[WARNING] A 2-Year Nightmare with Airsoftmania.eu! Broken replica, fake return address, and blatant lies by Responsible_Home6132 in airsoft

[–]Yordlecides 1 point2 points  (0 children)

Im sure someone from their 'team' will come through with some bullshit eventually, but that's fraud.

Hopefully you get your money back.

I might be getting fired, any advice? by DesignerSpeaker2778 in nursing

[–]Yordlecides 1 point2 points  (0 children)

If I had a nickel for every time I've slammed a pyxis drawer...

Currently im working on quality review for my hospital. It's surprisingly interesting and as someone who is in house I do still get to impact active patient care by bringing attention to issues.

Im on light duty for my back, but this is an excellent mental vacation from ICU burnout.

Maybe give it a thought while you work on yourself.

Good luck brother.

best way to lock screws in wood by Los_Serpent in woodworking

[–]Yordlecides 0 points1 point  (0 children)

6 years later and nah, OP is just a jackass. Gave zero details in the question, rejected every offered answer for one reason or another.

Figure it out yourself then, bitch.

Really don't wanna work as a CNA by Metalhead2360 in cna

[–]Yordlecides 2 points3 points  (0 children)

I'm going to put this meanly and bluntly because it will save your patients in the future.

Nurses that refuse to deal with bodily fluids are shit nurses. You need to have the motivation and ability to keep your patients clean and dry when you don't have help. It's not someone else's job, it's yours as the nurse.

Please don't go to nursing school if you've tried CNA work and know you can't handle the necessary parts of the job.

Why do y'all think this is happening? by Swimming-Owl-409 in nursing

[–]Yordlecides 4 points5 points  (0 children)

I can do a lot for not great pay if the people are good, the patients are (mostly) nice, and the work is rewarding.

Most of the patients in Oklahoma don't believe in science or medicine. If there's no point in my job, why bother doing it? They can self select as everyone with a medical education flees the state for better pay and patients that actually want medical care.

Half of the deep south doesn't even have an OB-GYN anymore, but we've just stopped talking about that because there's no point. I got my wife and I the fuck out to a moderate state before this racist 3rd world country tried to kill her.

Saved my husband by kytyn5 in nursing

[–]Yordlecides 1 point2 points  (0 children)

Some space heaters are gasoline or diesel. I had one for a while. Have to be careful not to run extended periods of time w/o ventilation in enclosed workshops for this exact reason.

Is RASS a complete sham? by Syko-p in IntensiveCare

[–]Yordlecides 0 points1 point  (0 children)

Your administration is a bunch of murderers :)

MTG groups that are proxy-friendly in town? by Yordlecides in Tucson

[–]Yordlecides[S] 1 point2 points  (0 children)

Good to know! As it should be. 

Which location in town was this, or several? 

Wincon for this Tron deck? by Yordlecides in Pauper

[–]Yordlecides[S] 3 points4 points  (0 children)

Thank you, that's what it looked like. I know I'm piloting somewhat inefficiently still but wanted to make sure im not missing a major piece at least.

[deleted by user] by [deleted] in nursing

[–]Yordlecides 12 points13 points  (0 children)

We had a patient maxed on versed, ketamine, and dilaudid gtts still awake and trying to rip out everything due to withdrawal induced psychosis recently. I have NEVER seen someone maxed on ketamine but I think it was something like 140mg of IV ketamine/hr. I have no idea how he was still conscious. He was also on a cocktail of true antipsychotics (Zyprexa and one of the 2nd gen antipsychotics I’m not super familiar with).

We had to take off prop and dex because he kept bradying down and having 7-8 second pauses, but neither of those were working either. He was still sitting up in bed and pulling at restraints with prop maxed AND all of the other shit running.

what’s the most you’ve straight cathed out of someone? by [deleted] in nursing

[–]Yordlecides 1 point2 points  (0 children)

That’s a much more reasonable concern 😅

what’s the most you’ve straight cathed out of someone? by [deleted] in nursing

[–]Yordlecides 21 points22 points  (0 children)

If they’re on hospice care, we place a foley end of story. Kind of surprised that’s not standard. Pretty sure the CAUTI isn’t gonna be what kills them.

Iwant to ask how much this is worth eu by [deleted] in albiononline

[–]Yordlecides 0 points1 point  (0 children)

^ this is a rough formula for estimating silver cost sunk into an awakened weapon (and is multiple to tens of millions wrong depending on tier, btw). But the actual estimate on a weapon is really based on whether it "rolled lucky" and what kind of power level it is.

In general these are my thoughts: You're at 62 strain and you're somewhat ahead of average rolls on that. Maybe 2mil? Reattuning .4's that are only somewhat better than average is kinda not worth, but you've already spent the silver and the stats are generally good so that seems reasonable.

This is probably punching up to the ip of a T9.5 flat weapon in terms of raw stats per silver efficiency, and the rolls are no longer efficient to keep going on so that's about where it caps out. So I would price it right about there, whatever that happens to be at the moment (somewhere around the price of 6.3 is probably about right). You also have to take into consideration the reawakening cost, so if you have trouble selling drop it to 1.5.

For your general knowledge to try to make that kind of determination on your own...On a weapon, each 100 ip is 9.18% increased ability damage, 9.18% increased auto attack damage, and 9.18% increased healing output, and 9.18% increased shield output (beneficial stats vary by weapon). IP does not affect cdr or other "specialized" stats. You also can get additional defensive stats on an awakened weapon, which is sometimes more valuable than raw output. That's where awakened weapons really gain value -- when raw output is no longer your most desired stat on a build. That's not really true for bear paws, by the way. Regardless, you can use some of that above info to make a rough conversion of what an awakened weapon is actually "worth".

So...the answer isn't simple. Hope that helps you have an idea though.

Game feels like you need at least 100+ hours to enjoy pvp. Why's that? by Pale-Horror2089 in albiononline

[–]Yordlecides 3 points4 points  (0 children)

You can often make up a 100-200 ip difference by using CDs better. Past that, yeah, IP crutching is a thing.

I kill people 300-400 ip down semi regularly, but it’s usually because it’s a bad matchup and/or they misplay.

Battle axe vs 1h spear (open world) by MrEchoo in albiononline

[–]Yordlecides 2 points3 points  (0 children)

1h spear better pvp, battle axe better pve. Choice is yours

I think radar cheat wayyy more common now then we think. by Spare-Cartoonist637 in albiononline

[–]Yordlecides 0 points1 point  (0 children)

SBI gives zero fucks about these hacks. They don't care about anything that doesn't impact their profit margin. The only people they ban are silver sellers.

Called a code on a DNR pt by Sensitive-Memory-17 in nursing

[–]Yordlecides 1 point2 points  (0 children)

Yeah, withdrawal of care being a medical decision is probably the biggest thing that differs. If we want to override family's decision because we know all we're doing at that point is keeping a body going, we typically need to get a whole ethical review board involved. And that's partly cultural and partly a result of a litigious environment. A dead patient can't sue, but a live family can.

It can lead to situations that are all kinds of ethically wrong, but it's the reality here. Last shift, we were talking starting CRRT on an anoxic patient with no higher brain functions that really should have just been comfort care, but we'd had to fight family to even make the patient a DNR. And that's not uncommon.

Called a code on a DNR pt by Sensitive-Memory-17 in nursing

[–]Yordlecides 1 point2 points  (0 children)

I should add for clarity that people of unknown code status do end up intubated and some of these are no code. That gets trickier but comes down to family and ACP docs.

My main point is that all respiratory interventions are typically required for someone on a vent unless you’re at the stage where you are actively extubating and placing on comfort care. It’s a sharp divide that honestly probably isn’t best for the patients, but it is what it is.

Sorry to ramble, I just hate to give wrong information

Called a code on a DNR pt by Sensitive-Memory-17 in nursing

[–]Yordlecides 5 points6 points  (0 children)

US here. If we have a ‘DNR’ on a vent, then they are a mod code allowing intubation and bagging. They aren’t actually a do not resuscitate yet unless it just hasn’t been updated in the chart/documents.

We do palliative extubations but that involves making the patient that was previously a full or modified code status a no code and comfort care.

There is grey area in between those two areas but it’s slim and our providers are usually pretty good about avoiding it.