The OR is not a good place for a prank

An anesthesiologist at a California hospital pasted stickers simulating a mustache and teardrops on the face of a hospital employee while she was having surgery on a finger.

According to the Los Angeles Times, the doctor said, “I thought she would think this is funny and she would appreciate it.”

And if that wasn’t bad enough, a “nursing attendant” took a photograph.

The patient, who said she had to quit her job because of the humiliation, is suing the hospital and the physician for this confidentiality breach.

The woman who took the photo said she deleted it after showing it to the patient and didn’t post it anywhere. One version of the story is that she texted the photo to the plaintiff.

Others have testified that they saw the image on Facebook although the hospital said that there is no proof the photo was ever posted online. Multiple news outlets, including the Times, have published the photo which was obtained via court documents.

The plaintiff also claims that general anesthesia was unnecessary and only used so that the picture could be taken. The anesthesiologist and some hospital employees were disciplined, but the hospital says the patient has fabricated and exaggerated some of her complaints.

At a deposition, a nurse manager at the hospital testified that in 2009, a sales representative took some pictures of a naked patient in the operating room. The hospital maintained that no such photos were ever taken. But then not only barred that sales rep from its OR, it also established a policy that no cell phones or cameras would be permitted in that area. This was an attempt to rectify a human error in judgment and common sense with a system correction. Obviously, it didn’t work.

There are lots of issues to discuss.

It seems the OR is not a good place for a prank.

Bad ideas. One, pasting the stickers on the patient. Two, taking a photo (without consent). Three, texting it to the plaintiff. Four, posting it on Facebook (allegedly).

The Internet doesn’t forget. Once something is posted it tends to stay there — somewhere — forever.

There is this thing called HIPAA, which contains many strict rules about patient privacy. People have been fired, fined, and even jailed for breaches of patient privacy.

Why didn’t the hospital settle this case, which has gone viral? Do they really think they can win? Have they never heard of the “Streisand Effect“?

The hospital had a policy of no cell phones and no photos in the OR, but it was observed about as well as the 55 mph speed limit. If there is nothing else to learn from this case, a hospital should not establish policies it cannot or will not enforce. Lawyers feast on that sort of thing.

Bottom line: The cell phone and its camera are not the culprits here. Smartphones don’t take pictures of people; people take pictures of people.

“Skeptical Scalpel” is a surgeon blogs at his self-titled site, Skeptical Scalpel.

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  • http://pinnaclebrainandspine.com/ PinnacleBrainSpineCenter

    Frankly, the OR is a serious place not a place for pranking anybody. This goes beyond poor judgement or even a lack of professionalism. The mind boggles.

  • Jess

    It just makes me wonder how many hapless patients have been deliberately humiliated by their so-called “trusted” doctors and nurses once they’ve been put under, but they just haven’t found out about it.

  • Skeptical Scalpel

    Thanks for the comments. I found it as appalling as you did and agree that the hospital made it worse.

  • http://warmsocks.wordpress.com/ WarmSocks

    Hard to even get a form now. We’re asked to sign electronically, and have to make an issue about wanting a hard copy, which messes up the hospital’s timetable.

    • Kaya5255

      Dear WarmSocks,
      May I ask if you are a consumer or a registrar?? Sounds as if you wanted to fully read the consent and got the bums shuffle because you actually wanted to read it before signing?? Good for you and I hope you crossed out objectionable parts of it!!

      • http://warmsocks.wordpress.com/ WarmSocks

        I’m a patient. At check-in I asked for a printed copy so I’d know what I was reading, but they did not have any and had to search. When they finally found it printed, they handed me a sheaf of papers and still wanted me to electronically sign immediately. There is no reason they couldn’t have given me the consent form at my pre-op appointment, or posted it on their website if they are concerned about being truly paperless. Their resistance to letting me read it just made me all the more insistent that I know what I was giving permission for. Never sign a legal document without knowing what it says.

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