Post by sharonPost by Mrs EyrePost by Ellen K HurshI wonder how long, in a real surgery, Abby would have been allowed to
prattle on from the observation booth before someone piped up and told
her "Look, sweetheart, can you just put a sock in it already? We're
kinda busy here." Though I do agree that Lucien/Neela has its...
possibilities, which probably means the pairing is doomed -
DOOOOOOOOOOOMED! - before it's even begun.
"You're not the chief of me"? Boy, it'd be ironic (by which I mean
"funny") if she got to Boston and wound up with a boss who's ten times
stricter than what she's leaving.
Oh, and *squee*! Itty ginger kitty!
It's no dafter than Gallant proposing to Neela as she was elbow deep
in a patient's innards, with the rest of the surgical team loking on
approvingly.
True, though I don't believe that Gallant's interruption lasted nearly as
long as Abby's nor was the patient in as dire straits as the one in this
eppy. There's also the purpose of the interruption to consider. Abby
was specifically there and chattering away because she was worried about
the patient and wanted Neela and Dubenko to save him. Seems to me that,
if she'd had a lick of sense, she'd have shut her yap so they could
concentrate on that rather than injecting her ridiculous and unwelcome
commentary into the proceedings. But that's Abby; she can't see past
herself to think about the consequences of her many, many utterly stupid
actions.
Considering Sam nearly got fired for leaving a hep lock in a patient just
a few days earlier, you'd think Lil Miss Fabulous would've thought twice
before handing a suicidal teen a needle and syringe for his very own. As
usual, the show pretends Abby is clever and heroic while Sam was misled
and not thinking clearly for committing similar acts. What a nitwit Abby
is and always has been! And how gullible TPTB must think the viewing
audience is for propping her up as the greatest doctor evah for it.
Sharon
What the heck is a "hep lock" and how can one be left in a patient without
someone noticing?
Sam did notice. This was in the previoous eppy where the ER was closed
because of the ricin powder. Sam was treating a guy who had an infection
that needed IV antibiotics. He was studying for his GED (or so he told her)
and couldn't stay in the hospital. She had placed an IV in him for the
first dose and, instead of pulling the IV out entirely, she left the
catheter itself in his arm after disconnecting the IV with a little cap on
it to prevent it from leaking. That is known as a heparin lock or hep lock,
for short. Turned out the guy was a drug addict and Sam hadn't noticed the
track marks between his toes on her 'head to toe survey'- except, of course,
in real life, finding track marks is part of the physical exam, for which
the physcian is responsible, not the nurse. In other words, it was Banfield
who screwed that up despite what the show tried to make us think.
Hep locks are quite useful in hospitalized patients who are able to eat and
drink but need IV access for pain medications and/or antibiotics. If you
remember back to when Carter got stabbed, he had a hep lock in his hand when
Chen came to visit him in the hospital. I remember it because we got some
closeups of Carter putting his hand to his face to hide his pain from Chen.
Anyway, aside from the fact that a hep lock gives a junkie direct venous
access for shooting up, they can also come out of the vein, get infected or
the cap can come off and lead to a lot of bleeding, which is why hospitals
do not permit patients to be discharged with them in place. It would indeed
be grounds for disciplinary action if not firing, if a nurse would send a
patient home with one in place.
However, there's no way a new attending, who wasn't even there the day it
happened, going up to the committee meeting and ranting and raving about how
hard the job is, how nobody works harder than the ER crew and all the other
baloney Abby spewed, would make a bit of difference to anyone let alone get
Sam off the hook. It doesn't matter how tough the job is, it has to be done
right; no patient would accept that excuse, nor would their attorneys and
making excuses is a waste of time. Now, if Banfield had turned up, told them
she made Sam do the physical exam even though it was outside the scope of
nursing practice, and that she should've examined the guy and spent more
time questioning him herself rather than forcing the nurse to do her work;
that might've helped.
Sharon