Published
One of the issues our instructor told us about is how some nurses are afraid to report needlesticks...if it's a patient that is considered "high risk" for HIV, then there is a supposed cocktail that a nurse can take that can drastically reduce the chances to just shy of zero, of an HIV transmission...but the side affects are supposedly horrific and last for 2 to 3 days.
I'm a student, so I don't know....I would probably be ok with taking my chances on a needlestick from a child (because this HIV status of a child should be known and parents will most likely not hide it) , but not a teen or an adult.
I read somewhere (no source to back it up) that HIV transmissions from a needlestick there is about a 1% chance of contracting HIV from that...now that's needlesticks....getting covered with blood or lanced by something in the OR may be different.
I reported my needle stick and they put me on combavair and i had no side effects. After all my lab works were complete me and the patient were clean.
Story made simple. I was drawing blood and the patient paniced and moved his arm and my thumb went into the vacutainer holder and it broke my skin.
I've reported every needlestick injury i have had. I've also been sliced with harmonic shears which hurt like hell.
Funnily enough, i'm doing a presentation on sharps injuries in the Operating Room next week. It's amazing how many alternatives there our on the market, yet our surgeons are quite resistant to change over to them, like safety scalpels. :uhoh21:
I have reported my dirty needle stick, but not the couple of sterile ones. Those darn insulin needles we had for some reason would go right through the cap (before we got the ones with the sleeve) and I stuck myself twice. Duh. I also once was dropping a needle before drawing anything up and out of reflex, went to go catch it (another duh!) and got stuck in the palm. Now, I just back up.. hands in the air... like I'm under arrest or something...lol
Clean sticks in the med room, no. Why should I? There's no risk to myself, other than my own stupidity or clumsiness.
Dirty sticks, only had one (malfunctioning safety device on a Lovenox syringe), and reported it right off. Drew my blood, the patient's blood, and had repeated follow up blood tests even though the patient was negative. This was company policy, as the negative test on the patient theoretically could always be a recently infected one and wasn't showing up in the blood yet.
ALWAYS report a dirty stick - your health is not something to fool around with in this day and age.
ChristyMNOP
63 Posts
And gotten tested? I'm just curious. Some people seem more complacent than others and I just wonder what more seasoned nurses do. For the record I've had two since becoming a nurse in August, one with urine (drawing up from a foley for a sample) and one with an insulin needle that went through the sq of a very thin patient.