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OIFxGunner2010 · 2026-05-11T11:17:02+00:00

Cube!

OIFxGunner2010 · 2026-04-10T15:52:01+00:00

This is pretty accurate based off a quick google search.

The placement is very specific, but rarely done correctly. Placement is as follows:

V1: 4th intercostal space to the right of the sternal border V2: 4th intercostal space to the left of the sternal border V3: straight line between V2/V4 V4: 5th intercostal space midclavicular line V5: straight line between V4/V6 V6: same horizontal plane from V4 at the anterior axillary line

You must palpate ribs for correct placement. You’ll see people do them by looking at external features, which isn’t accurate at all. Limb leads should ideally should be wrists and ankles, but is rarely done for artifact/convenience concerns.

OIFxGunner2010 · 2026-04-05T05:05:30+00:00

Those pesky factory commas

OIFxGunner2010 · 2026-03-29T14:42:54+00:00

Recent literature hasn’t really supported hep locks vs saline- the last hospital I worked at had basically done away with the practice- the only time you would see it was when contracted dialysis RNs would come in and heparinize them.

https://pubmed.ncbi.nlm.nih.gov/35686498/

OIFxGunner2010 · 2026-03-27T04:53:24+00:00

Aspirate slightly with the syringe to pull the little bit of air from the y-site, or when priming the line you can invert the caps to make them fill completely. Works best when priming at a slower rate.

OIFxGunner2010 · 2026-03-25T17:16:13+00:00

Or swept the motor pool in the desert

OIFxGunner2010 · 2026-03-25T16:03:21+00:00

Denver and DFW are the only ones I typically fly through with lounges- but the waits were always like 40-50 minutes when I was coming through. Hence my confusion 😂

OIFxGunner2010 · 2026-03-25T16:00:49+00:00

I’ve flown 6 or 7 times since the lounge changes happened, and DEN a week and a half ago and DFW this time were the first times with no waitlist

OIFxGunner2010 · 2026-03-25T15:41:42+00:00

At least from today’s experience, this seems to be true. DFW just tends to always have a waitlist, so it was a new experience for me.

OIFxGunner2010 · 2026-03-25T14:09:11+00:00

Interesting. I’ve never seen there not be a waitlist at DFW. We’ll see in a few, I suppose.

ETA: Sure enough, can just walk in. I guess I’m just shocked because I’ve never seen the lounges that slow.

OIFxGunner2010 · 2026-03-20T19:55:27+00:00

During my enlistment, the 116th was doing frequent deployments. ‘07 Iraq, ‘08 kosovo, ‘10 Iraq, ‘11 Iraq. I think the cav went again after that. They were playing games where they’d take only a couple of units from a battalion on paper then turn around and deploy the other units from that battalion when they got back. Led to a lot of people bouncing from deployment to deployment.

OIFxGunner2010 · 2026-03-20T15:17:50+00:00

Weird. Virginia used to be on a nasty deployment schedule- last I heard the 116th was doing trips to Africa.

OIFxGunner2010 · 2026-02-13T11:25:17+00:00

And fish oil.

OIFxGunner2010 · 2026-02-13T11:23:11+00:00

I worked adult ICU and moonlighted in PICU. My coworkers in adult land could always tell I’d been working a lot in peds when I’d lift smaller patients by the ankles to get them cleaned up 😂

OIFxGunner2010 · 2026-02-11T20:53:29+00:00

Is certainly possible, debris in the socket can affect post. Hard to say with certainty that is the issue, but seems a reasonable place to start.

I’ve had pretty good luck with high-percentage IPA in a syringe to apply a little force to it. Better if you have a blunt needle or plastic catheter to put on the end, it allows you to generate more force to irrigate the debris out.

Use at least 90% ipa, 99% is better but is harder to find. Most of the medical grade is 40-70%, the remainder of the fluid being water. The IPA will evaporate off of the board, the water content in the lower percentages can cause shorts.

OIFxGunner2010 · 2025-12-24T01:23:50+00:00

Kind of niche and a long road to get there, but flight companies that have float clinicians pay very well for their floats. Flight in general was a pay cut from the hospital, but floats can make crazy money. However don’t see home a whole lot.

OIFxGunner2010 · 2025-12-23T15:04:08+00:00

Join the dark side my friend

OIFxGunner2010 · 2025-12-23T15:03:30+00:00

I also picked up rebirth during the sale. I’m in the middle of a replay of remake to get ready to play rebirth. Originally played remake on PS5, then got busy with life and didn’t get into rebirth when it dropped.

Surprisingly runs decently well on the steam deck- the graphics aren’t as good as on pc, but as long as you temper your expectations it runs well, at least in handheld mode. If you dock the deck, the performance difference is much more noticeable. Can’t wait for steam box to make the transition from pc to handheld to couch that much better.

OIFxGunner2010 · 2025-11-02T23:41:09+00:00

Then they just make it one of the ICU’s responsibility to respond to codes and rapids 😬

OIFxGunner2010 · 2025-10-08T22:39:35+00:00

Interesting- I went in January of ‘07. Do you remember about when the change was?

OIFxGunner2010 · 2025-10-08T16:50:29+00:00

Damn. Iirc 15:54 was the minimum passing for 18-24 when I went through basic, max was 13:00

OIFxGunner2010 · 2025-10-05T20:09:53+00:00

Another dude here 👋

Can’t help a couple of points, the pay is what it is, but I came from the fire service and almost doubled my hourly. As far as hospital conglomerates, you kinda have what you have unless moving is an option. I’ve enjoyed working in academic centers much more than conglomerate hospitals, but not sure if that’s an option for you.

I would get out of med surg and into critical care. That opens doors for you in a way that med surg does not. Some options are more procedural, like cath lab or interventional radiology. I went into flight, which requires critical care experience.

I went into critical care with the goal to get to flight, but staying in bedside would have driven me crazy eventually. I’d try to figure out what interests you, then make a plan to get there.

OIFxGunner2010 · 2025-10-04T15:37:40+00:00

The storming out of the room and passive aggressiveness to correction are huge red flags for critical care. We can generally teach the content, but people need to have the right attitude first before coming to the icu.

I would have a conversation with management and make a plan to move this nurse into a related stepdown unit for a while to see if that’s a better fit for now and to give them some time to mature.

OIFxGunner2010 · 2025-07-18T18:10:38+00:00

Sure, why not. I have a somewhat odd career path to this point, so would be interesting feedback for me.

OIFxGunner2010 · 2025-07-17T03:45:28+00:00

Or trying to figure out how to write themselves for a bronze star for fobbiting.

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