needle stick HIV test ?

[peter90036]

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resident needle stick
unknown pt's HIV status

q: send blood for HIV test or get pt's permission ?

 

[Blesbok]

Test wise? Get the pt's permission.

Real world if it was me? **** pt permission if they say no.

 

[ZonaRidicularis]

z

 

[peter90036]

kaplan said send for test w/o consent
and referred to some AMA guideline

but as i remember you're always supposed to get consent (for test purpose anyway)

well, i googled for AMA & needlesticking and found no such guideline,

but did find CDC's guideline:

should always get consent
and also:

"If the source individual cannot be identified, or is identified but not readily available to provide informed consent, the fluid should be tested for HIV antibodies only after removal of any identifying information."

 

[JeffLebowski]

Lab technician hangs up the phone.

Lab tech 2: "Who was that?"
Lab tech 1: "Some doctor. Sounded frantic. Calling about an HIV test."
Lab tech 2: "Did he say what patient's name was?"
Lab tech 1: "I asked him, he said 'I'll-kick-your-ass-****er"
Lab tech 2: "Al-Quikuras Fuqur? DOB?"
Lab tech 1: "January 1, 1911."
Lab tech 2: "What was his medical record number?"
Lab tech 1: "123451234"
Lab tech 2: "That's weird."
Lab tech 1: "Yeah, and at first he gave me too many numbers on the MRN."
Lab tech 2: "Weird. Well, you did say he sounded frantic."
Lab tech 1: "Yeah. Well I guess I should run it. Are we still out of gloves?"

 

[peter90036]

 

[ZonaRidicularis]

z

 

[Instatewaiter]

resident needle stick
unknown pt's HIV status

q: send blood for HIV test or get pt's permission ?

At least at my hospital you dont need consent for an accidental needle stick.

 

[pseudoknot]

At least at my hospital you dont need consent for an accidental needle stick.

Yeah, that's because of Virginia state law. Presumably the national standard is to get consent (unless you live in a state which doesn't require it), so it sounds like on a test you'd want to say that.

 

[doc20]

states that do require consent and if patient declines test, the other back door is
do Hepatitis Panel, and do CD4/ CD8 count neither of which require special consents, this might sound stupid but it helps the anxiety