Needle Stick! OMG! - page 2

:eek: Yes, I have done the of all folks.......OB/employee health nurse. How could this happen to me? I was helping out of the floor. Went to give IV meds, and No i really... Read More

  1. by   NurseDianne
    Originally posted by deespoohbear
    After I went through the protocols for a needle stick, I would have contacted OSHA and reported your facility for being in violation of federal law that mandates needleless systems for all facilities, effective April 2001, . Next I would be notifying the hospital administration that OSHA has been contacted and if for some reason you contract HIV, you are going to slap them with the biggest lawsuit south of the Mason-Dixon Line.....your facility has acted negligently and violated federal law....they should be in deep doo-doo...
    And then what? Hit the unemployement line? As I have said before, I live in BFE..........everyone knows when you roll over in your sleep here. Nothing would be "anomious".......and money.....LOL......they can't even pay the bills these days.......having "another" merger at the end of the month..........3rd takeover in as many years.........
    Last edit by NurseDianne on Jan 20, '03
  2. by   deespoohbear
    Well, if it came down to my personal health and safety I would consider it. Your facility is definitely in violation of federal law...As the employee health nurse I would think that you would be a safety advocate for your fellow employees....Don't you have to keep a needlestick log? I know our employee health nurse does, and needlesticks anymore require a lot of documentation and follow-up...she hates needlesticks...

    I guess it is up to you whether you want to continue to work in a facility that doesn't care for your safety and well being, and the safety and well-being of their patients....
    From birth to death
    If I got stuck with a used needle from Mother Thereasa I would take the precautions:
    I met a 84 yr old woman that shot up , she looked like everyones grandma that would bake you cookies and knit you a sweater but the woman was eat up with Hep C.
    Think ahead ..... Not assume.
  4. by   2banurse
    What is the incidence of someone getting a needlestick getting HIV or HepC if the patient is positive for either or both? Also, in the nursing program, are you trained with both needle and needleless injections?

  5. by   Tweety
    I would do what Nurseweasel did. Test the patient. Not take the meds. I have a bad liver already.
  6. by   Nurse Ratched
    I might add that in our facility, it's not a matter of "asking" the doctor to run blood tests. Hepatitis screening is standard protocol on source patients for needle sticks, as is attempting to obtain an HIV consent for that testing. We are not legally allowed to test for HIV without that signed consent.

    I, too, am horrified that there are no needleless systems in place there. When was the last time JCAHO came through? Are they due soon? You can request a meeting with inspectors to report concerns. Granted, altho you are protected by whistleblower laws, you are risking your job, but I'd be inclined to at least mention this to my coworkers. They should ALL be outraged.
  7. by   maureeno
    I've stuck myself twice. Once almost 20 years ago and once 2 years ago. The horror and near shame I felt was substantial. In many many ways I wanted to just deny and forget the whole thing. In the first incident the patient refused testing which was his right at the time. In the recent event the patient was positive for Hep C but I never converted. I really appreciated the help and support of the employee health nurse. I wonder though how many sticks go unreported.
  8. by   NurseDianne
    NEWS UPDATE! My HIV and Hep B came back clear......this time.......will sweat it for the next time huh? My Hep. C is not back yet.
    As far as JACHO......yeah, they've been here.......will be back soon I'm sure........I don't know what our policy is on the "needleless system". I know we had them for a while.......then they were gone!
    I am the employee health nurse, but.......I don't take care of the needlesticks........don't ask........I don't know........someone else handles that........screwed up system.
    Will check into everything ya'll have suggested. Thanks alot guys.....your input helps......
  9. by   SmilingBluEyes
    I wish you luck Dianne. What a frightening ordeal you went thru. I feel for you. I am glad our hospitals are ALL needleless here, for this very important reason alone. Take care and keep us updated, please!
  10. by   CraftyLPN
    I have had a needle stick too...but get this guys...THE NEEDLE HAD PUNCTURED THE SIDE OF THE SHARPS CONTAINER..OK you see we have these sharps containers in our med carts and After giving an insulin shot... I thought I would do my good deed for the day and change it...never thought I would get stuck...An IM needle was sticking out the side as large as you please after the fact... OH MAN>>THE DON WAS HOT!!!!!
    We also have the safety feaure sheath on them..pull up and twist...there should have been no reason for that to be sticking out like that...
    Since we didn't know the source I have to be tested every 3 monhs..and so on and so a tetanus...
    It was just plain laziness on someone's part..I am should have seen the sharps cont...the needles and syringes were packed and shoved in there...there is NO reason for that...and alot of the needles we saw did not even have the proctective sheath pulled up!!!!!!!!!!!!
  11. by   deespoohbear
    Originally posted by teddybear433183
    It was just plain laziness on someone's part..I am should have seen the sharps cont...the needles and syringes were packed and shoved in there...there is NO reason for that...and alot of the needles we saw did not even have the proctective sheath pulled up!!!!!!!!!!!!
    That is just plain laziness on someone's part....One of my pet peeves is full sharps containers...if the thing is full, change it for crying out loud. A task that takes 30 seconds could save someone a lot of heartache and anguish, and maybe save their lives.....
  12. by   bravegirlamy
    age does not make a difference when it comes to HIV. I have cared for many older women with HIV....usually their husbands gave it to them d/t wandering ways. I would recommend her be tested.
  13. by   louloubell1
    Somewhere up there I think I saw that you were wondering what the odds are re: needle sticks & various infectious diseases. I copied this info for you from a website I made on universal precautions in the tattooing & body piercing setting when I was in nursing school:

    If you are stuck with a needle contaminated with HIV, your chances of becoming infected with the virus are 1 in 300...

    Get stuck by a needle contaminated with Hepatitis B (HBV) & you have even greater risk of infection. Up to 4 of every 25 of these needle stick injuries will lead to infection in people who have not been vaccinated against Hepatitis B.

    Hepatitis C (HCV) is another of those notorious viruses. Needle sticks contaminated with HCV have an infection risk as high as 3 in 50.

    Metules, T. and Ventura, M. (2001). A nurse's guide to the new needlestick law. RN, 64, (10). p.1-4 and 10-12.