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answer the points , i am waiting please

Question: 

i went for a blood test , at a registered medical lab the lab in Yangon Myanmar , the lab is super clean , the nurse covered her hand with gloves ,placed tissue on my arm and over tissue she adjusted a tight strip to make vein visible, then cleaned my arm area with alcohol patch for drawing the blood, and she used multi sample collection needle , (venipuncture ), vacutainer needle ,
till here everything was fine or is fine
the issue is i did not see or i did not noticed that the multi sample collection needle was sealed or not , as she picked it from a basket full of multi sample collection needles may be 20 or 30 ,( black coloured with white seal on all of them ) after the blood was drawn she immediately threw it in dustbin , i am now being paranoid

1.as if she has used a old one ,
2.or someone has touched the needle and then covered it again ,
3. can i get hiv or hepatitis or any other infection ,
4.please tell that if a needle cap once opened cannot be put back
5. what is the possibility that someone can get infected this way as the blood was being drawn out not injected
6. what if it was touched by someone
7. can it be re used ,
8. Sharing link showing exact picture of needles not the brand ( https://www.medline.com/product/Multi-Sample-Blood-Collection-Needles-by...)
9. is hiv test required

I am in doubt , can a health worker do this , or how safe are these multi sample collection needles are , can there cap opened once cant be put back or what are the chances it was old or someone has just touched it and pack it back , my fault is i didn't noticed its seal but now i am being paranoid , how stupid i can be

more ever i went again to that Lab, to see again , they are super clean , place needles in a basket all were sealed and they throw immediately after use as she threw mine after my test , but i am being paranoid thinking only about it , and no one is answering my query also , please help

sir please reply
please

Answer: 

Hi there,

From what we gather from the question, you were asking about the possibility of acquiring HIV from used needles, and if you had encountered a used needle in a professional medical environment while receiving your last blood test.

Sharing of needles is considered to be an avenue of HIV transmission, and is considered to be High Risk: (Evidence of transmission through these activities and is the majority of cases of transmission).

However, from the information you have provided, it appears that you have not encountered any previously used needles. We assume you are asking about the possibility of physician or health care worker malpractice, which is extremely frowned upon in all medical professional environments. Nearly all medical professionals have been well trained in patient safety, and have a responsibility to protect their patients from further harm. Any failure to protect a patient from workplace hazards is very rare, and may result in dismissal of the medical professional. For these reasons, it is highly unlikely that the blood work you have received had involved any malpractice, such as using a previously used needle for your bloodwork.

If you continue to worry about the care you received; you may consider asking a physician about standard blood-drawing protocol, and the likelihood of an event that you had previously described.

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

All the best,

AIDS Vancouver Online/Helpline, Cody