Wednesday, December 27, 2017

Clamp


Well, here you be, old coot. Off your arse!

I did get out and ambulated in Cortez Park, the Arbor Project underweigh. Mean to turn out pictures of them there trees there after going through all the cybernautic hoops. Saw several cormorants and a blue heron too. Talk about exciting!

Had a thought about being provided with experiences to blog about, but, consider this: one does so at great peril. Relate information about your job, your colleagues or your customers and you just might find yourself without said employment. Even as a free agent, I am cognizent of the privacy and litigious issues. If I make mention of anyone, I realize the risk. There might be a dilemma insofar as perhaps working out a bad experience hereby, a talking cure, if you will, but it's on the cusp of 'get over it' and jousting with windmills.

Oh, I've had plenty of experiences to yammer about but it's an ethical issue too. Not so much in my present circumstance as in previous ones. Upon the HIPPA spectrum.

Received the troll from a patient's wife for Christmas some 25 years ago. Alzheimer's. His name was John... forget hers but she was from Texas. Wore her bonde hair in a French twist and was she glad to see me three times a week. She cared for him at home but personal care was an issue as he'd get belligerant. He was showered, shaved and ambulated round the block. We did chair exercizes and Simon Sez. He never knew me.

From 1973 to 1976 I worked in surgery and hospital central supply. Took care of the instruments and supply logistics - suture, sterile dressings and linen, those sort of things. When not busy, got to watch. Learned a lot and many surgeons are natural teachers. 

Odd to consider Universal Precautions. I was universally exposed! Unless they knew there was a microbiologic pathology; we called it a dirty case - that called for the heightened vigilance routine today. When the instrument pan inclusive of instumentation particular to the procedure was done with, it came to me for cleaning.

The scrub nurses would rinse them in a bowl and brush most of the gristle off. I'd arrange them for fine cleaning with an antiseptic detergent in a sonic washer. The microbubbles generated by the vibrations scoured the stainless steel, especially the hinges of the scissors and forceps. 

Cleaned. I wore latex gloves and scrubs but would still get splattered. Then I reset the pan such that the procedural set was complete and in order. Then they'd be autoclaved for next day's schedule. Anyway, much paraphernalia cleaned one way or another before being packaged for steam or gas sterization.

A hoot to recall working with the electronic techs at that time as the very expensive leads and probes measuring vascular flow were not disposible. They were usually good enough to clean them themselves before giving them over for packaging and gas sterilization. They called the tangle of wire after an open heart procedure 'spaghetti'. Yeah, I've been plenty immunized.

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