3:41 pm. The emergency department treats a patient's infected wound. The Emergency resident thinks a plastic surgeon should be consulted.
3:46 pm. The nurse uses PicSafe® to take a photo (as per above example).
3:46 pm. The nurse enters the patient details and records the patient's consent (the patient signs on screen after reading/understanding potential usage of their photo).
3:47 pm. The nurse emails the encrypted photo to the plastic surgeon (and concurrently uploads the report to the appropriate medical record).
3:48 pm. The nurse dresses the wound.
3:58 pm. The plastic surgeon’s assistant shows the photo (via secure PicSafe) to the surgeon while in theatre on another case. She dictates the surgeon’s brief treatment instructions in reply for ED nurse.
4:14 pm. The ED nurse finishes dressing the wound and then arranges admission, etc.
3:46 pm. The Plastic Surgeon is summoned via telephone. Her rooms inform the ED nurse that the surgeon is likely to be in theatre until later that evening, depending on "how the case goes".
3:49 pm. The ED nurse then goes to find the ED attending physician/registrar to discuss case regarding what to do until the surgeon can arrive.
3:55 pm. The ED nurse, therefore, starts dressing the wound.
4:21 pm. The nurse finishes dressing the wound. In the meantime, the patient waits ("is parked") in ED. The patient and family are unhappy.
7:41 pm. The surgeon finally arrives. She is tired and wants to finish evening rounds. She locates the nurse and patient, takes down the dressing, and performs a cursory examination of the wound.
7:49 pm. She gives further treatment instructions and informs the patient that they will "have to spend the night as there are no clinics open at this hour, and we’ll ultimately need to graft the wound anyway".
7:55 pm. The nurse re-dresses the wound.
8:21 pm. After completing the wound dressing, patient’s admission is then arranged. The patient, the family, and admissions/bed-control are all unhappy.
If a photo was taken with PicSafe® and sent to the surgeon: