KevinMD November 1, 2022
Karolina Brook, MD, Aalok Agarwala, MD, MBA, and Emily Methangkool, MD, MPH

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.

A nurse is assisting the attending physician in placing a central line in the intensive care unit.

It’s 3 a.m., and the attending is clearly tired, having admitted eight patients so far on her shift. The nurse notices the physician pushing her eyeglasses up her nose – after donning her sterile gloves. She then moves to touch the central line tray.

“Wait,” the nurse says, “you’ve contaminated yourself.”

“No, I didn’t. Let’s get this done quickly,” the attending snaps.

The nurse begins to doubt what he saw and does not speak up for the rest of the procedure.

This is a disturbingly common daily scenario in medicine —...

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