First of all, it isn’t an operating room, no one is scrubbed.
Apparently the doctor requires three registered nurses to get the job done (no comment….).
No one is wearing gloves.
The patient doesn’t appear to need sedation, but is unable to bend her arm at the elbow to facilitate bandaging. Notice that the nurse is holding both the elbow and the wrist, but the doctor seems to have tucked the patient’s hand against his ribs. Must be one hell of a heavy arm!
A sterile field is set up along side the bed, but Nurse-on- the -left is holding the instrument in her fingers.
I have no clue what Nurse #3 is trying to get out of that cupboard, but it is awfully high. OSHA would have a fit!
Is that male head above the nurse on the right, the reflection of the photographer in a mirror?
We won’t mention the light directly on the patient’s face.
Thank goodness I don’t get worked up about this stuff!
I live in the great state of California, in the totally crazy San Francisco Bay Area. Been here all my life. I’m a red-state soul awash in a sea of blue-state liberalism. Everyone feeds on their hatred of “Ahnold”. People actually believe Karl Rove tells President Bush to cause hurricanes- on purpose! We re-elect representatives and senators that have contests over who can sound the most idiotic. We’ll take the protection of the Armed Services but you had better not try to recruit in the City. Peace and Love, dude! We can’t give your daughter a Tylenol without your permission, but we can give her an abortion without you knowing. Our borders are so porous anyone and everyone can come on down illegally. Ooops, my bad…..I believe when you come into this country against the law you are now called an “undocumented worker”. But hey, no worries, you don’t have to be “documented” to get food stamps, health care, schooling, maybe a driver’s license and they are talking about free college educations! Best of all you don’t have to learn English! There are neighborhoods where you can’t find a single billboard in English! Even the Kellogg’s cereal boxes in my local Safeway are bilingual. The San Francisco Bay Area isn’t a melting pot, it’s a box of See’s Candy, all nougats and nuts….
But when I walk through the door of my emergency department, none of the above matters.
I leave my politics at home.
I couldn’t care less tell if a person is legal, illegal, documented, undocumented, insured, or uninsured. If you are sick you can walk into any ER in this country and obtain care. If you can’t speak English, we’ll find a translator to help you communicate. We’ll do our best to refer you to a physician fluent in your language. If you can’t pay we will give you a referral to our financial counselor for help in payment arrangements and give you referrals to low cost clinics for your follow up. If possible, we will give you discharge instructions in your native language.
Nursing is blind to ethnic, political or economic considerations. We deliver nursing care centered on our patient, respectful of their culture and with respect given to them as a human being. Every patient.
Oh, and that box of See’s Candy? I’m the section with the four, thin crunchy strips that are usually in the upper left hand side. Yes….it’s true….I’m a nougat.