Needlestick injury case study from a House Officer

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Intravenous literature: JAMA present a case study based on a needlestick incident. Reynolds, E. (2011) A House Officer who has a needlestick during a code. JAMA. [Published online December 6, 2011].

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“Dr J is an intern in internal medicine at a large academic residency program. At 2 AM on a call night in the cardiac intensive care unit (CCU), a 70-year-old patient was brought to the unit after having experienced an out-of-hospital cardiac arrest due to ventricular fibrillation. The patient’s medical history was not known; he lives with his sister, who reported that he had not seen a physician in approximately 40 years.

Dr J was involved in resuscitation efforts in the CCU along with several other clinicians. While attempting to place a central line and sewing with a curved needle holder, Dr J had a needlestick. The needle was a solid-bore needle; the stick did not draw blood. After handing over the procedure to another team member, Dr J scrubbed and rinsed the site of injury. His supervising resident directed him to go to the emergency department (ED) to be seen under the hospital’s needlestick protocol.”

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