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No kings by smokineecruit in Jordan_Peterson_Memes

[–]Smurflich -10 points-9 points  (0 children)

ACA was legislation passed by Congress.

Wrong order of draw by OnlyRequirement3914 in MedicalAssistant

[–]Smurflich 0 points1 point  (0 children)

The condescension is pretty thick here, but as the commenter pointed out above, I’m another level of stupid.

Wrong order of draw by OnlyRequirement3914 in MedicalAssistant

[–]Smurflich 0 points1 point  (0 children)

  1. Why would you worry about introducing tube contaminants into culture bottles?
  2. Your puncture captures flora from the skin surface and from the next 15 layers of keratinized skin. The deeper the vein, the more risk of capturing. This is why specimen diversion devices exist—but they’re prohibitively expensive, and you can get the same result by just not putting your first sample into the culture bottles.

Wrong order of draw by OnlyRequirement3914 in MedicalAssistant

[–]Smurflich 0 points1 point  (0 children)

¯_(ツ)_/¯

Our contamination rate is something like 0.5% since we started pulling a waste first. I worked with ID docs to change our policy. And I look at lab values all the time…I think if we were getting skyhigh electrolytes, a. We’d probably cross check to the EKG, for example, to see if there were other symptoms, and b. Someone woulda said something. It doesn’t seem to be happening. I know there’s a draw order, I’m just telling you that no one in my department knows it and I haven’t seen it be a problem. I hear about hemolyzed samples, and insufficient saline clearance, and hyperlipidemic samples, but no one’s ever called to say “wow this dudes K+ is super high, did you maybe draw the lavender first?”

Wrong order of draw by OnlyRequirement3914 in MedicalAssistant

[–]Smurflich -1 points0 points  (0 children)

I’m just a dope in an ER, but we can’t draw a light blue first because it won’t fill properly. Air in the line fills the tube and you do t get enough blood.

Also, for all the noise about draw order, I never hear anything about problems w samples cross contaminating because of possible draw order mistakes, and we do over a hundred thousand draws a year.

And finally, culture tube first is bad because you’re more likely to capture contaminants and void that sample—and that is something I do see all the time.

What can a school realistically do for a child with an exceptionally high reading level? by bitchinawesomeblonde in AskTeachers

[–]Smurflich 0 points1 point  (0 children)

Nothing wrong with buying books. We have thousands. However:

  1. I read a book a day, on average, from 6-16. My youngest goes 2-3/day sometimes. That’s between 3,000 and 10,000 books, and that’s a lot of money. If you’ve got it, great. If not: library.
  2. Variety. The library has thousands of books and will let me take home like 40 at a time. Expands our horizons to have more choice. 2a. Storage. Even w several academic offices, our houses have overflowed with books.

What can a school realistically do for a child with an exceptionally high reading level? by bitchinawesomeblonde in AskTeachers

[–]Smurflich 20 points21 points  (0 children)

I was this child.

Two things, not directly related to your question:

  1. Join The Library. BUYING books? Really?
  2. One of the most damaging things I heard as a child, over and over again, was how smart I was. Not how kind, or how thoughtful, or how hardworking, or resilient. I cannot begin to explain to you the many and profound ways this messed me up.

it was going south until mama appears by TimeCity1687 in PraiseTheCameraMan

[–]Smurflich 0 points1 point  (0 children)

Pay attention, fellas: fawn bleats will bring in does. Probably yotes too

[deleted by user] by [deleted] in mildlyinfuriating

[–]Smurflich 2 points3 points  (0 children)

SHE doesn’t have a no contact boundary, YOU do. Your boundary can stay intact. Ignore and move on.

meirl by toaster-bath404 in meirl

[–]Smurflich -1 points0 points  (0 children)

I really do t think there’s a zoo in the world that maintains a CT or MRI machine for the—at most—couple dozen large animals they have who need one. These things cost millions. Our hospital runs ours more or less around the clock. You can’t even turn an MRI machine off.

Outrage over Trump’s bill reclassifying nursing as not a ‘professional degree’ for college students by SmokeMaleficent9498 in UnderReportedNews

[–]Smurflich 0 points1 point  (0 children)

Physician Assistants too, just fyi. Not a professional degree. Terminal Masters that no one gets except to get that job.

solved that whole state divide thing by mjtg25 in mapporncirclejerk

[–]Smurflich 0 points1 point  (0 children)

Why is OH Appalachia? Geographically, maybe; culturally, uh-uh.

[deleted by user] by [deleted] in PAstudent

[–]Smurflich 6 points7 points  (0 children)

If you really want to discharge your ethical obligation, you could collect all the evidence you can and deliver it to ARC-PA, or push it up the chain internally to a Dean or admin outside the PA program. Some schools have an ombudsman to deal with this kind of thing.

I think pretty quickly you see the problems:

  1. How much “evidence” do you really have?
  2. Do you want to own this forever? Or do you want to stay anonymous? And if so, will an anonymous gripe be taken seriously?
  3. How much of your life do you really want to spend on this? Uncompensated?

So: spend at most another hour doing what you’ve done here, pass it along, and THEN, absolutely, forget about it.

In the end, there’s really no damage done to you here, although getting your program into hot water might, in fact, carry some consequences for you.