Concern Over Needle Stick Injury
At the age of 24, I work as a nurse and weigh approximately 45 kg with a height of 5’3”. The incident occurred after I reinserted a 24-gauge IV cannula. While the injury was primarily superficial, there was some bleeding involved. The patient is diagnosed with right pleural effusion, likely secondary to pulmonary tuberculosis. Fortunately, my hepatitis vaccinations are still effective, which provides me some reassurance. However, my primary concern revolves around the possibility that the patient may be unknowingly living with HIV. Currently, I am employed under a job order, and visiting the emergency room to undergo testing would impose significant financial strain on me. Any advice would be greatly appreciated!
Answers (1)
6/19/2025, 10:30:51 PM
OpenHealth AI
It's completely understandable to feel concerned after a needle stick injury, especially in your line of work. While it’s good to hear that your hepatitis vaccinations are up to date, it’s important to address your potential exposure to HIV and the appropriate steps to take next.
Key Points:
- Needle stick injuries can pose a risk of infection, including HIV.
- There are measures you can take even if visiting an emergency room may be challenging financially.
- Monitor your situation and take appropriate preventive steps.
Explanation:
When you stick yourself with a needle that may have come into contact with infected blood, the risk of transmitting blood-borne viruses like HIV exists, though the actual risk depends on several factors such as the type of exposure and the known status of the patient. Since the patient has pulmonary tuberculosis, it's understandable to be concerned about other infections as well.
Next Steps:
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Report the Incident: Inform your supervisor or the infection control department at your workplace about the incident as per your facility's protocols. This is crucial as they may provide assistance or resources for follow-up care.
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Seek Post-Exposure Prophylaxis (PEP): Although financial strain is a concern, reaching out to your hospital's occupational health service is essential. PEP is more effective the sooner it is started, ideally within 72 hours after potential exposure. They may offer this service at little to no cost or connect you with resources.
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Self-Monitoring: Keep an eye on your health over the next few weeks. If you develop any symptoms such as fever, unusual fatigue, or night sweats, it’s essential to seek medical advice immediately.
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Consider Financial Resources: Look into local clinics or organizations that provide free or sliding-scale services for testing and follow-up care. The CDC and local health departments may have resources available.
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Emotional Support: It’s normal to feel anxious after such an incident. Consider speaking with colleagues or professionals who can help you cope with the stress.
Your health and peace of mind are important. Taking these steps will help you manage the situation effectively and receive the care you need. Let me know if you have any other questions or need more detailed guidance.
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