Bad Day! A pt with Hep C smeared her blood on me and laughed...Why am I doing this?

  1. So I already had a bad day... One of my favorite patients died. Next shift I am running behind so I go check the cbg of a hep C patient... Now I already know to be careful with her as she sometimes jerks her hand back when I stick her. A lot of time she refuses but I've always been able to talk her into it, (diet coke goes a long ways) Today I stuck her, (she bleeds real good) then I handed her a tissue but instead of taking it, (like usual) she reached out and smeared her blood all over my arm, then started wiping the rest of it on my scrub top, (what a day to wear a white top) Then she started laughing at me and shaking her bloody finger at me... I think she thought she was playing a joke? (she is a & o and aware of her dx) I just couldn't quite grasp the reality that she was doing something like that! In a stern voice I told her it wasn't funny and not to be doing that to me. Then I left the room, I had to get rid of the sharp and just take 5 seconds to get my bearings.... I tell you I couldn't think for a minute? I went back into the room and told her off again and washed my arm off then she I think she realized it was not a joke and her way of dealing with it was to tell me to get out of her room and refuse her meds. Other nurses have had problems with her too in the past... So what do you guys think? I'm just venting and I know it's really nothing compared to what can happen...
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  2. 22 Comments

  3. by   alwaysthere
    Oh my! In my facility that certainly would have qualified as staff abuse and the HN would have told her in no uncertain terms exactly why that was unacceptable behavior and probably what actions you could take etc. What does Infection Control say about this? Im still in shock, i cant beleive something like that would happen. My uncle has hep c and hes so terribly carefull about it. ..sigh
  4. by   nursegoodguy
    I'll tell ya one thing, she's had the last diet coke from me she's gonna get... at least for this week!
  5. by   2ndCareerRN
    If she is aware of her diagnosis, (sounds like she is) and can make rational judgements, I personally would have her charged with assault or whatever I could.

    She has no regard for you as her care-giver and has possibly transmitted a fatal disease to you (unlikely). At the very least you need to report this to infection control, and do an incident report to CYA.

    But, like I said, I would contact the authorities (police, DA, etc.) and have her charged with the most serious crime I could. I will not be treated in such a manner.

    If a police officer is spit on, it is assault and battery on a police officer, why should the purposeful smearing of infected blood on you be taken any less seriously?
    bob
  6. by   aimeee
    Sounds like she has a serious screw loose even though she is A & O X 3. You definitely need to write up an incident report and talk to your managers about this patient. There needs to be a plan for dealing with her so she does not jeopardize the health of workers on your unit. Scary.
  7. by   oramar
    I think you could bring charges against her I really do.
  8. by   sunnygirl272
    hugs to you...that's awful....hope you have already done the incident report and talked to infection control and employee health...


    Health-care workers and first responders exposed to blood in the workplace are at risk for infection by bloodborne pathogens. However, their risk for acquiring HCV infection is low because HCV is not transmitted efficiently through occupational exposure (4--6). After an unintentional needlestick from an HCV-positive source, the average risk for HCV infection is 1.8% (range: 0--7%); transmission rarely occurs from mucous membrane exposures to blood, and no transmission has been documented from intact or nonintact skin exposures to blood (4). Among first responders, HCV infection was associated primarily with nonoccupational factors, a finding similar to HBV (1), a bloodborne virus that is transmitted at a rate 10 times higher than HCV (7).



    http://www.cdc.gov/ncidod/diseases/h...is/c/index.htm
  9. by   hapeewendy
    you do this because you are a wonderful nurse and all the patients, even wacky little blood smearer are lucky to have you!
    she needs a psych consult and social work to be invovled, hope you started a paper trail already, incident report, occupational health report, note to your unit administrator etc.
    keep us posted, and be safe
    *Hugs*
  10. by   Sleepyeyes
    Originally posted by nursegoodguy
    ... One of my favorite patients died. ...she started laughing at me and shaking her bloody finger at me... I think she thought she was playing a joke? (she is a & o and aware of her dx) I just couldn't quite grasp the reality that she was doing something like that! In a stern voice I told her it wasn't funny and not to be doing that to me. Then I left the room, I had to get rid of the sharp and just take 5 seconds to get my bearings.... I tell you I couldn't think for a minute? I went back into the room and told her off again and washed my arm off then she I think she realized it was not a joke and her way of dealing with it was to tell me to get out of her room and refuse her meds. Other nurses have had problems with her too in the past... So what do you guys think? I'm just venting and I know it's really nothing compared to what can happen...
    OH MY GOD!!!
    I think that is one of the few times I may very well have lost my cool, my patient, and my job all at the same time!
    I know you filed an incident report and did all the stuff you're supposed to do, but what about you??
    I'll be praying that you will stay healthy physically and emotionally. Take care, --G
  11. by   CATHYW
    NurseGoodGuy, did you get all of the baseline testing, etc. done on you? This woman basically assaulted you with a deadly weapon (her contaminated blood). I do not blame you a bit for telling her off. I would've raised a fuss, too!

    I sure hate it that this happened to you. Does she have some type of toxicity going on, liver or renal? Maybe this would account for her aberrant behavior. I think that this person should be placed in isolation, if she already isn't. Protect yourself with gown gloves and face shield anytime you have to perform any other type of procedure on her.
  12. by   hoolahan
    OMG!! (((((((goodguy))))))), that is horrible!!! Are you working in a psych unit? If not, Wendy is right, she needs stat psych consult, and she should have charges brought against her. I would also refuse to do any more labs or procedures on her which involve you handling her blood/body fluids. Maybe she needs to be restrained?? Or is she on the right psych drugs?? This one is a real whack job!!

    It's days like that which make you want to turn in your badge, hand over the keys, and walk out and never return, and never want to be a nurse for another day in your life! Thank God for the patients who do appreciate us, or there would be a worse shortage of nurses than there already is.

    Get that paperwork going asap!!
  13. by   Robin61970
    (((((HUGS))))) I am not yet a nurse, but that filled me with dread also.......please keep us posted! More (((((((HUGS))))))
  14. by   l.rae
    goodguy(((((((((hugs))))))....l'm with all the others...file charges...psych consult....what kind of facillity do you work at? and l would definantly refuse to do any more procedures on this whacko......LR

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