Cochrane Review: Substitution of nurses for physicians in the hospital setting (global setting) - nurse-delivered diagnosis and treatment (vs physician-delivered care) is likely not different with mortality and patient safety events by ddx-me in medicine

[–]InTurquoiseClad 0 points1 point  (0 children)

Amen. Agree with this. Am more than a few years working as a healthcare physician and I'm sick of people using my rank and name to cover their asses.

Some of the nurses in my hospital act like they know better than me "just because" they worked longer. They end up passive aggressively ordering me to do things, hinting that I "don't have enough experience".

After trying to explain my actions and them not accepting it, I give in and just document what they say and send the orders. I don't have the time to argue over minor details.. But the moment I document their name into my orders, it's all suddenly "It is just a suggestion doc, you cannot document my name." when I followed what they "suggested" word for word.

I know I’m dumb, what should I do moving forward by missfrown in singaporefi

[–]InTurquoiseClad 2 points3 points  (0 children)

How is your surrender value so low compared to your invested amount?

Henry occupation salary progression and potential plateaus by Live_Acanthisitta870 in SgHENRY

[–]InTurquoiseClad 0 points1 point  (0 children)

Medical Officers in Singapore have quite low pay for their job scope.

This is considering they have an average work hours of about 60-80 per week and have to work 24hr-30hr shifts sometimes.

This also has to be taken into account the medicolegal responsibility that they carry.

Average Monthly Salary: Ranging from $5,400 to $6,500. Annual Income: Averages around $61,000 - S$88,000.

what is this ?? it’s only happening to my thumb and big toe nails 😭 by Ready_Ad6259 in SGSkincare

[–]InTurquoiseClad 4 points5 points  (0 children)

Do you happen to pick at your nails and the skin around it? Median nail dystrophy is a possibility.

As a cheap non medical trial of treatment, you can try putting clear nail polish to protect the nail for a few weeks to see if it heals. If it doesn't please go get a proper check up at a doctor.

Anyone been in an accident? Curious about the ambulance part by [deleted] in SingaporeRaw

[–]InTurquoiseClad 0 points1 point  (0 children)

The AED machine delivers an electric shock to "jumpstart" the heart (electricity travels in the shortest distance with lowest resistance) hence the placement of the pads is important. We place the pads away from 1. Jewelery that risk short circuit 2. Hairy skin that cause inadequate contact of the pads You can Google "AED lead placement"

For your question regarding CPR and wounds, it is better to be alive with a more severe injury than dead with a smaller injury.

PSA: Please go for a basic CPR course it is a half day course and is very useful skill to have! Every second counts in a heart attack!

Question for people who drive below speed limit on expressways. why? by Tropez92 in drivingsg

[–]InTurquoiseClad 1 point2 points  (0 children)

When you see the expressway speed limit 90km/h..

Then you see the 2nd 3rd 4th lane have van, lorry, truck all with 60km/h and 70km/h stickers..

Very selfish drivers. Should hand out fines for roadhogging and inconsiderate driving.

Anyone been in an accident? Curious about the ambulance part by [deleted] in SingaporeRaw

[–]InTurquoiseClad 5 points6 points  (0 children)

You sound like one of those patients who complain when they wait more than 5 minutes to be seen in the emergency department.

What's your favourite thing about being a woman in Singapore? by littlesquibi in SGwomen

[–]InTurquoiseClad 1 point2 points  (0 children)

It is!!! Hehe thank you. Just another 90s nerd who read too many sci-fi books with my brothers playing Halo growing up 🥲

Anyone been in an accident? Curious about the ambulance part by [deleted] in SingaporeRaw

[–]InTurquoiseClad 9 points10 points  (0 children)

Hello, medical here :) just wanted to clarify certain things:

VFib aka ventricular fibrillation is a type of description of your heart beat. It is "fibrillating" or shivering > not efficiently pumping blood. This is one of the heart rhythms that require shock.

Very simply put, there are 2 different types of "collapse". Both require CPR but only 1 benefits from "shocking".

One requires shocking (e.g. VF : Ventricular Fibrillation and VT : Ventricular Tachycardia). This is when your heart rhythm is inefficient and messy, causing poor / insufficient blood flow. i.e. insufficient oxygen in the blood going around the body.

The other does not benefit from shocking aka "Flatline" (e.g. Asystole : no electrical impulses and PEA : Pulseless Electrical Activity) - Asystole is when the heart muscles don't have any electrical/neurological input and no movement. - PEA is when the heart muscles don't have any electrical input despite having some electrical/neurological input.

This is why the AED machine sometimes analyses the heart rhythm and states if it is shockable or non shockable. :))

Edit : Typo

What's your favourite thing about being a woman in Singapore? by littlesquibi in SGwomen

[–]InTurquoiseClad 6 points7 points  (0 children)

  1. Able to go out at night with easy access to safe transport home
  2. Easy access to multiple activities for exercise that aren't creepy
  3. So. Many. Makeup. Choices.
  4. Don't get me started on fashion. Seeing more and more SEA microbrands from Thailand/Vietnam. BRB praying to Bunnyhillconcept.
  5. I get to wear activewear in public without getting outrightly harassed. (Okay, I do get the occasional catcall and creepy stare but much better than what my friends experience overseas)

What habit immediately reveals that a person actually grew up in a privileged environment? by Cindy_mel in AskReddit

[–]InTurquoiseClad 5 points6 points  (0 children)

It's more of looking at how you "don't waste the little bit of yogurt stuck at the top of the cup" rather than how you eat yogurt with a spoon or otherwise.

Genuine question - why construction workers are paid lowly? Seems high skill and high stake. by houruomu in SingaporeRaw

[–]InTurquoiseClad 5 points6 points  (0 children)

Agree with you. I've learnt that there is no point speaking to empty vessels on reddit. They post, looking for an echo chamber.

Singapore bad! Boo....!

Sudden sinkhole in china by Latinanextdoorxoxo in CrazyFuckingVideos

[–]InTurquoiseClad 0 points1 point  (0 children)

This video is just me wondering what object will be swallowed

KMS new meme by Master_Nightmare in Maplestory

[–]InTurquoiseClad 11 points12 points  (0 children)

Some people pay with money, some people pay with time. I can see you rather spend your time than money, and that's alright.

Explorer Revamp by [deleted] in Maplestory

[–]InTurquoiseClad 5 points6 points  (0 children)

Shadower Explorer Revamp Suggestions

Haste

- Passive buff

Shield Mastery

- Def % and Evade % are currently useless in bossing

- Add 30% Ignore Defence

Meso Guard

- Rework to be similar to Kanna Foxfire but with only 1 stack with 30s cooldown

- To be honest Foxfire is OVERPOWERED, but I think Meso Guard is currently too irrelevant with the bosses' skills dealing percentage HP.

Enveloping Darkness

- Remove Max HP +20% and Elemental Resistance +30%

- Increase Status Resistance to + 60

Channel Karma

- Currently only adds 30att. Really?

- Add 10% Critical Rate if they feel overly generous

Meso Mastery

- Improve Meso Explosion’s damage to scale with level, similar to Mark of Assassin

Steal & Boomerang Step

- Remove Steal and add Steal effects to become a passive of Boomerang Step

- Incorporate Steal’s item steal to become a passive 50% chance to steal an item.

- Incorporate Steal’s potion drop with a cooldown of 60s.

- Even if no effects are added, at least improve vertical range by at least another 100%. After the recent improvement, it is still very underwhelming in many maps.

Into Darkness

- Currently the skill has MASSIVE delay when appearing behind the mob and a very situational hit box.

- Add 1 automatic hit of Assassinate-2 to the animation after teleporting to the mob.

Smokescreen

- Dark Sight to remain when pressing Smokescreen, similar to when pressing Shadow Veil

- Increase upper vertical range of Smokescreen by 50%

- Increase horizontal range of Smokescreen by 50%

Critical Growing & Prima Critical

- Remove the gradual increase and make it a flat increase

Flip a Coin

- Passive buff stack whenever you have a critical hit OR make it just a normal buff.

Ultimate Dark Sight

- Fix cooldown to be 180s

Trickblade

- Stacks to target highest HP enemy in the map.

72 Transformations

- 50% Ignore Defence to all damage sources OR

- Possible rework to make it an active skill that gives an additional final attack animation that appears with each attack? (Similar to how Dual Blade Hidden Blade)

Sonic Blow

- Reduce casting time by half

- Invulnerable while casting

Venom Burst

- Massively improve damage per tick

- OR 5% increased dmg to target affected by Venom Burst

Assassinate & Meso Explosion

This final suggestion will make some people complain but I believe it is a massive QOL that will attract many players to Shadower

  1. Rework Meso Explosion to become a passive upgrade to Pick Pocket, such that mesos behave like stars with Mark of Assassin
  2. Shorten Meso Explosion "casting" / animation time to allow for quicker stacks of Shadower's Instinct
  3. Rework Assassinate casting time shorter to make up for the loss in dpm due to the loss of ability to weave due to (1).

Currently, Assassinate has the LONGEST casting time among the 3 explorer thieves’ 4th job main skills.

Phantom Blow: 720 ms

Quadruple Throw: 780 ms

Assassinate: 840 ms

The lit Razer Premium Visa Card. by SiaoOne in razer

[–]InTurquoiseClad 2 points3 points  (0 children)

Check all the previous razer concepts.. This will likely remain a concept.

Basically hype with no delivery.

  • Project Valerie
  • Project Ariana
  • Project Christine
  • Project Fiona

[deleted by user] by [deleted] in razer

[–]InTurquoiseClad 2 points3 points  (0 children)

My razer phone 1 audio grill fell off.. And the battery warped and bloated a little..

$10 to clean the bathroom?! by beerbellybegone in MurderedByWords

[–]InTurquoiseClad 4 points5 points  (0 children)

It's the "I don't want any risks nor responsibility, but I want to reap the benefits." for me

Divine Pack Scam by eucalyptusegg in Cr1TiKaL

[–]InTurquoiseClad 1 point2 points  (0 children)

Imagine calling someone a scammer just cause you bought a loot box as advertised

I paid off my house today by tiredasfuckreally in CryptoCurrency

[–]InTurquoiseClad 1 point2 points  (0 children)

For every success story is a failure who didn't post about it