Thank goodness it was only a fantasy

The show: Scrubs
The episode: "My Porcelain God," from Season 3.
What happened: Dr. Reed (Sarah Chalke) is suddenly having trouble with intubation, a medical procedure she had no trouble with when she was starting out at Sacred Heart three years ago. (Don't ask me what intubation is, I'm no doctor and the extent of my knowledge is derived from this show: it involves sticking a metal tube into a patient and attaching that to a semi-rigid balloon). She goes to Dr. Kevin Casey (Michael J. Fox) for advice, but he's way more concerned with his contradictory impulses for a toilet the Janitor (Neil Flynn) has installed on the roof: he wants to touch it because of his OCD, but he doesn't want to touch it because of his germophobia.
Both doctors' problems are tied together at the end of the episode when Dr. Reed finds a Polaroid picture of Dr. Casey using the roof toilet. Reed then uses the roof toilet and a medical emergency helicopter brings a patient needing intubation. Reed finds the confidence to intubate the patient, and is rewarded with a kiss from Casey. But that was just a fantasy. Nevertheless, Reed has regained the confidence to do intubations again.
What doesn't quite make sense: It worries me that if I ever have to heloed into a hospital and the only available doctor has been using the facilities installed on said roof, there might be no soap and water for the good doctor, or at least an antibacterial cream. It doesn't take years of medical training to see the potential for contamination and infection in such a scenario.
I know that bit about the patient being heloed in was a fantasy (indeed the whole show is a fantasy), but the rarity of hand-washing on a medical show is troubling. In almost a decade of watching this show, I can count on the fingers of one hand how often we see the doctors washing their hands prior to a medical procedure. Now, in the other episode with Michael J. Fox guest-starring as the troubled Dr. Casey, we saw the poor man washing his hands repeatedly after a procedure, but that was clearly because of the OCD rather than health concerns.
Maybe the intubation apparatus was designed to somehow compensate for the fact that it might not always be used under the most hygienic condictions. In fact, the whole intubation procedure seems to be an emergency procedure. Here we get to the detail that doesn't quite make sense: If I'm right about intubation being an emergency procedure, with no time for doctors to carefully and methodically consider all alternatives, but instead being required to act quickly, why exactly is it that the procedure requires a doctor to do it, and that emergency medical technicians aren't trained in it?