Is it too much to ask for people to pull their own weight?
I took minutes for the meeting today.
One of the round table items: having a prepared bin ready for an exploratory laparotomy.
People thought this was great.
I objected.
Everyone should know how to pull an ex lap from the supplies kept in the OR core.
EVERYONE.
This is a knife and butter case.
This is the most basic of the larger cases.
And you should very well be able to pull it from the stock in the core.
I was told to think of the children.
No, not really.
I was told to think of the inexperienced nurse.
I held my eye roll, just barely.
I said, I was thinking of the inexperienced nurse.
You know how you get experience, asked Bacall of Bogart?
You get in there and do it.
An ex lap case: a set up pack, a double basin, a laparotomy drape, a 3/4 drape, gowns and gloves for the doctor(s), a grounding pad, 0 silk ties, 2-0 silk ties, 3-0 silk on an SH needle, towels, a foley kit (that’s for you), a major instrument tray , a major retractor tray.
That’s it.
The rest is just dressing and closing suture.