This case is located in Mississippi and involves a 60-year-old male patient who was recovering in a surgical ICU following a surgical procedure. During his ICU admission, the nursing staff caused an extravasation of IV fluid into the patient’s right hand. During the time range of the extravasation, the patient was likely sedated, intubated and restrained. The extravasation was likely a vesicant agent or a high concentration irritant agent, given the degree of tissue damage and necrosis caused. No physician was informed. The nursing staff dressed the wound with gauze, Kerlix and Silver Sulfadiazine. A plastic surgery consult was not requested until weeks later. The wound required multiple surgical debridements and skin grafts.