Can someone please appease my paranoia?

I was feeding another nurse's baby last night, and didn't check the cap on the bottle before the feed. The cap was on crooked and I spilled (frozen/re-warmed) breast milk on my hand. Now I'm all paranoid about various communicable diseases. Can someone please reassure me?
OK I will, you are a silly girl. You need to stop right now and slap your own self out of this type of thinking before you make yourself insane!

I pretty much came to this conclusion after I pictured the looks on the employee health nurse's face if I walked down there and asked for prophylactic HIV therapy. The CDC doesn't consider breast milk a substance that requires PPE, unless you work in a milk bank. It just helps to hear it.

Don't sweat it: if mom's viral load was high enough to fill up a few drops of milk, she'd likely be too sick to even produce milk....Intact skin is a great defence. I've had HIV positive blood on my hands (quite by accident, nothing to do with PPE), and have remained negative for many years.

Reassurances

how would this even happen...do you have any open lesions on your hand?just get a prophylactic cootie shot, and you'll be good.leslie

No open lesions - one tiny, healing cut. I realize, intellectually, it's completely illogical, and a ton of factors would have to line up perfectly for anything to happen. I am, as I said, being totally paranoid. Probably new job, new town, and readjusting to nights aren't doing anything to help that. Thanks for giving me some perspective on this. (Do they make a prophylactic cootie shot?

Quote from gigglymoI was feeding another nurse's baby last night, and didn't check the cap on the bottle before the feed. The cap was on crooked and I spilled (frozen/re-warmed) breast milk on my hand. Now I'm all paranoid about various communicable diseases. Can someone please reassure me?

I have often thought about all those years when medical professionals didn't wear PPE for anything. It freaks me out!

I'm confused, if there's anyway the mom was hiv+ then there's no way that baby should be getting breast milk anyways.

I've had way worse on my hands than boob juice.....like when the baby I was feeding last night decided to reflux, spewing about 15ml partially digested formula all over my hands. Lovely. Unless your hands were covered in oozing open lesions, I think you're OK! Circle, circle, dot, dot, now you've had your cootie shot!!!

tinysam got it, if the mom was HIV+ the OP wouldn't have been feeding the baby breast milk. I rather think you can stop worrying, OP

So as a follow-up, in case any OTHER paranoid nurses out there search a similar situation. From the CDC: "The CDC does not list human breast milk as a body fluid for which most healthcare personnel should use special handling precautions. Occupational exposure to human breast milk has not been shown to lead to transmission of HIV or HBV infection. However, because human breast milk has been implicated in transmitting HIV from mother to infant, gloves may be worn as a precaution by health care workers who are frequently exposed to breast milk (e.g., persons working in human milk banks)."I also called the AIDS Post-Exposure Hotline (judge me if you must) and the physician I spoke with said that this was an extremely...extremely....extremely...low risk situation. Apparently moms are tested during pregnancy...and if they're not, then the babies are tested at birth. An HIV+ mom wouldn't be breastfeeding, and even if she were, the risk of passing on HIV in milk comes from the fact that babies are consuming it in vast quantities as their only source of nourishment for several months...and even then, it's not a guarantee that it will be passed on. At one point, I told the Dr. that I had the distinct impression that he thought I was being paranoid and somewhat ridiculous. He said that he couldn't tell me there was NO risk, but repeated that this was not a situation where he would recommend prophylaxis, there are no documented cases of HIV being passed to an HCP this way, and repeated that this was an extremely...extremely...extremely low risk situation. Considering the above information, and the fact that the infectious disease portion of the chart said, "Nothing notable," I'm going to chalk this up to (rather massive) paranoia and a lesson learned.