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Someone in the OR makes a comment about a patient’s tattoo. In another case, a catheter doesn’t get connected, and urine ends up on the OR floor. Someone gets mad about the mess and starts yelling. Do these situations sound like a bad day in the OR? Now imagine the patient wakes up in recovery and tells you she heard what your staff said, but she was paralyzed and unable to speak.

Awareness may be more common than you think — Can monitoring help?