Yesterday, 08/24/07 I was running interfacility transfer from the ER to psych facility, upon making initial pt contact, I asked out pt if she had intents on harming herself or us. She stated "I am going to hurt you, if you don't stop trippin' and having sex with me", obviously with such a threat, she was placed in restraints.
When we got to the psych facility, one restraint was removed and before I could get to the other off, she started to remove it, it told her to hold on and I would remove it. As I was removing it, out of the corner of my eye, I saw her fist coming for my head, I blocked it and pinned her arm above her head... next thing I know she rotated herself and ended up biting my right index finger removing a nice chunk of skin and drawing blood.
Being an on the job injury, I went to the nearest ER for care and lab work. This pt has no known hx of HIV, but is a active meth and cocaine user by unknown means (I didn't see any track marks on her arms). The nurse in the ER told me that the pt has to consent to having blood drawn and tested for HIV, Hep B & C and that she can refuse to do so. I thought it was mandatory by CDC and that the pt couldn't refuse regardless whether or not they are a psych pt.
Can someone please elaborate as to whether or not this nurse is correct?