Idk if this is the work of AI, or just a 3D artist who didnā€™t get very good instructions for their commission.

At first glance: nothing special, just a collection of random instruments; but when you start to dissect it under the lens of a surgical tech (the target audience for this image) it just gets worse and worse.

So letā€™s dissect it!

First off, that isnā€™t even a surgical backtable - it appears to be on some kind of supply cart, with a raised lip around the edges, and random rectangular holes for handles that have folded sheet metal along the edge. Technically you could throw an impervious drape of that and itā€™d be fine, but you generally donā€™t see surfaces made to support a sterile field with raised edges that go above the field. The folded sheet metal is also a no-no, as the grooves around it collect and breed the hell out of bacteria.

None of itā€™s draped. Thereā€™s that greenish material under the tray and instruments, but stops short of the edges of the cart, so thereā€™s some REALLY high contamination potential going on there. You could get away with a field like that in dental (which is just ā€˜cleanā€™ vs sterile), but again, this wasnā€™t sent for a dental tech position.

Instruments from left to right, weā€™re looking at:

  1. a scalpel thatā€™s for some reason separate from all the other sharps in the kidney basin.

  2. looks like a tissue forcep - that actually checks out.

  3. ā€¦the only times Iā€™ve seen a forcep like have been in ortho sets that have a lot of plates and screws - those forceps are to grab the tiny screws from their caddy, cuz theyā€™re hard to get your fingers around, and normal forceps tend to ā€˜slipā€™ around the head of the screw and send it flying across the OR.

  4. thatā€™s a sponge forcep, but the end is bent in a really odd way; and it doesnā€™t have a ratchet lock, which isnā€™t unheard of, but definitely not common for a sponge forcep.

  5. Dental explorer, which checks out with the whole not-really-sterile thing; except if it was a dental setup thereā€™d be a lot more dental instruments.

  6. Fuck if I know. Doesnā€™t help that the resolution isnā€™t great, but the operative ends kind of look flat. Bowel clamps are shaped like that, but that is DEFINITELY not an open-belly setup lol. Also - the ringed end where your fingers would go is closed all the way, but the operational end is still open. If a real instrument looks like that, then itā€™s damaged as fuck and needs to be thrown away.

  7. Either a kocher clamp or straight hemostat - hard to tell w/ shitty res. But they have have the same weirdness with the ratchet being closed w/ operation end still open.

  8. That looks like a potts scissor, which is usually for vascular surgery. Handle is janky as fuck though, and itā€™s doing the opposite weirdness as mentioned before: itā€™s operative end is closed all the way, but the handles are still a tad open.

  9. Mayo scissors, which are a go-to for cutting suture. Only weirdness here is the janky handle style.

ā€¦and that kidney basin in the upper right of the tray is just chock-full of WTF. So theyā€™re using it as a sharps container - thatā€™s normal, but theyā€™ve got the scalpels facing one direction and needles facing the otherā€¦ thatā€™s a good way to get stabbed. ALL of the sharps are resting on the edge, meaning if you bump them just right, theyā€™ll do a flip and launch offā€¦ thatā€™s a good way to get stabbed. Theyā€™ve got all their sharps in one spot, except for that one random scalpel on the left of the tray. Establishing a sharps zone and then not putting sharps in itā€¦ thatā€™s a good way to get stabbed. The scalpels and needles in the kidney basin all have the sharp end stuck into some gauze or somethingā€¦ thatā€™ll dull or bend the super fine end, reducing its effectiveness and generating snag points thatā€™ll cause a bit of unnecessary trauma. Between the three scalpels in the basin and the bonus one floating off to the left, a solid third of the instruments displayed are scalpels lolā€¦ are they doing a Wolverine cosplay in the OR?? The blades detachā€¦ you only need one scalpel handle - maybe two if you want one ready and on stand by. Also all of them are loaded with what looks like a #24 scalpel blade, which isnā€™t very common; and is a fucking massive bladeā€¦ I could see wanting ONE of those for something like an emergency C-section when you need to rip that skin open fucking NOW, but 4 of those monsters set up with an otherwise tiny collection of instruments? lol no. Those two syringes arenā€™t capped, which is a good way to get stabbed; or labeled, which is a good way mix up your local anesthetic with something that could cause excruciating pain.

ā€¦thereā€™s just so much wrong with this image itā€™s comical. I canā€™t believe a fucking hospital would choose this over the millions of OR photos already floating around the web lol.

That was a fun rant to type up. If you actually read that wall of text, hope you got a kick out of it lol!

  • jubilationtcornpone@sh.itjust.works
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    10 months ago

    This could be none other than the ā€œbrilliantā€ idea of some recruiter. The same people who, in my field (software engineering), donā€™t know the difference between Java and JavaScript (two similar sounding yet completely unrelated programming languages) or expect 10 years of experience in a technology that didnā€™t exist 4 years ago.

    They know what a scalpal looks like ā€¦sort of. Thatā€™s where their medical expertise ends. This particular recruiter sat there looking at their masterpiece, hot off the AI press, feeling very pleased with themselves and their creative genius. Not having a clue that almost everything about the picture is wrong.

    I wouldnā€™t have known that either though so thanks for the really detailed explanation!

    • aard@kyu.de
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      10 months ago

      The same people who, in my field (software engineering), donā€™t know the difference between Java and JavaScript

      The same people who donā€™t understand that zip codes are not unique to a country, and do a zip code search on recruiting platforms without also setting a country. And then offer you to move to their country (at your expense) when you explain them the concept of zip codes and countries.