attached and thought it was odd since I remember throwing everything away after drawing his blood. Put on gloves and picked up the set and in the process somehow felt a small prick on the back of my hand between my thumb and my index finger . immediately I took of my gloves and noticed a tiny drop of blood. It appeared that the opposite end of the set where the adapter needle for the blood tube grazed my hand. Immediately I irrigated my hand in the sink and washes with soap and water. Went to go talk to the charge nurse and got distracted by a new patient who was very upset. After this, I totally lost my train of thought and forgot to report the incident until 2 days later when I was at home. I immediately freaked out because i know the patient is HIV positive. tHe next night at work I notified my anm and charge nurse and spoke with 2 of our ER drs. Both of them said to not worry since the chance of conversion is so low at 0.3 % with such a superficial injury. And that meds really might now be needed. I still went to employee health office this morning once they opened Though and she did all the testing for HIV and hep and all the needed paperwork. She convinced me it would be worth it to start the meds for more piece of mind and to follow up with infectious disease. Has anyone on here had a similar situation and started PEP later than 48 hours? I'm beating myself up so bad about this, its killing me!