Positioning and Draping a Patient

Alright, since it’s a school project I won’t be talking about standard story narrative, but more on consistency and realism.

If it’s a clinical setting, I’m picturing a (large) hospital in front of me, where I work at the department taking care of the in-house patients. Even if you work there, you’d first go to the changing room to get your working clothes and badge, this could also serve as a good introduction to you, as the protagonist.

Now, I’m not too familiar with the job of medical assistant, so I’m picturing a specialized nurse in front of me, akin to a physician assistant, please correct me if I’m totally wrong here.

Next up for the PA would be the morning meeting, where the doctors and nurses from the night shift hand over the cases and any particular changes in the patient’s status.

Apparently, I skipped all of that (think 20 to 40 minutes), arriving just in time to meet the first patient. My supervisor didn’t say anything about that, which is weird. The supervisor also details it’s a new patient, so I’m thinking of an intake consultation, but still without clear DD.

Now at the medical report it becomes even stranger. At a clinical setting, the patients is already seen by other doctors, and the medical records will show far more than this bare minimum. At the bare minimum I would like the recommendation letter from the previous physician that sent her to me, coupled with the results from any lab tests and/or radiographic imagery.

Her records shows none of that. I do like the misspelling of tendency in the context of realism, but miss the many arcane abbreviations. Writing the record is usually the most hated and rushed part of the job.

So you first take weight, height and vitals. I would personally do that after the consultation part, as by that time you have more rapport with the patient, while also possessing a clearer image at what you’d be actually looking for.

Alright, with only vitals being measured and no other physical examination being performed I’m thinking it’s about a student landing a part-time j
ob (?), in which case you’d definitely be heavily chewed out for coming late.

So we’re back at the supervisor, coming in like the cavalry in dire times. He also changed gender. Now with the short CC, I’m really thinking you could have continued your consultation further and deeper. Right now all the information obtained could be just as easily asked by the doctor within 5 seconds of introduction.

I like how the story also remarks on that. Her thinking it could be cancerous and her experience is also an important dimension within the consultation, which you missed.
Now with the consultation coming further, I’m also thinking your situation is more policlinical than clinical, as this patient wouldn’t be hospitalized with just a lipoma. However, this could be different in the US.

It is accurate dermatologists can diagnose lipoma’s based on just sight and feeling of the tumor. Echo would just be used to confirm, and on troublesome places like the spine.

Now for an echo a hospital gown isn’t necessary, and usually the machines demand the name and date of birth to directly upload the images to the system. So even if you forget, the procedure is dummy-proof.

Maybe the plan is to perform the surgical removal procedure at once, but if it isn’t clear to me, as a reader, it certainly isn’t clear to the patient who is already stressed out, making informed consent something of an itchy topic within this story.

There are some important pointers in the next few paragraphs. Firstly is the disinfection of your hands prior to the procedure, which should also be done prior to meeting the patient and prior to performing the vitals check (5 moments of disinfection). Secondly is saying out loud what’s happening and what you’re about to do. However the patient is mobile, so you could easily just ask her to lie down on the examining and on her stomach, instead of this whole shenanigans.

Alright at the final exam I noticed I was right on my first guess, it’s written for nurse students. Overall, I think this story could significantly benefit from a more thorough explanation that would both highlight the key concepts on the why behind your procedures, improving understanding beyond simple memorization, and would also help make this accessible for the wider public.

I just wanted to make the author aware that it's possible keep a game unpublished, but set it to Sneak Peek (check Allow Sneak Preview under Storygame Properties). Then you can just share the URL with whoever you want without making it public and open to comments from the rest of the site.

We usually recommend this for anything intended for school projects or small private audiences...most games like this can't manage the ratings to meet minimum standards, as it's pretty far outside what the majority of readers come here looking for.

I like the concept of this. The execution wasn't very fun to a layman, but that obviously wasn't the point. The information here was presented in an intriguing format, and while I don't think I learned all that much since this was more of a test of prior knowledge than a teaching tool, I found the process of guessing to be very interesting. The fact that I managed to get a B this way was highly amusing.

All in all, this was a very interesting and unusual concept for both a school-based game and a quiz. The sort of game with a concept that only ever appears once in a great while. The style of this thing and its execution is something I just haven't seen before, ever. It gave me lots of interesting terms to look up, and a view into medical processes that I as a wandering audience member wouldn't have had otherwise.

All in all, a solid... Experience? It's not really a game or a story, but I find myself liking it, and I enjoy the knowledge that something this niche and intriguing is here. It was fun realizing what exactly I was reading and I'm glad this sort of thing can be done through this site's medium. I hope that further playthroughs will improve my skills as a serial drapist.