Lost Surgical Tool
As lead surgeon on a critical spinal procedure, you've just closed the patient when a nurse reports a missing surgical retractor. Time is critical - reopening means additional trauma and infection risk, but leaving it could be catastrophic. The patient's vitals are stable, but the hospital's risk management team is already involved.
Challenges
0
Survivors
0
Popularity
0
Difficulty
B1-B2
Scenario Overview
Your Role
Lead Surgeon - Neurosurgery Department
Conversation Partner
Dr. Victoria Shaw - Chief of Surgery
Setting
Sterile operating theater, harsh fluorescent lights, beeping monitors, team waiting for your decision
Location
Metropolitan General Hospital - OR Suite 4
Learning Objectives
Make and defend a clear decision about reoperation within a critical timeframe
Navigate hospital politics while prioritizing patient safety
Document and communicate your reasoning effectively
About This Scenario
As lead surgeon on a critical spinal procedure, you've just closed the patient when a nurse reports a missing surgical retractor. Time is critical - reopening means additional trauma and infection risk, but leaving it could be catastrophic. The patient's vitals are stable, but the hospital's risk management team is already involved.
How It Starts
“Dr., we have a situation. The count is off by one retractor, and risk management is already breathing down my neck. What's your immediate plan of action? And please choose your next words carefully - we both remember what happened during the Morrison case.”
This is how Dr. Victoria Shaw - Chief of Surgery's greeting will start.
Practice Details
Scenario ID
#663
Category
General
Location Tag
Metropolitan General Hospital - OR Suite 4
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