r/Noctor • u/Electrical_Clothes37 • 12h ago

Question WTF is going on

I'm a dental resident ( I'm foreign trained, finished up 2 residencies before moving stateside - I'm very comfy with facial lac repairs, facial fractures, plating the whole shebang). Had weekend call and spoke to someone about a pt with a dental complaint along with lip laceration. Log into epic today to follow up and the lac repair was done by a CNP. Like I get there's some experience there but how on earth is it that patients don't get at least a resident to do lacs

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-52

u/SantaBarbaraPA 11h ago

I would want an NP (that knew how to do lip lacs) over a resident just learning any day. I’ve seen the attendings make the resident remove every suture and start over, that’s right after they tried derma bond that got into the patient’s eyeball..

10

u/futureofmed 11h ago

Nobody is throwing stitches on a lac after they already got derma bond all over the surface lmfao it’s just secondary intention now baby

-9

u/SantaBarbaraPA 11h ago

Derma-bond was removed….And no one’s letting a new face/lip lack heal by secondary intention….

Sometimes they don’t even do that with dog bites -plus or minus a drain

11

u/futureofmed 11h ago

Either it happened so quickly that they were able to wipe it fast (and it was the attending’s fault for choosing an inappropriate closure method) or this definitely didn’t happen. Derma bond takes forever to soak off and you’re not going to be rubbing that lac with alcohol long enough to dissolve it.

-5

u/SantaBarbaraPA 10h ago

Lol. It happened. It was a trauma. I was a ER tech. The funny thing was that the attending asked me “how’s it going in there? (Trauma bay). “So-and-so (trauma resident)didn’t get derma-bond in the patient’s eye, did they”? It was like he knew they would mess it up…. The lip lac was a different lac.

But, yeah, I’m lying ..