Idk if this is the work of AI, or just a 3D artist who didnā€™t get very good instructions for their commission.

At first glance: nothing special, just a collection of random instruments; but when you start to dissect it under the lens of a surgical tech (the target audience for this image) it just gets worse and worse.

So letā€™s dissect it!

First off, that isnā€™t even a surgical backtable - it appears to be on some kind of supply cart, with a raised lip around the edges, and random rectangular holes for handles that have folded sheet metal along the edge. Technically you could throw an impervious drape of that and itā€™d be fine, but you generally donā€™t see surfaces made to support a sterile field with raised edges that go above the field. The folded sheet metal is also a no-no, as the grooves around it collect and breed the hell out of bacteria.

None of itā€™s draped. Thereā€™s that greenish material under the tray and instruments, but stops short of the edges of the cart, so thereā€™s some REALLY high contamination potential going on there. You could get away with a field like that in dental (which is just ā€˜cleanā€™ vs sterile), but again, this wasnā€™t sent for a dental tech position.

Instruments from left to right, weā€™re looking at:

  1. a scalpel thatā€™s for some reason separate from all the other sharps in the kidney basin.

  2. looks like a tissue forcep - that actually checks out.

  3. ā€¦the only times Iā€™ve seen a forcep like have been in ortho sets that have a lot of plates and screws - those forceps are to grab the tiny screws from their caddy, cuz theyā€™re hard to get your fingers around, and normal forceps tend to ā€˜slipā€™ around the head of the screw and send it flying across the OR.

  4. thatā€™s a sponge forcep, but the end is bent in a really odd way; and it doesnā€™t have a ratchet lock, which isnā€™t unheard of, but definitely not common for a sponge forcep.

  5. Dental explorer, which checks out with the whole not-really-sterile thing; except if it was a dental setup thereā€™d be a lot more dental instruments.

  6. Fuck if I know. Doesnā€™t help that the resolution isnā€™t great, but the operative ends kind of look flat. Bowel clamps are shaped like that, but that is DEFINITELY not an open-belly setup lol. Also - the ringed end where your fingers would go is closed all the way, but the operational end is still open. If a real instrument looks like that, then itā€™s damaged as fuck and needs to be thrown away.

  7. Either a kocher clamp or straight hemostat - hard to tell w/ shitty res. But they have have the same weirdness with the ratchet being closed w/ operation end still open.

  8. That looks like a potts scissor, which is usually for vascular surgery. Handle is janky as fuck though, and itā€™s doing the opposite weirdness as mentioned before: itā€™s operative end is closed all the way, but the handles are still a tad open.

  9. Mayo scissors, which are a go-to for cutting suture. Only weirdness here is the janky handle style.

ā€¦and that kidney basin in the upper right of the tray is just chock-full of WTF. So theyā€™re using it as a sharps container - thatā€™s normal, but theyā€™ve got the scalpels facing one direction and needles facing the otherā€¦ thatā€™s a good way to get stabbed. ALL of the sharps are resting on the edge, meaning if you bump them just right, theyā€™ll do a flip and launch offā€¦ thatā€™s a good way to get stabbed. Theyā€™ve got all their sharps in one spot, except for that one random scalpel on the left of the tray. Establishing a sharps zone and then not putting sharps in itā€¦ thatā€™s a good way to get stabbed. The scalpels and needles in the kidney basin all have the sharp end stuck into some gauze or somethingā€¦ thatā€™ll dull or bend the super fine end, reducing its effectiveness and generating snag points thatā€™ll cause a bit of unnecessary trauma. Between the three scalpels in the basin and the bonus one floating off to the left, a solid third of the instruments displayed are scalpels lolā€¦ are they doing a Wolverine cosplay in the OR?? The blades detachā€¦ you only need one scalpel handle - maybe two if you want one ready and on stand by. Also all of them are loaded with what looks like a #24 scalpel blade, which isnā€™t very common; and is a fucking massive bladeā€¦ I could see wanting ONE of those for something like an emergency C-section when you need to rip that skin open fucking NOW, but 4 of those monsters set up with an otherwise tiny collection of instruments? lol no. Those two syringes arenā€™t capped, which is a good way to get stabbed; or labeled, which is a good way mix up your local anesthetic with something that could cause excruciating pain.

ā€¦thereā€™s just so much wrong with this image itā€™s comical. I canā€™t believe a fucking hospital would choose this over the millions of OR photos already floating around the web lol.

That was a fun rant to type up. If you actually read that wall of text, hope you got a kick out of it lol!

  • Sterile_Technique@lemmy.worldOP
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    10 months ago

    Is it US?

    Yes.

    Because this is the only one country I know that has slavery.

    If only. Humans are pretty horrible to each other all over the globe. We have entire markets dependent on slavery like chocolate; one of the richest fucks on the planet right now got to where it is via enslaving emerald miners. Russiaā€™s made the news several times recently for enslaving POWs.

    Iā€™m sure the list of modern examples of slavery is much, MUCH longer, but thatā€™s a few off the top of my head.