Needlestick injury from hiv+ pt

  1. Hi all - My daughter is a new RN (<1 year), and I just wanted to share her experience with an hiv+ pt and a needstick injury she received - and her good outcome (Thank God)!! I was part of the anxiety, stress, worry that she has gone through for the past 6 + months, so thought I would share what she and I learned throughout this process, and hopefully help others that have encountered this. She works on a med surg floor, and was floated to another floor, because the PCA could not get a good blood draw from her pt., so she went up to help her out. My daughter got a successful blood draw, with a butterfly needle, from hiv+ pt; when she went to discard needle into the sharps box, the PCA, who was unable to get enough blood, did not discard her needle fully into the sharps box; so when my daughter disposed of hers, her pointer finger pricked the secondary needle (not the needle directly inserted into the woman's vein). It drew a fair amount of blood. She immediately went to her charge nurse, and then to the ER. They gave her a baseline HIV test, and then administered Truvada and Isentress, which had to be taken for 1 month, at the same time each day for it to be effective. She was tested again at 1 month, then again at 4 months, then at 6 months. She works nights, and when I received that phone call @ 5 am telling me she was in the ER with her husband of 1 month, ugh-----it was HORRIFYING!!! Through our research, we found that treatment should begin within 2 hours of the injury - so don't wait, and don't feel like you're bothering anyone- it's your health and life! You have a right to know the viral load of the pt. - determining risk factor. Take all of your medicine, no matter how badly it makes you feel!(short term thing). And lots of prayers We are so thankful that she is fine, and she learned a good lesson from this - you can never be too careful!!
  2. Poll: have you been stuck with an hiv+ needle

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  3. Visit Lmwood0425 profile page

    About Lmwood0425

    Joined: Feb '18; Posts: 1; Likes: 9
    Specialty: 1 year(s) of experience

    7 Comments

  4. by   mwilsbsn
    Glad your daughter is well!
  5. by   Leader25
    Thank you for sharing,this might save someones life one day.It is really scary and many of us have been in her shoes.
  6. by   Leader25
    The pca should have been written up for improper disposal and endangering others and reported to CDC.
  7. by   Emergent
    I was stuck by a Hep C pt needlestick, so very much know the anxiety your daughter went through. That wait is stressful!
  8. by   inthecosmos
    I am glad she is safe!
  9. by   peripateticRN
    Quote from Leader25
    The pca should have been written up for improper disposal and endangering others and reported to CDC.
    Why does every incident have too be so punitive? Do you think that this PCA doesn't feel like absolute garbage about this and will ensure they never repeat the action? If they were cavalier about the incident that would be one thing .. but come on.
  10. by   NurseCard
    Quote from peripateticRN
    Why does every incident have too be so punitive? Do you think that this PCA doesn't feel like absolute garbage about this and will ensure they never repeat the action? If they were cavalier about the incident that would be one thing .. but come on.
    Agreed. Sounds like the PCA disposed of the needle properly, it just didn't go
    all the way down into the sharps container. Container probably too full. Not
    necessarily the PCA's fault.
  11. by   iluvivt
    What really bothers me is that where I work a company comes in and they only change the sharps containers once a week. During the week the nurses are supposed to call housekeeping when the sharps container reaches the fill level which has a very large area for a safety zone. They never do it though and just pass the fill line and often sharps are spilling out! I use sharps containers all over the hospital and I see it everywhere. I call housekeeping then take 2 inch silk tape and seal it off since I can't stay and wait. I have learned to look at the fill line and peek into the drop hole to make sure nothing is sticking out. I bet that sharps was overfilled and the needle was poking out. You are being lazy if you see a sharps past the fill line and do not call for a change...no excuses..we are all busy!

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