[vagabond]

Looked better than quite a few of the ones I've seen on YouTube, with the patients hollering and squirming
I would have taped a sterile towel around his waist, with the "poncho" on top of that, for easier clean up, but I'm no doctor!

[mintycbo]

Originally Posted by vagabond ↗

Looked better than quite a few of the ones I've seen on YouTube, with the patients hollering and squirming
I would have taped a sterile towel around his waist, with the "poncho" on top of that, for easier clean up, but I'm no doctor!

Personally? I would have went with an emesis basin (kidney dish/bowl).

[mintycbo]

[Deathofjocelynn]

If you know something about keeping a field sterile, you won't see this as a "good job". She contaminated the whole thing again, again and again. (for example smearing the blood from his pants all the way up IN the wound again).
The clean stack of gauze was covered in splatter and she contaminated gauze full of pus but put it in his wound though.
Using a syringe with a needle to irrigate the wound is a great way to inject the pathogen deeper into the body.
And let's not forget the use of a f*****g plastic bag...

[kellyhound]

could have done a back shave while she was at it.

[mintycbo]

Would have helped if he was laying on his side too..
Wouldn't have to worry about the pants then.

[vagabond]

I think she should have had an assistant, as well.

[Agapeti]

I'd be surprised if he doesn't end up with MRSA in the wound.

[HouseAtreides]

Originally Posted by ppepper ↗

No she didn't. I don't know how many I&D you people have seen, but that is what happens.

According to someone on youtube:

-patient should be assuming prone position

-patient should have received at least low dose pre op. opioid analgesia(ie: hydromorphone 2mg IV)

-Sub standard povidone iodine application, should cover way more of the affected area and lower as well

-initial infiltration with lido: epi sub standard , should have at least 5 injection sites for an infection of these dimensions

-did not assess patient for adequate nerve block after infiltration, didn't even give him 1 minute for acceptable anesthesia she just incised him immediately.

-proof of subcutaneous nerve block inadequate as you can see her probe the loculi up towards his shoulder and he verbalizes severe pain.

-patient requests increase dose of infiltrate/ anesthesia only to be met by a long needle loaded syringe probing the incision site, clearly they only place that's ALREADY received the nerve block

-needle penetrates deep enough to push pathogens deeper in unaffected tissue

-all expendables are being used sub acceptable methods of practice. Custodian linens bag or equivalent used and completely contaminated sterile field rendering the entire operating area not only unsterile but biologically hazardous

-irrigation sub standard as aforementioned by other comments

-packing procedure completely unacceptable. Trailing end dragging through contaminated field, insufficient packing if she's gonna use the strip

-did not opt for medical polymer wick in lieu of ridiculous packing job

-no assistance from nurse, (ie: nurse could have implored or even implement use of a drip tray (kidney shape vesicle) and opened more gauze leaving them on the sterile wrapper for the DC.

-no drape -half hearted prep, clean up before during and after op

-NO CULTURE TAKEN

-and if the hospitals defense council challenges the woman recording saying things like "good job Dr you've done great" you assert ignorance of due process until the footage was examined. The only thing she did that made you FEEL she did a good job, was evacuate the discharge from the wound. The release of pressure seems like a great favor and you simply challenge back saying ignorance of acceptable standards and methods of practice is NOT an admission of not being an injured party.

[vagabond]

^ Well, when you put it like that...