Second needlestick in 2 weeks

It's hard to believe that it has been almost a year since these incidents happened, and I have learned to be much more careful with every needle I work with, though I still have much to learn. No more of these incidents, but I did have something happen a few days ago....

I was taking care of my first HIV+ patient, who I found out later also has chronic hep C and, at least at one point, hep b (what are the chances). I was being as careful as I could with her, and was even wearing gloves for something as benign as vital signs. As it happens, she also had over an inch long fingernails (surely fake). When I was performing care, she accidentally gouged her fingernail into my hand, and caused an abrasion, at least removing the epidermis. I wasn't thinking clearly at the time to try and bleed the wound, so I can't say with certainty whether it reached the bloodstream. I washed it very thoroughly. I did not report it since I figured it would just be considered a joke, and wasn't certain it had reached my blood anyways.

Not much chance of HIV transmission, unless she had been pulling an Elizabeth Bathory in a tub of her own blood before I came in the room, so I probably wouldn't have done the HIV PEP. I wished I had reported it so I could follow the Hep C--in this do you think I could get away with reporting it days later? I do feel that God has protected me from this like He did with the earlier incidents, but it's the fear of not knowing as well. Should I have taken the PEP, or would any of you?

On another note, what might some of you feel about not knowing your pt's status for these conditions? If I didn't know about the HIV, I wouldn't have been wearing gloves for her VS, most likely. I sure wish I had known to be more cautious of fingernails, especially when they aren't intentionally trying to scratch you!