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Medical Procedure

I was in a small std clinic in Philippines for my annual check up..full std testing (syphilis, herpes,) 2 nurse and 1 Infectious Disease Specialist was there in the room..all test came back negative..Thank you lord

Heres what happen,

1. Nurse informed me to take  off my underwear and use the gown so that the Dr can easily see if theres any problem.
2. Dr inspection my **** and thanks god theres no problem on it.
3. The dr inform the two nurses to shave my pubic hair so he can easily check again.
4. The nurse open the disposable shaver besides of the senior nurse and  hand over the shaver to senior nurse and started to shave.
5. After they shaved nurse called the dr and inspected again my ****.
6. They inform me to ware again my underwear and go to another room for extraction.
7. I informed the nurse that i am the one will open the needle ??and nurse give it to me and i open the needle. I opened the two needle and replaced the other needle. Because it is big and she is familiar with the small to extract the blood. ( the plastic of the small needle is sligthly open maybe it is the style of plastic so it is easily to open)

After my extraction of blood the nurse called the next patient and i was shock because the nurse gave the same gown that i used.

I send message to nurse and she informed that we are not aiming to money and we are helping people to cure. I got the assurance from nurse  

Question:

1. There is any possibilities that i will get any virus if i wear  the gown after the patient before me.
2. I had doubt the nurse reused the shaver. There is any possibility of transmission in this case ?
3. I had doubt the nurse reused the needle. There is any possibility of transmission in this case
4 Responses
Avatar universal
1.  Most likely the possibility of catching a virus with a used gown would be similar to catching a cold via hand touching germs Then, when you unknowingly touch your face.  The chances of catching HCV, is impossible unless it contained dried blood from an HCV infected person and then that dried blood came in contact with your blood that was circulating in your body.like an open wound  

Colds are spread mainly through respiratory droplets of coughs and sneezes when someone has a cold. But many times, we unknowingly touch these miniscule droplets of cold germs on surfaces and then infect ourselves with the same cold virus. Some viruses and bacteria can live several hours on hard surfaces like cafeteria tables, telephone receivers, computer keyboards, and doorknobs. Cold prevention with hand washing can keep you from passing on cold viruses -- and picking up viruses on surfaces in your environment.

According to the CDC, the simple act of hand washing is the single most important means of preventing the spread of viral and bacterial infections. Yet some findings reveal that many Americans using public restrooms don't wash their hands before leaving. People also forget to wash their hands before preparing meals. They also grab snacks without thinking of hand washing.

2. So you don't think the nurse reused the shaver but are concerned just in case.  Sounds like you could have an irrational fear or Anxiety. If it was the risk would be low.

3. Same except that in the rare chance the lab violating Philippines rules
was then your risk would be much higher.but the Philippines has strict rules
RULE 3
SAFE PRACTICES AND PROCEDURES

Section 21 Universal Precautions
Universal Precautions is the basic standard of infection control. The underlying principle is to assume that all patients and staff are potentially infected with blood-borne pathogens such as HIV and hepatitis B virus. Universal Precautions is intended to prevent transmission of infection from patient to staff, staff to patient, staff to staff, and patient to patient.

http://www.oshc.dole.gov.ph/329/  
Needles and sharp objects should be discarded immediately after use in puncture-proof containers marked BIOHAZARD. Do not bend or break needles by hand. Do not recap used disposable needles.
Reusable needles and syringes should be handled with extreme care and safely stored prior to cleaning and sterilization or disinfection
Linen soiled with blood or other body fluids should be handled as little as possible. Gloves and a protective apron should be worn while handling soiled linen.

Section 25. Penalties for Unsafe Practices and Procedures
Unsafe practices and procedures shall refer to the non-compliance with the recommended universal precautions in Section 21 of this IRR

The penalties of an individual committing unsafe practices and procedures shall be imprisonment for six (6) to twelve (12) years, without prejudice to the imposition of administrative sanctions such as, but not limited to the following:
Fines; and/or
Suspension or revocation of license to practice the profession
Failure of the institution or agency to maintain safe practices and procedures as maybe required by the guidelines to be formulated in compliance with Section 13 of RA 8504, and Section 24 of this IRR shall suffer the:Cancellation of the permit or license of the institution or agency; or Withdrawal of the accreditation of the hospital, laboratory or clinic

The possibility of STD's, HIV and HCV can be scary at first. After learning about what is risky and what is an improbable or impossible risk. Continued  undue fear about an improbable or impossible risk.could be an anxiety or other related problem.

http://www.medhelp.org/forums/Anxiety/show/71
Avatar universal
what is your best advise? i need to be tested or i just ignore these fear?

Avatar universal
I can not provide medical advise. Only a medical provider who is authorised can do that.

In my personal opinion if you has a good reason to suspect the nurse reused a disposable needle or a reusable razor, needle or syringe that may not have been properly sterilized or disinfected my guess would be yes get tested.for HCV etc..

Some of the things I would do when going to a clinic would be.
1. Visually evaluating overall cleanliness.
2. Especially paying attention to the prior condition, safe handling, placement and/or disposal of needles, razors, equipment, containers and other material likely to come in contact with blood and other bodily fluids.
3. Any concerns I would ask the staff person directly about them including reuse, cleaning and sterilization or disinfection.
4. Not satisfied with their answer I would probably leave.
5. If the incident was a possible serious medical risk I would probably report it to the health board or similar..



  
Avatar universal
You asked:

"what is your best advise? i need to be tested or i just ignore these fear?"

1) You do NOT need to get tested.

2) Best advice is to seek mental help for obsessive disorder if you worry a lot about these kind of things.

Good luck
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