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Needle sticks

Ever had a needle stick? :o

wtbcrna, MSN, DNP, CRNA

Specializes in Anesthesia.

Ever had a needle stick? :o

Had my first needle stick this last year. I was stuck by the ER doc while assisting with a procedure. The patient just happened to be HepC positive! It was very nerve raking. All my lab results have been negative, but it still makes me nervous when I am assisting with procedures.

clee1

Specializes in Hospice, Med/Surg, ICU, ER.

Countless times.... all pre patient contact, though. Thank God!

Yin Yang

Specializes in ER.

I'm not a nurse yet (I start school next week), but I spent 11 years in Veterinary Medicine and stuck myself more times than I could possibly count. We also don't use gloves like in human nursing, so I'm wondering how I'll do with 1) wearing gloves and not being able to feel things as well, and 2) keeping me from poking myself!! Keep your fingers crossed for me.

Kathy

GrnHonu99, RN

Specializes in Neuro, Critical Care.

2 and boy they were scary. Went through all the protocal and both times the patients were tested for HIV/HepC and were negative..whew!

AuntieRN

Specializes in Med/Surg.

Yup about my 3rd week of orientation as a new grad...it was prept though thank goodness...I had just drawn up the ativan and clicked the safety cap on the counter to close it like you are supposed to...went to remove the capped needle from the syringe and the needle went through the safety cap and into my thumb...that hurt like the dickens....

Hoozdo, ADN

Specializes in ICU, Research, Corrections.

Ever had a needle stick? :o

Funny you should ask, I was just researching this last night. I got stuck about 2 weeks ago. It was an ICU pt that was a really hard stick.....I tried twice and then got my supervisor to try. She got it, but didn't retract the needle into the safety device. I didn't notice she didn't retract it....who the heck leaves exposed needles laying there in the mess with used alcohol wipes and the rest of the mess to clean up?

I was cleaning up the mess with both hands, and BANG, it stuck me. :devil:

I asked what the policy was for needle sticks.....she said watch and wait :uhoh3:

We were quite busy so I didn't press the matter - probably should have. I didn't insist on testing the patient either - probably should have. Probably should have filed an incident report too.

cheshirecat

Specializes in midwifery, gen surgical, community.

Cannot believe your supervisor said watch and wait. You should go fill in a retrospective incident form and attend occupational health today. I believe your supervisor was trying to hide a needlestick injury because it was her

fault it occurred.

I work in the UK and am not familiar with the safety device you spoke about. Could anyone enlighten me please?

Hoozdo, ADN

Specializes in ICU, Research, Corrections.

Cannot believe your supervisor said watch and wait. You should go fill in a retrospective incident form and attend occupational health today. I believe your supervisor was trying to hide a needlestick injury because it was her

fault it occurred.

I work in the UK and am not familiar with the safety device you spoke about. Could anyone enlighten me please?

This was an 20 gauge IV needle. After inserting the plastic cannula into the vein, you withdraw the needle and advance a plastic hub over the needle end to PREVENT needle stick injuries. It requires little effort to cover the needle tip. I just couldn't believe she didn't do it!

yes, too many to count.

funny you should ask, i was just researching this last night. i got stuck about 2 weeks ago. it was an icu pt that was a really hard stick.....i tried twice and then got my supervisor to try. she got it, but didn't retract the needle into the safety device. i didn't notice she didn't retract it....who the heck leaves exposed needles laying there in the mess with used alcohol wipes and the rest of the mess to clean up?

i was cleaning up the mess with both hands, and bang, it stuck me. :devil:

i asked what the policy was for needle sticks.....she said watch and wait :uhoh3:

we were quite busy so i didn't press the matter - probably should have. i didn't insist on testing the patient either - probably should have. probably should have filed an incident report too.

i agree she probably didn't want an incident report done because the stick was her fault. i would definately write up an incident report and go see employee health to be checked out. i can't believe she said policy was to watch and wait.....unreal. :uhoh3:

________________________________

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:w00t: 2006 national champions!! :w00t:

Funny you should ask, I was just researching this last night. I got stuck about 2 weeks ago. It was an ICU pt that was a really hard stick.....I tried twice and then got my supervisor to try. She got it, but didn't retract the needle into the safety device. I didn't notice she didn't retract it....who the heck leaves exposed needles laying there in the mess with used alcohol wipes and the rest of the mess to clean up?

I was cleaning up the mess with both hands, and BANG, it stuck me. :devil:

I asked what the policy was for needle sticks.....she said watch and wait :uhoh3:

We were quite busy so I didn't press the matter - probably should have. I didn't insist on testing the patient either - probably should have. Probably should have filed an incident report too.

Report it NOW! Also if you are in a union shop I would report the issue to a steward.

GrnHonu99, RN

Specializes in Neuro, Critical Care.

I agree, report it, if nothing but for your own sanity. Have the pt tested.

My first stick was super scary, the pt. was a John Doe so we had no history on him. He couldnt speak or tell us either. We did an emergent consent signed by the docs and did a rapid HIV test (took an hour or so) and Hep C.

I'm pretty sure the protocol in your hospital is not watch and wait. We are supposed to report and follow up with employee health after going to the ER. I went and the doc said my sticks were "low risk", we still tested the pts.

Go above her if you have to.

P_RN, ADN, RN

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

I too say report it now using the needlestick protocol paperwork. Also make a separate report about being told not to follow protocol. Insist upon followup, even to the point of consulting an attorney if the facility balks.

ALSO don't clean up needle trash with your hands. Get several hemostats ($1 each at the flea market) and use them to pick up. Keep them clean and separate from anything that would touch a patient. I kept mine in a clear plastic bag I bought some pillowcases in.

GrnHonu99, RN

Specializes in Neuro, Critical Care.

I too say report it now using the needlestick protocol paperwork. Also make a separate report about being told not to follow protocol. Insist upon followup, even to the point of consulting an attorney if the facility balks.

ALSO don't clean up needle trash with your hands. Get several hemostats ($1 each at the flea market) and use them to pick up. Keep them clean and separate from anything that would touch a patient. I kept mine in a clear plastic bag I bought some pillowcases in.

Good idea! We actually have hemostats in our supply room!

RN 4 U

Specializes in none yet.

Funny you should ask, I was just researching this last night. I got stuck about 2 weeks ago. It was an ICU pt that was a really hard stick.....I tried twice and then got my supervisor to try. She got it, but didn't retract the needle into the safety device. I didn't notice she didn't retract it....who the heck leaves exposed needles laying there in the mess with used alcohol wipes and the rest of the mess to clean up?

I was cleaning up the mess with both hands, and BANG, it stuck me. :devil:

I asked what the policy was for needle sticks.....she said watch and wait :uhoh3:

We were quite busy so I didn't press the matter - probably should have. I didn't insist on testing the patient either - probably should have. Probably should have filed an incident report too.

I can't believe that your hospital has such a policy like that. That is unacceptable, needle sticks should be taken more serious, than watching and waiting. It is important to report needle sticks and test the patient from which the source of the needle came from for your health and to protect you as an employee. Should something come of this, really hope it doesn't, there is noway to prove in writing that is, that the incident ever happened. If something should happen and an employee contracts a disease from a needle stick the employer is responsible to the employee whether workers comp, health care, etc. I don't think it was very wise of you not to report such a serious matter. It might be a scary situtation but you have to for your own protection. Report it TODAY!

Try to use passive safety devices. I order BBraun Angiocaths and as soon as you pull them out of the vein it's shielded and can't stick you. At least if you get stuck it will be pre exposure with these devices.

BJLynn

Specializes in DD, Geriatrics, Neuro.

All of mine have been pre-patient. Mostly insulin. I think I've had about four.

angell58

Specializes in Gerontology, Hem-Onc, Palliative Care.

I've had a couple in my 30 some years, but the most terrifying one was drawing up some Stemetil for a young patient, glioblastoma, was working alone as colleagues attended inservice on unit, was interupted by someone, 3cc needle with 22 gauge flew out of my hand. Natural instinct was to "catch" the flying sharpie, tried to grasp the barrel and the 22 gauge smoothly projected itself through my hand between the thumb and first finger. Visually speaking, 22 gauge on one side of my hand and the barrel on the other side. I didn't faint, momentarily thought of a strange horror movie incident, calmly removed same (missed muscle and nerve) pitched the offensive needle, no bleeding, wiped area with alcohol, redrew dose and gave it IM to the patient. I did follow up with HIV/Hep testing and was negative even though wasn't patient contaminated. But it was frigging scary. More careful now especially when docs do procedures and leave sharpies on the trays. I call them back and tell them to do their cleanup.

nursemary9, BSN, RN

Specializes in Psych, Med/Surg, Home Health, Oncology.

Funny you should ask, I was just researching this last night. I got stuck about 2 weeks ago. It was an ICU pt that was a really hard stick.....I tried twice and then got my supervisor to try. She got it, but didn't retract the needle into the safety device. I didn't notice she didn't retract it....who the heck leaves exposed needles laying there in the mess with used alcohol wipes and the rest of the mess to clean up?

I was cleaning up the mess with both hands, and BANG, it stuck me. :devil:

I asked what the policy was for needle sticks.....she said watch and wait :uhoh3:

We were quite busy so I didn't press the matter - probably should have. I didn't insist on testing the patient either - probably should have. Probably should have filed an incident report too.

You need to write up an Employee Incident Report (Injury) Report NOW as

well as an Incident Report.

In the EIR, you report exactly what happened; in the IR, you need to write EXACTLY what she said to you.

This is NO joking matter in this day. You need to be tested as well as your pt. In my hospital after EVERY needlestick, this is done and you are offered medication prophylactically. I don't know which one off hand.

I have had a BUNCH of needlesticks in the old days & only 2 in the last 20 or so years--unfortunately, both those pt's were HIV+. talk about SCARED!!!

Well, no problems,but at the times, I thought it was the end of the world!!

The first stick was from an accucheck lancet & the 2nd was I was helping a resident get an IV in--VERY hard stick pt. He didn't retract the device & actually he is the one who stuck me with the needle!! he was SO upset!!

Well, they turned out OK, but all institutions should have a Policy.

Mary Ann

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