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Discussion

Poked self

So, tonight I was to give someone insulin with an insulin pen and accidentally pushed the button without injecting him. I put a new UNUSED needle in the pen and then accdentally poked my self with the needle. The guy has hep c. Should I be this upset and paranoid about it? I'm freaking!!!!

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  • Admin

Did you follow your facility's policy and procedure for needlesticks? Let that and the decision from occupational health tell you what you need to know.

You poked yourself with an unused needle? Nothing to worry about.

I would think that if the insulin was a used pen, it is considered contaminated, even if the needle is fresh. I would tell your immediate supervisor so your protocol for needle sticks can be followed.

The needle wasn't used. You should be fine, barring any h4x0z (ie needle manufacturer poking a hep c / HIV positive person, then sealing the needle and putting it out for distribution)

Needlestick policies are in place for employer liability and don't correctly reflect the risk for transmissible disease.

Was the insulin pen previously used? If yes, then I agree with mrsjonesRN that the device is considered contaminated.

I was taught at my facility the pen is considered contaminated because "patient tissue" can flow back up into the actual pen once the needle is used to administer insulin to a patient. Our facility had an issue with this before because someone accidentally used a insulin pen for one patient on another patient, therefore an email was sent out saying to double check the pen and make sure it is actually the patient's.

A new needle on a used insulin pen is still considered to be contaminated or a "dirty" stick. You need to notify your supervisor ASAP and follow your facility's post exp. policy.

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