I had to treat one of the other Er docs in my group today. He stuck himself with a needle during a chest tube (it was actually a pretty low risk stick) and I had to run him through the needle stick protocol. It was strange. I've treated lots of nurses and some other residents back when I was a resident but this was the first time I really had to work on one of my peers. Anyway after a rectal, a foley and a tetanus update with a 14g blunt in the glute he was just fine.
Did you remember to take a detailed sexual history? With particular care to document of how the patient seemed "guarded" or "evasive" when you asked him about his usage of IV drugs while being bisexually promiscuous within the last week. It's important to document how he probably had HIV/Hep C prior to this "accident".
Why are you doing a rectal and a foley on a needle stick? What does the needle stick protocol in your hospital entail?
speaking of weird and wonderful...it's great when one of your colleagues brings in a friend or family member(or themselves) and specifically requests to see you. over the last couple of years I have sutured/reduced fx/evaluated chest/abd pain on several of my colleagues and their families. the implied vote of confidence is a great ego boost. even better is when one of the docs would rather see me than whichever doc is working that day....
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