I woke up today and noticed that I have a small (4-5mm) cut on my middle finger, almost like a paper cut. I'm on surgery now, and am wondering if it's still appropriate to scrub in, or would it be better for me/patients if I just observed cases.
Are you thinking of dermabond?If you're really worried about it, the circulating nurse should have some glue (forget what its called) which they use for open abrasions, cuts, etc when you have to scrub.
I'm wondering - do the hospitals at which you work test every patient for HIV and HCV? If not, are you covered for cases where patients have the disease but don't know it?2. My institution has an inflexible policy saying that "no med student scrub in on HIV, HCV positive patients", because we are not covered by the insurance. Check with your school for this.
No. Does that mean that we are constantly exposed to undiscovered pathogens, both airborne (TB, H1N1) and blood-borne (HIV, HCV)? Yes.I'm wondering - do the hospitals at which you work test every patient for HIV and HCV?
In our institution, you have to call a number immediately if you have a needle-stick injury. There are some paperworks to fill out, which bypass the informed consent and will allow the hospital to draw blood from the patient and test for stuff like HIV. And the affected medical student will get treatment, such as prophylactic HAART, for free. I don't know if you are covered if you sero-convert and become HIV-positive chronically. Fortunately, nobody so far in my school has sero-converted yet.If not, are you covered for cases where patients have the disease but don't know it?
This is the answer. Put a small tegaderm over the cut and then scrub as normal. Single gloves are fine for most med student scrubs, but if the patient is hep or hiv positive or if you are just nervous, double gloves are appropriate. In the event of a stick, the superficial glove will remove most of the patient fluid before the deep glove is breeched.Get them to give you a tegaderm (?sp) before you scrub and double glove if you are worried about it.