Similar situation happened in our trauma bay about a year ago. It wasn't naughty bits, though, but an extremely bad femur fracture. This got sent around on cellphones and eventually made it out of the hospital into the general public (this is the risk, like telling a "secret", of sharing with someone else). Even though the patient couldn't be identified in the shots, heads rolled. No one got fired, but a lot of people got letters put in their file. And, our policy was changed. No consent, no pictures. Cellphones verboten in the trauma bay.
-copro