Welcome, Guest. Please login or register.
March 19, 2024, 07:27:43 am

Login with username, password and session length


Members
Stats
  • Total Posts: 772787
  • Total Topics: 66296
  • Online Today: 290
  • Online Ever: 5484
  • (June 18, 2021, 11:15:29 pm)
Users Online
Users: 2
Guests: 219
Total: 221

Welcome


Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Do I Have HIV?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: IT JUST AMAZES ME...  (Read 18227 times)

0 Members and 1 Guest are viewing this topic.

Offline deprivedlol

  • Member
  • Posts: 42
IT JUST AMAZES ME...
« on: April 20, 2014, 07:24:51 pm »
I can't believe that some people in the healthcare profession still don't have sense enough to protect themselves like they're supposed to from...well..people like us.  I have had a bunch of non HIV related medical issues over the years.  I have been poked and prodded for neurological problems,  many many blood tests and other procedures where clearly gloves should have been worn by the one doing the test. 
I had a nerve function test at a pain specialist who poked me with a bunch of needles, glove-less.  When I mentioned after the test that he probably should have worn gloves and then told him why he had the audacity to yell at me for not telling him to begin with.  Um  I think that was his mistake and not mine.

I have gone to my hospital's lab for many years getting routine crap done and sometimes they wear them and sometimes they don't.  They know what tests are being run so WTF?

I have been to 3 neurologists in the last couple years. They all  know my status.  They like to poke me with a freakin safety pin. (Do they all do this?)  No gloves...none of them.
And as recently as 2 wks ago I had to get a TB test and have my sugar checked for a new job.  Again...no gloves.

I am not about to tell these people my issue (the ones that don't know).  Why should I?  They should know better. On the other side of this I have been going to my current dentist for about 5yrs.  They do not know my status and I feel kinda bad for not saying anything all this time.  But the hygienist does wear gloves and mask like she's supposed to..and a good thing cause I bleed a lot when I get a cleaning.  The dentist before this guy did know and they treated me like crap, hence the switch.

IDK just seems to me that if you work in the medical field you should know how to protect yourself and I shouldn't have to disclose anything if I don't want to. Am I wrong?

Offline Joe K

  • Standard
  • Member
  • Posts: 5,821
  • 31 Years Poz
Re: IT JUST AMAZES ME...
« Reply #1 on: April 20, 2014, 07:48:44 pm »
All medical professionals should be using universal precautions, however you are hurting yourself by not disclosing your status to your doctors and dentist.  There are many issues that can affect us and it is important for your doctors to know you are poz.  A good dentist will be aware of HIV related mouth issues and if they know your status, they will look for such issues.  Same as with an eye doctor or physician.

Any professional who would balk at you disclosing your status, is not a true professional and you should find a new provider.

Joe

Offline Jeff G

  • Administrator
  • Member
  • Posts: 17,064
  • How am I doing Beren ?
Re: IT JUST AMAZES ME...
« Reply #2 on: April 20, 2014, 07:55:23 pm »
The real risk is for you . Washing hands and fresh gloves can cut the risk from MRSA and other infections down to negligible risk .

When I was in chemo therapy I had a very young and very pregnant nurse who scoffed at me when I warned her about the dangers of recapping a needle . I didn't try to argue but instead got up and reported her to her supervisor . They thanked me later after they reeducated her on the matter and seemed really happy I cared enough to intervene . 

She didn't like me too much after that but I can live with that . I always disclose my status to medical professionals but its for my protection as well as for theirs . 
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline anniebc

  • Member
  • Posts: 6,185
  • AM member since 2003
Re: IT JUST AMAZES ME...
« Reply #3 on: April 20, 2014, 07:56:27 pm »
Hi there

First of all I agree that all healthcare workers should wear gloves when dealing with sick people, every health worker should know about Universal Precautions.

Wearing gloves really only prevents cross infect from one sick patient to another, which is why they should  be worn in the wards, and changed from one patient to the next, we don't know what germs are floating around the hospital when we visit them, but they do not prevent needle stick injuries.

As we all know, the phlebotomist will not become infected if she comes in contact with your blood unless she has large open wounds on her hands which will allow infected blood to enter her system, if that was the case she will be wearing gloves.

As I said, I do agree that all Healthcare workers should be wearing gloves, but not just for HIV patients.

Aroha
Jan
« Last Edit: April 20, 2014, 07:59:56 pm by anniebc »
-----------------------------------------------------------------------
Never knock on deaths door..ring the bell and run..he really hates that.

Offline Jeff G

  • Administrator
  • Member
  • Posts: 17,064
  • How am I doing Beren ?
Re: IT JUST AMAZES ME...
« Reply #4 on: April 20, 2014, 08:04:28 pm »
The hospital and clinic I attend has signs all over encouraging staff to wear gloves and patients to report them if they do not . They made a big deal out of it because I think its part of a study to try and improve/prevent community acquired infections .

They have pens and a card sign with postcard size questionnaire's asking how was your visit and did the provider wash and glove up .
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #5 on: April 20, 2014, 08:08:04 pm »
All medical professionals should be using universal precautions, however you are hurting yourself by not disclosing your status to your doctors and dentist.  There are many issues that can affect us and it is important for your doctors to know you are poz.  A good dentist will be aware of HIV related mouth issues and if they know your status, they will look for such issues.  Same as with an eye doctor or physician.

Any professional who would balk at you disclosing your status, is not a true professional and you should find a new provider.

Joe

I hear you but I don't want to tell the dentist after all these years because I'm afraid they';ll treat me like the last one did.  The lab at the hospital knows what tests they're doing so that's on them.And I luckily no longer go to the pain specialist.  Do you know that after that incident they put a rather large red sticker  that said HIV POSITIVE (what company makes those??) on my file and left it on the counter where other patients could see?  What a trip that place was.

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #6 on: April 20, 2014, 08:11:49 pm »
The hospital and clinic I attend has signs all over encouraging staff to wear gloves and patients to report them if they do not . They made a big deal out of it because I think its part of a study to try and improve/prevent community acquired infections .

They have pens and a card sign with postcard size questionnaire's asking how was your visit and did the provider wash and glove up .

IDK I would think it would be a 'must' rather than something they need to be reminded of. I sure as hell couldn't work in the medical field.  I'd be dousing myself in sanitizer all day  LOL

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #7 on: April 20, 2014, 08:20:23 pm »
Hi there

First of all I agree that all healthcare workers should wear gloves when dealing with sick people, every health worker should know about Universal Precautions.

Wearing gloves really only prevents cross infect from one sick patient to another, which is why they should  be worn in the wards, and changed from one patient to the next, we don't know what germs are floating around the hospital when we visit them, but they do not prevent needle stick injuries.

As we all know, the phlebotomist will not become infected if she comes in contact with your blood unless she has large open wounds on her hands which will allow infected blood to enter her system, if that was the case she will be wearing gloves.

As I said, I do agree that all Healthcare workers should be wearing gloves, but not just for HIV patients.

Aroha
Jan


I just don't see why they aren't required to wear PPE.  And as for germs in the hospital...I never used to be like this but now that I'm poz I am such a germophob.  I open doors with my sleeve, sanitize constantly, Lysol my shoes when i get home (yes you read that correctly) and  change my clothes before I sit on my furniture after coming home from the Dr.  Yes you can laugh now.  Most people do.

Offline Joe K

  • Standard
  • Member
  • Posts: 5,821
  • 31 Years Poz
Re: IT JUST AMAZES ME...
« Reply #8 on: April 20, 2014, 08:23:37 pm »
I hear you but I don't want to tell the dentist after all these years because I'm afraid they';ll treat me like the last one did.  The lab at the hospital knows what tests they're doing so that's on them.And I luckily no longer go to the pain specialist.  Do you know that after that incident they put a rather large red sticker  that said HIV POSITIVE (what company makes those??) on my file and left it on the counter where other patients could see?  What a trip that place was.

If a dentist were to do that to me, I would find another dentist and report the issue to the dentist involved.  I have never had an issue disclosing to my medical professionals, as doing their job well depends on their having the right information.  You seem so worried about people knowing your status and in that case, you could screen potential providers, by telling them your status before you see them professionally.  You could do this over the phone, so as not to disclose your identity.

To have the best medical care is to work with your providers and not to hide relevant information from them, which could assist them in diagnosing your issues.  The only one you are hurting here is yourself.

Joe

Offline Joe K

  • Standard
  • Member
  • Posts: 5,821
  • 31 Years Poz
Re: IT JUST AMAZES ME...
« Reply #9 on: April 20, 2014, 08:32:14 pm »

I just don't see why they aren't required to wear PPE.  And as for germs in the hospital...I never used to be like this but now that I'm poz I am such a germophob.  I open doors with my sleeve, sanitize constantly, Lysol my shoes when i get home (yes you read that correctly) and  change my clothes before I sit on my furniture after coming home from the Dr.  Yes you can laugh now.  Most people do.

I would never laugh at someone who has issues that affect their quality of life.  You seem obsessive regarding germs and that's most probably a mental issue, as it has no basis in facts.  I have been poz for 30 years and while I practice good hygiene, I know enough to understand that I am not at risk from everyday living.  I would simply hate to waste, so much of my life, over issues that present absolutely no risk to me personally.

Joe

Offline Jmarksto

  • Member
  • Posts: 667
Re: IT JUST AMAZES ME...
« Reply #10 on: April 20, 2014, 08:42:37 pm »
Hey deprived;  I agree that PPE should be worn.

Regarding disclosing to the dentist...shortly after testing positive I had a conversation with my doc about when and how to disclose in other medical settings - and expressed some hesitation.  He offered to refer me to providers that he knew would have experience with other positive patients.  He referred me to my current dentist who is great - in my first appointment he explained the importance of oral health and in particular screening for cancers, etc.   I hadn't had a dentist be that comprehensive and communicative before.
03/15/12 Negative
06/15/12 Positive
07/11/12 CD4 790          VL 4,000
08/06/12 CD4 816/38%   VL 49,300
08/20/12 Started Complera
11/06/12 CD4   819/41% VL 38
02/11/13 CD4   935/41% VL UD
06/06/13 CD4   816/41% VL UD
10/28/13 CD4 1131/45% VL 25
02/25/14 CD4   792/37% VL UD
07/09/14 CD4 1004/39% VL UD
11/03/14 CD4   711/34% VL UD
03/13/15 CD4   833/36% VL UD
04/??/15 Truvada & Tivicay
06/01/15 CD4 1100/50% VL UD
10/16/15 CD4   826/43% VL UD
??/??/2017 Descov & Tivicay
2017 VL UD, CD4 stable around 850
2018 VL UD, CD4 stable around 850

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #11 on: April 20, 2014, 10:40:11 pm »
I would never laugh at someone who has issues that affect their quality of life.  You seem obsessive regarding germs and that's most probably a mental issue, as it has no basis in facts.  I have been poz for 30 years and while I practice good hygiene, I know enough to understand that I am not at risk from everyday living.  I would simply hate to waste, so much of my life, over issues that present absolutely no risk to me personally.

Joe

Wow so now you assume I have mental issues because I don't want to come home with more than I already have?  When you go to the grocery store, well at least most of them around here, there are those sanitized wipes for the carts right by the door.  Why? germs.  There are sanitizer dispensers at the doctor's office.  Why? Germs  Just because I take things to a whole other level doesn't mean I'm nuts...just preventing myself from getting sick.  On the flip side I haven't had a flu shot in over 15 yrs.  Why? Because last time I got one I GOT THE FLU.  You and I have had this a very long time.  You have your way of dealing with things and I have mine.  What we are doing must be working for each of us.Am I obsessive? Maybe, but the last time I was really sick was from food poisoning at a barbecue 7 yrs ago.

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #12 on: April 20, 2014, 10:45:24 pm »
Hey deprived;  I agree that PPE should be worn.

Regarding disclosing to the dentist...shortly after testing positive I had a conversation with my doc about when and how to disclose in other medical settings - and expressed some hesitation.  He offered to refer me to providers that he knew would have experience with other positive patients.  He referred me to my current dentist who is great - in my first appointment he explained the importance of oral health and in particular screening for cancers, etc.   I hadn't had a dentist be that comprehensive and communicative before.

Hi Jmarksto,
I'm kind of limited as to the number of providers in my area who take Medicaid.  I already have to drive an hr as it is to the current dentist.  I also choose to get my HIV care out of the area for confidentiality reasons.  I live in a somewhat rural area and I doubt any provider in any field is very knowledgeable in this field. I'm glad it worked for you though.

N

Offline zach

  • Member
  • Posts: 3,586
Re: IT JUST AMAZES ME...
« Reply #13 on: April 21, 2014, 02:41:47 am »
ppe, for my protection as much as theirs. i would not allow medical staff to work on me without it. who knows what they may have

Offline anniebc

  • Member
  • Posts: 6,185
  • AM member since 2003
Re: IT JUST AMAZES ME...
« Reply #14 on: April 21, 2014, 05:25:05 am »
Hi there

I would like to address the PPE issue.

I'm assuming you know what PPE consists for, if not then please let me remind you.

1. Safety glasses
2. Masks
3. Lab coats
4. Gloves
5. Boots
6. Safety Shoes.

Do you really want Health care workers dressed like this every time they have to attend to you, I thought we had got over barrier nursing HIV patient 30 years ago.

Don't get me wrong I agree Gloves should be used, Universal Precautions are essentially good hygiene habits such as hand washing, the use of gloves and correct handling of needles and syringes, etc.

Lets not get carried away with PPE, I for one do not want to be barrier nursed when I visit my clinic.

Aroha
Jan

* Modified to add: this is the Universal Precautions used in NZ.
-----------------------------------------------------------------------
Never knock on deaths door..ring the bell and run..he really hates that.

Offline zach

  • Member
  • Posts: 3,586
Re: IT JUST AMAZES ME...
« Reply #15 on: April 21, 2014, 05:48:15 am »
in order to even walk into the hangars where i've worked for years...

1. titmus ansi glasses, with side shields
2. hard hat, some tasks require shield mask
3. hearing protection, hearing loss measured twice a year
4. electro static discharge bluesafe coat
5. esd pants, integrated knee pads
6. gloves for all tasks, type varies with task
7. composite toe boots, will not conduct electricity or heat, acid proof, slip resistant soles, no lace camlock system
8. and a long list of no nos, no long hair, no jewelry etc... and, i'm probably forgetting something

i'm just a mechanic. every day i wear more ppe, rated to higher standards, than any nurse. i think they can live with putting on a pair of gloves, we all got probz
« Last Edit: April 21, 2014, 06:00:23 am by zach »

Offline Theyer

  • Member
  • Posts: 2,701
  • Current ambition. Walk the Dog .
Re: IT JUST AMAZES ME...
« Reply #16 on: April 21, 2014, 05:57:56 am »
All workers and patients in Hospital setting should follow Universal precautions.

A neurologist will want to use identical instruments in testing Patients to keep the Baseline Static , in the UK this is usually am small box of precision made weighted needles. Never seen them used without anti -septic wipe before or after.

I tell all medics my status , remind if I have to about UP if I do not I believe I am colluding in the practice I disagree with .

I have never found it anything other than conversation .
"If we can find the money to kill people, we can find the money to help people ."  Tony Benn

Offline anniebc

  • Member
  • Posts: 6,185
  • AM member since 2003
Re: IT JUST AMAZES ME...
« Reply #17 on: April 21, 2014, 06:01:34 am »
in order to even walk into the hangars where i've worked for years...


i'm just a mechanic twisting a wrench. every day i wear more ppe than any nurse. i think they can live with putting on a pair of gloves, we all got probz

I totally agree with wearing gloves, but as I said as an HIV patient I don't want to be barrier nursed.

The only time I have ever had to wear PPE + Fire resistant overalls was when I was called out to a fatal road accident, lots of blood and liquid fertilizer in the play so I really had to cover up and be carful.

Aroha
Jan
-----------------------------------------------------------------------
Never knock on deaths door..ring the bell and run..he really hates that.

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #18 on: April 21, 2014, 10:25:20 am »
Hi there

I would like to address the PPE issue.

I'm assuming you know what PPE consists for, if not then please let me remind you.

1. Safety glasses
2. Masks
3. Lab coats
4. Gloves
5. Boots
6. Safety Shoes.

Do you really want Health care workers dressed like this every time they have to attend to you, I thought we had got over barrier nursing HIV patient 30 years ago.

Don't get me wrong I agree Gloves should be used, Universal Precautions are essentially good hygiene habits such as hand washing, the use of gloves and correct handling of needles and syringes, etc.

Lets not get carried away with PPE, I for one do not want to be barrier nursed when I visit my clinic.

Aroha
Jan

* Modified to add: this is the Universal Precautions used in NZ.

I guess I've worked in too many factories..LOL.  You know what I mean though. :)

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #19 on: April 21, 2014, 10:27:51 am »
ppe, for my protection as much as theirs. i would not allow medical staff to work on me without it. who knows what they may have

Hi Zach,

Never thought about that. I wonder if healthcare workers are required to disclose??

N

Offline Jeff G

  • Administrator
  • Member
  • Posts: 17,064
  • How am I doing Beren ?
Re: IT JUST AMAZES ME...
« Reply #20 on: April 21, 2014, 10:31:07 am »
Hi Zach,

Never thought about that. I wonder if healthcare workers are required to disclose??

N

No ... they are not required to disclose . It has no bearing on patient care and would serve no practical purpose anyway . 
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline zach

  • Member
  • Posts: 3,586
Re: IT JUST AMAZES ME...
« Reply #21 on: April 21, 2014, 10:34:02 am »
hellz no they don't have to disclose, that i'd fight for their right to protect. its not just hiv folks. we get hung up looking at the world through our lens. but we are more at risk than them. fungus, bacteria, virus... all things they keep at bay easily, we struggle with, sometimes suffer from.

not that i'm anything like militant about this. i hang with goats and chickens, not clean. its just a worm to put in your head, to tweak out on. don't let it get the better of you
« Last Edit: April 21, 2014, 10:48:22 am by zach »

Offline wolfter

  • Member
  • Posts: 5,470
Re: IT JUST AMAZES ME...
« Reply #22 on: April 21, 2014, 10:58:38 am »
How fortunate am I?  Almost 30 years of living with this virus and having worked in the field and I've NEVER witnessed these behaviors.  My life partner was a hospital administrator and accreditations were a primary focus from the top down. 

I would never allow someone who was in full gear perform a simple procedure on me as that shows a level of paranoia that could lead to mistakes. 
Being honest is not wronging others, continuing the dishonesty is.

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #23 on: April 21, 2014, 11:06:47 am »
I am a nurse and I ALWAYS use universal precautions, hiv+ patient or not and always have. Some healthcare workers won't if it's certain things but if there's a risk of body fluids/secretions always.  Even my ID provider uses gloses to just listen to my lungs...Same as you wash your hands before and after touching any patient. That is not intended to offend anyone but I don't want anyone's germs spreading or even sticking on me. In fact, I'm so OCD about hand washing, I can't pass by a sink or even a bottle of hand sanitizer without using it lol. Now, I can tell you there are certain tricks of the trade that everyone does every so often, which may not be the best idea but you use them to get the job done. I personally don't have a need anymore as I no longer work in a hospital setting but I wouldn't, now given my status. It is taking a risk, though-I'm not advocating for that.

As far as healthcare personnel disclosing, there is one case where it is required by law. That is during invasive procedures/surgery...where there is a risk the provider is using instrumentation which could possibly puncture/cut, etc. them. The patient has to know and sign that as part of their consent. Otherwise, nope...no need to disclose.

There are also reasons to barrier nurse...but we're taking like tb/airborne or droplet precautions, fresh organ transplant patients, severely immunocompromised patients...but not hiv. There are still healthcareworkers though that aren't as educated as they should be or are comfortable with it. I remember taking report at the hospital when the nurse just getting off shift would whisper "yeah, be careful about bed 16, he's hiv+". Bugged me then...even more so now.

Offline zach

  • Member
  • Posts: 3,586
Re: IT JUST AMAZES ME...
« Reply #24 on: April 21, 2014, 11:10:25 am »
i get the feeling that some are confussticated between universal precaution level, and barrier protection level. beasts of a different color

perhaps one of you fine nurses could clarify for the good folk

Offline wolfter

  • Member
  • Posts: 5,470
Re: IT JUST AMAZES ME...
« Reply #25 on: April 21, 2014, 11:13:41 am »
confussticated

word du jour, love it.  :)
Being honest is not wronging others, continuing the dishonesty is.

Offline Jeff G

  • Administrator
  • Member
  • Posts: 17,064
  • How am I doing Beren ?
Re: IT JUST AMAZES ME...
« Reply #26 on: April 21, 2014, 11:15:13 am »
Just for the record I was saying that there is no need for healthcare professionals to disclose to patients .

Bizkits, do you really feel like its a risk to your health if you were to work in a hospital or did I misunderstand that ?   
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #27 on: April 21, 2014, 11:34:36 am »
Just for the record I was saying that there is no need for healthcare professionals to disclose to patients .

Bizkits, do you really feel like its a risk to your health if you were to work in a hospital or did I misunderstand that ?   

Well, generally no...there's not...As I pointed out though, there is one circumstance in which the healthcare provider must disclose.

I do not in any way feel it'd be a risk to my health or anyone elses for me to work in the hospital...I just meant I wouldn't do certain things anymore (tricks of the trade). I'll give an example. Take an old, frail patient who is severely dehydrated and has next to no veins in which to obtain an IV stick...but a picc or central line wouldn't be appropriate...well...you can either close your eyes and say "if I remember my anatomy correctly, there should be a vein right around there" and stick...sometimes, that actually works...sometimes you need to do more...position the arm dependant, use more than one tournaquate, and rip the finger of the glove off your best "feeler finger" to locate a vein better and once you have hold it in place which usually leaves you sticking the catheter with an exposed finger on top...Again, gotta do what you gotta do sometimes...I wouldn't do anything like that again. It's dangerous regardless, though...

i get the feeling that some are confussticated between universal precaution level, and barrier protection level. beasts of a different color

perhaps one of you fine nurses could clarify for the good folk

And as far as "PPE" and "Universal Precautions" go:

PPE stands for Personal Protective Equipment. It is a term that is carried across many professions including healthcare. There are countless pieces of it depending on what job you're doing. If you're drawing blood from someone, you don't need a MRSA gown, face mask and booties...you need clean gloves, not sterile and some people wear a simple pair of goggles (not required). Now, if you're taking care of a patient with active TB...you need a special gown, clean gloves, n95 respirator mask and some choose to use eye protection as well. Same as a construction worker should wear a hard hat where he is around objects that could fall or a mechanic should wear nitrile gloves if his hands are working with raw chemicals, petrolium/oil/lubricants. I could go on, but I hope y'all get it...

Then, there are universal/standard precautions. This is a rule in which we follow to prevent exposure to bodily fluids and unlike PPE does not change...it's the same every time:
(opim=other potentially infectios material)
•Wash Hands: after glove removal & before patient care
•Wear Gloves: if blood or OPIM contact with hands is likely
•Wear Gowns: if blood or OPIM contact with clothing is likely
•Wear Goggles & Masks: if blood or OPIM splashing is likely

« Last Edit: April 21, 2014, 11:41:34 am by Bizkits »

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #28 on: April 21, 2014, 11:39:18 am »
As far as what we're referring to "barrier nursing" or "barrier care"...it's a slang term used to describe someone who is overly afraid of something or someone (hiv+ patient in this case) thus wearing any and every piece of PPE they can find before touching the patient.

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #29 on: April 21, 2014, 05:17:11 pm »
No ... they are not required to disclose . It has no bearing on patient care and would serve no practical purpose anyway .

Great...something else for me to add to my list of things to be paranoid about

Offline AusShep

  • Member
  • Posts: 526
Re: IT JUST AMAZES ME...
« Reply #30 on: April 21, 2014, 05:40:02 pm »
Great...something else for me to add to my list of things to be paranoid about

Huh?  You're paranoid about an HIV+ doctor or nurse taking care of you?


Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #31 on: April 21, 2014, 06:00:58 pm »
Huh?  You're paranoid about an HIV+ doctor or nurse taking care of you?

Yep...that's me...the hypocrite

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #32 on: April 21, 2014, 06:13:16 pm »
Yep...that's me...the hypocrite

Sooo...how would you feel if a healthcare provider refused to treat you due to you being HIV+? 

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #33 on: April 21, 2014, 06:21:20 pm »
Sooo...how would you feel if a healthcare provider refused to treat you due to you being HIV+?

Well that wouldn't happen because they can't legally.  I haven't been refused treatment but if you read further up on the posts you'll see where my former pain specialist and my former dentists treated me like crap because they knew.

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #34 on: April 21, 2014, 06:43:23 pm »
Well that wouldn't happen because they can't legally.  I haven't been refused treatment but if you read further up on the posts you'll see where my former pain specialist and my former dentists treated me like crap because they knew.

Being in healthcare, I assure you they can. It may not be legal, but they'll find another reason you'd have a difficult time proving otherwise. When I worked the floor, we had nurses that refused to care for HIV patients...all we did is change up the assignments so it was never an issue really as far as the patients were concerned or even knew...there are providers, which seem to be in your case will but don't like to and will use poor treatment as a means to get rid of them so they don't have to find a reason. So, believe me when I say poor education, fear, discrimination and predudice are alive and well in healthcare. It's not right but it's there. But just curious as to your line of thinking: how exactly would it negatively impact you having a nurse or doctor that was HIV+? I think you'd probably even find a higher level of care, compassion and treatment.

Offline anniebc

  • Member
  • Posts: 6,185
  • AM member since 2003
Re: IT JUST AMAZES ME...
« Reply #35 on: April 21, 2014, 11:44:48 pm »
As a retired nurse who worked in the system for 30 years I can tell you, as Bizkits has already said, healthcare workers certainly can refuse to nurse you.

As a sister of the Immunology ward many years ago I dealt with many HIV patients, and I had a young nurse removed from my ward because she refused to nurse or comfort an HIV patient, we couldn't sack her so we simply moved her to a ward where there were no HIV patients, but I can tell you before I removed her I took great delight in dragging her across the carpet..and I remember enjoying that... ;)


I also remember as a young nurse in training barrier nursing HIV patients, which is why I'm so against it today, back then we did it out of fear of the unknown and ignorance, we don't or shouldn't have that excuse today.

Aroha
Jan
Aroha
Jan

-----------------------------------------------------------------------
Never knock on deaths door..ring the bell and run..he really hates that.

Offline wolfter

  • Member
  • Posts: 5,470
Re: IT JUST AMAZES ME...
« Reply #36 on: April 22, 2014, 12:13:46 am »


I also remember as a young nurse in training barrier nursing HIV patients, which is why I'm so against it today, back then we did it out of fear of the unknown and ignorance, we don't or shouldn't have that excuse today.

Aroha
Jan

That brought back a flood of memories.  I was in the midst of my clinicals when AIDS started showing up locally.  I'm not sure what was worse; the treatment of the patients or the behind the scene comments.  I witnessed both extreme compassion and beyond horrid treatment from hospital staff.

We knew nothing about this virus and how it was transmitted and fear was justifiable.  It was shortly thereafter that I rec'd my own diagnosis.  To suddenly start hearing on a regular basis, comments such as: "The damn queers are getting what they deserve" and an abundance of similar comments just about destroyed me. 

I still haven't wrapped my head around how someone who was diagnosed 25 years ago would be concerned about an HIV+ positive person performing procedures on them.  Afraid of a super infection I suppose?  IT JUST AMAZES ME...
Being honest is not wronging others, continuing the dishonesty is.

Offline bocker3

  • Member
  • Posts: 4,285
  • You gotta enjoy life......
Re: IT JUST AMAZES ME...
« Reply #37 on: April 22, 2014, 08:02:04 am »
Yep...that's me...the hypocrite

I am sorry, but I have absolutely ZERO sympathy for your past problems with clinicians treating you poorly.

How dare you come here and whine about it when you, seemingly, would do the same thing back -- treating a positive person differently just because of their status.  We reap what we sow.

Stigma will never go away when we stigmatize ourselves.  You do need help.

Mike

Offline Theyer

  • Member
  • Posts: 2,701
  • Current ambition. Walk the Dog .
Re: IT JUST AMAZES ME...
« Reply #38 on: April 22, 2014, 08:24:14 am »
Yep...that's me...the hypocrite
   


Re the health workers ? disclosure

I tell all health workers who enquire into my health history all, they need it for there work, I need them to have it to ensure Best practice for me.

There medical history does not have a bearing in the matter , it is mine being looked at

Visiting Hospital does not have to be a dull affair but niether is it a silly game , ones goes to ensure ones health is kept as good as possable , hence this thread,
"If we can find the money to kill people, we can find the money to help people ."  Tony Benn

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #39 on: April 22, 2014, 08:47:09 am »
That brought back a flood of memories.  I was in the midst of my clinicals when AIDS started showing up locally.  I'm not sure what was worse; the treatment of the patients or the behind the scene comments.  I witnessed both extreme compassion and beyond horrid treatment from hospital staff.

We knew nothing about this virus and how it was transmitted and fear was justifiable.  It was shortly thereafter that I rec'd my own diagnosis.  To suddenly start hearing on a regular basis, comments such as: "The damn queers are getting what they deserve" and an abundance of similar comments just about destroyed me. 

I still haven't wrapped my head around how someone who was diagnosed 25 years ago would be concerned about an HIV+ positive person performing procedures on them.  Afraid of a super infection I suppose?  IT JUST AMAZES ME...

well wolfter i just feel that i have the right to decide who puts their hands on me and who doesn't.  i have hiv...that gives me the right to judge.  if i didnt that would be different

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #40 on: April 22, 2014, 08:50:59 am »
I am sorry, but I have absolutely ZERO sympathy for your past problems with clinicians treating you poorly.

How dare you come here and whine about it when you, seemingly, would do the same thing back -- treating a positive person differently just because of their status.  We reap what we sow.

Stigma will never go away when we stigmatize ourselves.  You do need help.

Mike
wasn't looking for sympathy.  just thought it wasn't right or professional. dr's take an oath.
...and you know what they say about opinions.....
you're entitled to your point of view and so am i
if i wasn't poz that would be different

Offline Jeff G

  • Administrator
  • Member
  • Posts: 17,064
  • How am I doing Beren ?
Re: IT JUST AMAZES ME...
« Reply #41 on: April 22, 2014, 08:56:00 am »
What harm do you fear a HIV positive medical professional may bring to the exam room that a HIV negative one could not ?
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #42 on: April 22, 2014, 09:13:57 am »
well wolfter i just feel that i have the right to decide who puts their hands on me and who doesn't.  i have hiv...that gives me the right to judge.  if i didnt that would be different

With all due respect, as we are keeping this civil (And yes, everyone is entitled to their own opinion): That comment is one of the most ignorant and offensive things I've ever heard. And I've only been poz for a month and a half! You too my friend likely fucked up at some point in your life to become poz and I'm sure you weren't screaming discrimination and judgement...probably more like you were scared, confused, sick(?) and didn't know who to turn to. Saying you can judge somebody simply because you're poz is no different than saying you can judge someone because you're the ghost of fred phelps and it's who you are on the inside.

By all means be bitter, be jaded, be hateful...whatever...but direct it at the individual who treated you poorly...I don't think anyone would blame you for feeling hurt or pissed off or frustrated. You're poz...so what? So is everyone else in here. I don't think anyone would have asked for this but it's the card we were dealt. Instead of using it as a crutch or a justification for less than favorable actions and behavior, why don't you use it to say help someone else? Or let someone help you.

Offline skeebo1969

  • Member
  • Posts: 5,931
Re: IT JUST AMAZES ME...
« Reply #43 on: April 22, 2014, 09:18:10 am »
I now consider myself fortunate that I am only paranoid about those nasty, germ filled magazines in the waiting room of my doctor's office.  I do find it hard to avoid the kiddie toys though.
I despise the song Love is in the Air, you should too.

Offline Bizkits

  • Member
  • Posts: 105
Re: IT JUST AMAZES ME...
« Reply #44 on: April 22, 2014, 09:28:55 am »
I now consider myself fortunate that I am only paranoid about those nasty, germ filled magazines in the waiting room of my doctor's office.  I do find it hard to avoid the kiddie toys though.

HAHA! It irritates me to no end, though that the damn puzzles always have missing pieces!

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #45 on: April 22, 2014, 10:14:20 am »
What harm do you fear a HIV positive medical professional may bring to the exam room that a HIV negative one could not ?

I don't want someone who's got something like I do or worse to be handling me in a medical setting.  I have become afraid of everything since my diagnosis and am slowly learning to not be that way...not with a therapist, not with a bottle of pills or any other crutch...on my own...same way I deal with everything else in my life. There's never been anyone by my side through this and that sucks but it's made me stronger and much more independent than I ever thought I could be.

 I should probably have just kept my mouth shut about how i feel but why should I?  Not meant to offend anyone on here. Lots of people are paranoid about germs, poz or not.  Are they all labeled as crazy?  I don't think so.  Its no different than any other fear.  It's just a touchy topic for some I guess.

Offline Jeff G

  • Administrator
  • Member
  • Posts: 17,064
  • How am I doing Beren ?
Re: IT JUST AMAZES ME...
« Reply #46 on: April 22, 2014, 10:28:35 am »
Thanks for sharing how you feel . I see it as an opportunity for you if you really want to discuss it . As you are aware there is a long way to go in our fight against stigma and discrimination for those of us that live with HIV . I think you also know in your heart that a person with HIV is no more or less infectious as anybody else and you are letting your fears get in the way of the facts . If you truly feel this way then it must come from some of your own internalized stigma of this disease .

You owe us nothing but you owe it to yourself to be better than this . I hope you do not just accept how you feel as something you can live with . That kind of internal stigma can be very damaging in the long run .
HIV 101 - Basics
HIV 101
You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read more about HIV prevention here:
HIV prevention
You can read more about PEP and PrEP here
PEP and PrEP

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #47 on: April 22, 2014, 10:29:10 am »
With all due respect, as we are keeping this civil (And yes, everyone is entitled to their own opinion): That comment is one of the most ignorant and offensive things I've ever heard. And I've only been poz for a month and a half! You too my friend likely fucked up at some point in your life to become poz and I'm sure you weren't screaming discrimination and judgement...probably more like you were scared, confused, sick(?) and didn't know who to turn to. Saying you can judge somebody simply because you're poz is no different than saying you can judge someone because you're the ghost of fred phelps and it's who you are on the inside.

By all means be bitter, be jaded, be hateful...whatever...but direct it at the individual who treated you poorly...I don't think anyone would blame you for feeling hurt or pissed off or frustrated. You're poz...so what? So is everyone else in here. I don't think anyone would have asked for this but it's the card we were dealt. Instead of using it as a crutch or a justification for less than favorable actions and behavior, why don't you use it to say help someone else? Or let someone help you.

Bizkits,

Yes lets' be civil shall we?  I am not bitter or hateful.  Nor am I pissed at the idiot who gave me this.  Wouldn't do me any good as he was already dead once I found out.  I do not use my status as a crutch by any means.  Here's something for you to consider...I have been silent about my status for the entire 25 yrs except when I would get serious with someone I was dating. My own child didn't even know until 4 yrs ago.  I didn't want to upset him by letting him know.  But for the most part no one knows my deal and I like to keep it that way.  I have recently reached a point in my life where I'm sick and tired of the silence and found these forums which I never knew existed until last couple weeks.  I have found an outlet for all this crap that has been pent up inside me for years and I find it helpful to be able to vent.  My intention isn't to upset anyone.  If you go and look over in the women's forum you'll see my first post (Thinking about a change).  I have been so uninformed about so many things all this time and I am now considering being open to dating someone poz.  That's a HUGE step for me. So before you label me as being critical and ignorant realize that's I've had literally NO ONE to talk to about this...ever.

And to be clear I am not judging someone BECAUSE they are poz, I just don't think people in the medical field should be allowed to continue their profession if they are poz. I just don';t think it's a safe practice...for me or anyone else...poz or neg.

Offline deprivedlol

  • Member
  • Posts: 42
Re: IT JUST AMAZES ME...
« Reply #48 on: April 22, 2014, 10:42:16 am »
Thanks for sharing how you feel . I see it as an opportunity for you if you really want to discuss it . As you are aware there is a long way to go in our fight against stigma and discrimination for those of us that live with HIV . I think you also know in your heart that a person with HIV is no more or less infectious as anybody else and you are letting your fears get in the way of the facts . If you truly feel this way then it must come from some of your own internalized stigma of this disease .

You owe us nothing but you owe it to yourself to be better than this . I hope you do not just accept how you feel as something you can live with . That kind of internal stigma can be very damaging in the long run .

Jeff,

My fears get in the way of everything.  I have panic attacks all the time, but have been like that since I was a kid...it was just never addressed.  I fight with what's going on inside my head all the time.  I know the difference between fears and reality.  I also know that I don't want to have someone (like a therapist) who doesn't know me at all to tell me how to deal with it when they have no idea of what it's like to be me.  Have tried...3 times...waste of my time and theirs.

I don't think of myself or anyone poz as less of a person.  My concern  is for my health only.  Some view it as selfish but it's just how I feel.  I will not do anything to jeopardize my health any further.  Like I said above somewhere and in the other forums...what I do and how I live works for me.  Is there some room for improvement as far as my line of thinking goes?  Sure.

I used to be a raging alcoholic for 15 yrs.  That was my coping mechanism for life in general.  Now that I don't drink anymore the fears and anxiety are a thousand times more magnified than they used to be.  I just deal with it.  Maybe I'll just stop posting.  Not trying to upset anyone and I don't need the negative feedback either...although it was to be expected I suppose.

N

Offline zach

  • Member
  • Posts: 3,586
Re: IT JUST AMAZES ME...
« Reply #49 on: April 22, 2014, 10:47:14 am »
know this, if i ever meet ya. i'm coming with dirty fingernails scratching swollen ticks in my hair. and i will be touchy feely all up in your personal space.

i like messing with neurotic obsessives. i work with a guy thats ocd, everytime i'm at his bench, i move tools around from the careful way he arranges them

 


Terms of Membership for these forums
 

© 2024 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.