I'm so scared of scrubbing too little for the attending's standards but I learned there's a fine line after the time the attending screamed from the OR at me saying "Your hands are clean enough, the patient's basically awake already" and then rushed in only to hold the uterus up for the next 3 hours
Go with the Nurses Standard they'll get you through effiecently and actually sterile might involve a little yelling though especially if you get within 6 feet of the desinfection thingy with anything but your ellbow best strategy is to detach your ellbow to let it push the lever and remain in a different room so there is no change you might touch it. I got made fun of for playing attending for few days because I let my hands drop down a little too far I didnt touch anything the sterile field wasnt broken but because pretty much everyone but the attending manges to keep their hands up at the right angle I was a great source for entertainment that day. Fr though one of the internal medicine attendings just stuck his hands straight down the whole time they didnt even come close to a 45° angle more a 180°.
so true... i can say from experience that scratch offa at least you know what you are going to win and no less. I oncr bought a $5 Powerball ticket, hit 4 numbers & the powerball... ticket says I won $1,000. I go to have it verified, and the cashier said that because 2,700 other people in the state also hit 4 numbers and the PB, everybody was also getting $2.17.
"I just won $50,000 to pay off my student loans!!!! Hmm, take off 30% for taxes...*sigh* I just won $30,000 to pay off my student loans!!! Wooo! Oh, my student loans are $180,000?!? Well, %#$@"
An attending once asked me how long you should scrub for. I was ready to answer with the actual recommended time, when he said, "30 seconds longer than your senior." Solid advice.
Only time they let me scrub in for an ortho case I was told to stand in the corner. In the middle of surgery someone messed up the sterile field and they had to strip the whole thing down. Since they knew that I wasn't contaminated (because I wasn't allowed to touch anything), I had to hold the knee up while they turned over the room completely and brought in new equipment. The surgeon was NOT happy. I decided not to go into any kind of surgery.
I once told the surgeon I was scrubbing my hand so long it started to physically hurt and the surgeon looked me dead in the eye and said "good". Of course this happened right before the surgeon picked his nose and high fived the OR nurse before operating on the patient.
Sometimes I wonder if the folks commenting here are actually medical folks or just playing for the vibes. With you, though? I know that you work in medicine, because that is every day in ortho.
I'm trying the 92% / 100% tomorrow in the OR. The bit about not wanting to be done before attending is 100% accurate. Hands bleeding? just keep scrubbing till they are done.
@ekgsandpianokeys3226 No we all know that they know things. We also just know that they are too overworked and sleep deprived to properly handle any extra task on top of their normal ones.
@EKGsandPianoKeys "baby doctors" is an accurate description. They're about 27 years old, which is the age of half the nursing team's children. So youbhave 27 year old book-smart kids, making life-death decisions and handing the orders to 55 year old nurses who have been in the ER or ICU for 30 years now..... and these baby doctors aren't practicing under the supervision of the attending all the time. Baby doctors are left to manage weekends, holidays, and off-shift by themselves and the nursing team. If an attending hands a nurse an order she doesn't understand, she fills it, figuring "he's the attending, he must know what he's doing"....if a baby doctor hands a nurse and unusual order, she questions it, because he isn't just a doctor, he's a BABY doctor. There is a fondness that goes with that term. Nurses are helping to "raise" and educate the doctors, and keep their med errors from killing anyone, and direct their attention. Believe me, it would not be good if baby doctors were treated with the same "respectful authority" as experienced doctors.
Yup. I was also confused. Then maybe I was like something different in America? Like as a Dentist in my year we had to attend a case of Oral and Maxillofacial Surgery and that time even I was made to go through the whole scrubbing and all I did was stand in a corner watching the surgery and before the flaps were going to be closed was shown what's what and made to give a viva in front of the whole OT. Thankfully the Postgraduate student doctor in charge that day knew about it very well and had grilled me on all those topics the day before the surgery.
I am a doctor and I have taken to observing people in restrooms washing their hands. You can always tell it is a medical person by the way they wash and particularly how they rinse so the water runs towards the elbows. It’s a habit that has been deeply ingrained into me. Dr G. Is such a cutie!
i happened upon a RNFA channel the other day doing a day in the life video. I noted they let the water drain down from elbows to hands, and wondered if that was usual for them or just a short cut on video day.
People in restrooms wash their hands?!? Oh, the women's restroom... yeah, I'll buy that. I'd say less than 1/4 of the people in the men's restroom wash their hands. Especially suits, they never wash their hands.
I actually got to wear my white coat during ortho surgeries in my orthopedic module :D Obviously I was in a corner as far as possible from the surgery but I got to watch the beeping machine... yeah
So true about scrubbing just a little longer than the attending; my first surg rotation i had poison ivy on my arms, looked awful but the scrubbing was so great.
My son was a Micro-Premie. In order to go into the unit the Nurse in charge showed me how to gown and scrub and she always sorta peered sternly at me like I was inept, so I would do more hoping it was sufficient to be allowed in. Even on the last day when my son bulked up to 4.0 pounds I suspect she Never approved of my efforts. LOL The other parent’s were equally intimidated. She was Terrifying. 😂
A surgeon here in Ireland, I think in the 90's or early 2000's, was I think on holiday in a rural part of Ireland, when he was suddenly called by some locals...a man had fallen from a ladder / scaffolding, onto another man, while clenching a nail gun in his hands as he fell. The nail gun hit the top of the man belows hard hat, and the man falling must have pulled the trigger as his hand clenched up. Basically the man below had, a six inch nail, or something around that size, bent slightly (as the later hospital x-ray showed) into his skull, though the brain. The man was amazingly still alive. Yes, I am aware of that guy in the USA that had a metal bar go through his brain, during an explosion in a work accident, and survived, in I think the 1,800's. Anyway, the surgeon here in Ireland, used a rusty old, hand turning drill...yes, not an electric drill, but those things before electric drills...as the best tool available at the time, I think to release the pressure on his brain due to swelling, or something like that, before the ambulance could arrive from the nearest hospital, hours away. Again, a rural location in Ireland, with an off duty surgeon, far away from his actual surgical items, improvising with a rusty, old farm/workshop tool. The decontamination risk from the doctors coat in this video sketch reminded me of that story.
My uncle as a general surgery resident, had to go and scrub 5 times because everytime he scrubbed he closed the tap with his own hands. That was the first lesson in maintaining asepsis.
This is how I felt when I was having to make conversation with EP’s as they scrub in before a case. 90% of my anxiety was mainly due to the practice conversations I had before we scrubbed in.
@@viviansytsui Your’s too? Wow you’re not alone. We have five EP’s in our group and one of them is obsessed with dad jokes. So when I scrubbed a case, every time I gloved the docs there was a bad dad joke I wrote down on the table under their gloves.
@@cardiacdrummer5443 I'm sorry for our loss... in patience! hahaha. The funniest part is when they smile proudly that no one has an answer to the dad joke and they announce it nice and loud.
This is so funny! My son was born with Hydronephrosis, and he's had 13 surgeries so far. When he was younger, he asked his Urologists what they talked about when they washed their hands. They said it was about cars last time. 🤣🤣🤦♀️🤦♀️. He's 24 now.
I love this channel. After watching and reading some of the comments, I realized I had no idea what happens when docs “scrub in”. Now I’ve gone and watched four separate videos about it and know some of the differences between the process in the US and the UK! :D
"Why is he wearing a white coat, total noob" that's the first thing I've thought watching this video. And the punchline at the end was just hilarious, I've totally lost it 🤣
Well better than boiling hot water and that was the case in our OR for quite some months. All out of a sudden the water would turn piping hot and I’d groan and cuss. They fixed that. Again. Until next time. And that next time will be when I won’t be expecting it. Anyways. Let’s hope that it’s good for the skin.
@Murat Sinan Engin oh ok got it. I definitely would choose warm over cold any day. But I am a female, and as they say, we take scolding hot showers, so hot that even Satan himself couldn't handle 😅 I used to be a waitress back when I was in college, so I burned off all my fingerprints handling all the hot plates. When I do the dishes, everyone knows not to touch the water because it's scalding hot.
Being a tiny child with family working in hospitals and being practically raised by nurses, it took me way too long to understand scrubs were called that because of how much you have to sanitize or “scrub up”
My dumbass who was raised by medical people too: I thought they were called scrubs cause you look like a scrub in them. I'm only partially kidding, I thought growing up it just meant "Doctor Uniform" or "Hospital Suit" lol
@@shadowdroid776 nope same, it wasn’t until I overheard some nurses talking about how much of a pain it was to “scrub in” on a surgery and I was like “but you’re wearing scrubs? Did you have to change?” Aaaand then they explained. I also thought that nurse scrubs and doctor scrubs were different for some reason? And then I found out they all buy from pretty much the same 3 companies.
What is this med student doing? Being at the scrub sink is the same as being at urinal; keep your eyes looking straight ahead and don't talk to the guy next to you!! 😜😂
Wow, most places have switched to Avagard or similar product after first scrub of the day. The bacteria start regrowing pretty quickly after a regular scrub product. Avagard leaves a anti microbial film on arm and hands which is more effective in decreasing wound infection rates
I remember doing the instrumentation as a student nurse & scrubbing for a Posterior Resection of the Bowel and being so nervous at the sink. This took me back to the moment I walked into the room where the surgeon was scrubbing & I froze- then I thought tentatively I have to carry on.🇦🇺
I couldn't tell if you left the jacket on to remind us he's the med student or in fact to show that he forgot to take his lab coat off! 🤣 Good to know it was the latter! Although your surgeon didn't improperly sling their hands down. So demerits for that. Authenticity matters.
Noticed right away ! (I led the hand hygiene kpi for 10 years at 2 major city public hospitals) Don't you use surgical hand rub after a 15 second "social" hand wash in USA ?
Nope. They don’t care a bit. Not this one here at least. 😁 I don’t even detect their presence, or wonder who they are; not because I’m condescending, I just don’t, I’m preoccupied already. Until they ask a clever question.
@BoredumMonster it is not sanitary, and not appropriate for the OR. Taking it off means he will contaminate his hands and have to start scrubbing in again.
That last part killed me Man i remember the questions the attending used to asked while we are scrubbing, you would go like oh God please i can't answer any of this let's jus finish scrubbing
As a second year resident I had an over confident new med student completely scrub up to his elbows, throw the scrub brush into the trash and rinse rinsed thoroughly just like an attending surgeon. He then pulled a couple of paper towels from the paper towel dispenser and promptly realized he had to do it all over again as we all walked past him into the O.R..
And since everyone proceded to put on sterile gloves in a sterile fashion after scrubbing, what did it matter whether anyone had scrubbed or not? A question I have been asting myself for about 30 years now.
@@MyFiddlePlayer If those gloves break during surgery thats where the difference comes in. Sepsis is not something you want while recovering from a surgery
When I was in medical school, I would introduce myself to each attending surgeon at the scrub sink by saying, “Hi, my name is …..I’ll be your med student today. My specialty is cutting your sutures too long or too short.”
