Question: How Do I Summarize This Article? A Fourth-year Medical Student On Rotation In The Pediatric Intensive Care Unit (PICU) Was Invited To Observe The Operative Repair Of A Congenital Heart Lesion In The Pediatric Cardiac Surgery Operating Room (OR). When The Student Arrived In The OR, The Patient Was Already Intubated And Anesthetized, And Procedures Were …

Question: How Do I Summarize This Article? A Fourth-year Medical Student On Rotation In The Pediatric Intensive Care Unit (PICU) Was Invited To Observe The Operative Repair Of A Congenital Heart Lesion In The Pediatric Cardiac Surgery Operating Room (OR). When The Student Arrived In The OR, The Patient Was Already Intubated And Anesthetized, And Procedures Were …

How do I summarize this article?

A fourth-year medical student on rotation in the pediatricintensive care unit (PICU) was invited to observe the operativerepair of a congenital heart lesion in the pediatric cardiacsurgery operating room (OR). When the student arrived in the OR,the patient was already intubated and anesthetized, and procedureswere under way to prep the patient for surgery. The studentobserved one of the team members insert a Foley catheter into thefemale patient. He was surprised to see that no efforts were madeto perform “sterile prep” prior to insertion. However, being new tothis setting and assuming different practices were used inpediatric patients, the student dismissed the incident and did notmention it to anyone in the OR The student followed the patientduring her PICU course. On postoperative day 3, the student foundthat the patient had been febrile overnight and a urine culture hadgrown Pseudomonas aeruginosa. On rounds, the student presented thisnew data, including the account of the Foley placement in the OR.The patient’s Foley catheter was discontinued and appropriateantibiotic coverage provided. Subsequent urine cultures werenegative. After rounds, the student was approached by twoattendings, separately. One remarked that the information about thecatheter should not have been presented on rounds due to concernsthat patients and family members might overhear. The secondattending told the student this information should have beenconveyed at the time of the incident. Neither attending commendedthe student for reporting the incident to the team. Shortlythereafter, the student submitted a report outlining the events inthe OR to the institutional patient safety office.

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