Comment on “Tf???”
Murse@slrpnk.net 6 days agoJust spitballing. Consent issue maybe? Like it only covered tibia, and the staff didn’t notice until the patient was under / couldn’t get a hold of family to have it added?
No explanation stands out as especially obvious under normal circumstances (although I’ll reiterate that ortho isn’t my specialty, so my understanding of normal here is as broken as that leg).
What do you suspect?
TranscendentalEmpire@lemmy.today 6 days ago
That’s not really how consent works, at least not in the US. You typically give consent for the operation, not for every individual procedure that’s done in the operation. A lot of the times you don’t really know what’s going to be needed to be done until you have the patient opened up, so the provider has a lot of leeway to operate as they see fit.
Depends on the individual and what bone we are talking about. Though that’s quite a lot of bone to dissipate, so my guess would be that it’s a fairly old injury.
Murse@slrpnk.net 5 days ago
From what I’ve seen in the US, it varies a lot from one facility to another. For surgery, most of what I’ve seen the consents address the expected operation “and all other indicated procedures” that give the surgeon the discretion to add something on intraoperatively if it’s justified. That said, the facility I’m at now decidedly does NOT do that. They can add an operation on if it’s an emergency, but something like a fibular nail would require specific consent. …which they should have ahead of time, cuz imaging would make the need for one pretty obvious, but dumb shit happens and things get missed… So fast forward to the operation, patient is under, skin is cut, and circulator points out “uh, hey we only have consent for tibia…” If they have a family member available who can make decisions on the patient’s behalf, that person could give consent, but if not they’d probably just skip it and schedule it as a later surgery.
…shit can get goofy.