health care setting universal precaution not observed and risk
Dear doctor(s) , I had my blood drawn for medical tests and the nurse did not disinfect the venipuncture site, the nurse also touched the area with his bare unwashed hands to"feel' for the vein before inserting the needle , no alchool swabbing used.Since seconds earlier he was touching blood vials and since now I tend to question his personal hygene practices also,and let's assume he was hiv +, did he put me at risk?If not hiv ,anything else?after all there must be a reason to why disinfecting the venipunture site is a using universal precaution and not a ritual ..should I get tested?thank you for your time ..
No risk. However, I don't fully follow your description of the procedures. Also, I doubt you could know whether the worker had washed his hands recently, or perhaps used a disinfected gel.
It is perfectly fine for a provider drawing blood to touch a patient's skin, i.e. to feel for the vein, without being gloved. I do that myself, before I put on gloves, wipe with alcohol, and draw the blood. If alcohol wasn't used after he touched your skin, that was wrong. But failure to do that doesn't risk HIV or blood borne infections; it only brings a very small risk of localized bacterial infection, for example, if his skin or yours was contamined wtih staph, strep, or other bacteria. However, even that is rare and not much of a risk.
With respect to bloodborne infections, the primary purpose of universal precautions in health care settings is to protect the health care worker from something the patient might have, not to protect the patient from exposure. There is no risk to patients for HIV or any other blood borne infections from the procedures you describe.
If you are sure the worker did not wipe your skin with alcohol, and if he didn't use gloves, you have a legitimate reason to raise the issue with him or his supervisor. But the skin touching per se really isn't an issue unless alcohol wasn't used afterward.
You certainly don't need HIV testing on this account.
Thank you and sorry if I was not to clear in my description of the succession of the events.Here is how it went; the nurse was touching ( withouth wearing gloves) some other's patient blood vials when I entered the room,then he touched my skin to feel the vein and then ,seconds later,WITHOUT wiping the area with alcohol, inserted the needle to draw the blood.He never washed his hands after touching the other's patient blood vials(and no gloves either)And the doctor asked him to use gloves with me earlier that day because after, somebody in my family contracted hepatites in a health care setting I am no to fond of being "pocked"with needles,thank you for your time again
Still no risk and no worries. Anybody who acquired hepatitis in a hospital setting did not catch it by the kind of scenario you describe. Hepatitis from health care settings comes exclusively from receving infected transfusions or organ transpants.
Still, if the nurse used the techniques you described, especially after his employer asked him to take special precautions because of your nervousness, then you are well without your rights to discuss it with your doctor. He probably will appreciate your doing so. (But of course only if you are very certain of your facts.)
I forgot to put an exlamation mark on that last remark as there is irony in the fact that despite the doctor's advice to use gloves with me, he forgot to use gloves or wash his hands AND ( after touching my vein) wipe my skin with alcohol.If I report him to the doc.. I wouldn't want him to draw my blood ever again on my next app...ouch!!..thanks
It has been three weeks since the blood drawing and,few days ago, I developed a fever of 99.5 few ,sore throat, and fatigue.the reason why I went to the doctor last month was because I had low fever and sore throat and I was prescribed antibiotics.The sore throat went away after a couple of days , the appetite came back and the fatigue disapperead in the next few days but ,a little over a couple of weeks later, I became sick again with sore thoat ,fever and this time complete anorexia and I lost 5 pounds already.I was looking at one other forum and this expert dr.Frascino answer to an hiv+ anesthetician ,regarding the risk of transmission to this anesthetician's patients, was that there is no risk" if universal precaution are used "...since in my case they were not used,and since I am feeling all the symptoms ,I 'm really worry..after all ,if his hands were contaminated and the venipuncture site contaminated by his hands the needle insertedbwould have provided a direct access for whatever was "smeared "on the skin into the bloodstream,since seconds earlier he was holding vials with blood in them it is possible that he had touched blood...if not hiv some other bug because I completely got over that "flu" and now I am in bed again
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