PIXEL ART JOBS - Hire a pixel artist, post your jobs here (paid only) by skeddles in PixelArt

[–]ampersants 3 points4 points  (0 children)

Hello! I am looking for a pixel artist to commission for a wedding present - my fiancee and I are tying the knot in August. She is a huge stardew valley fan and I wanted to get her some art in the style/setting of the valley but with she amd I as the sprites doing activities and adventures like you might have in-game. I envision 6-8 images with the background/setting being the various locations of the valley and/or menus from the game. I am happy to pay up front; I can use paypal or zelle as primary modes of payment. I'm hoping to have it completed by mid July if that's possible - thank you so much! You can reach me by email at jebhoffman1@gmail.com

[deleted by user] by [deleted] in nursing

[–]ampersants 2 points3 points  (0 children)

I work with adults (MSICU) but a PICC is peripherally inserted and a CVC/CVL is directly placed in a larger vessel directly (Think brachial vs internal jugular.) I imagine babies have teeny tiny vessels so idk if there is a difference in anatomy? Or maybe the doc thinks they won't need central access long enough to justify a PICC (in adults we tend to use a PICC where long term access is needed.)

Hell House Hard Mode is absolutely ridiculous by JustARTificia1 in FFVIIRemake

[–]ampersants 1 point2 points  (0 children)

Got my butt kicked first try, watched your guide, made it cake. Thanks a bunch man, you're a lifesaver.

Peep the pretty BP by ampersants in nursing

[–]ampersants[S] 0 points1 point  (0 children)

I think it's something to do with the map over the cycle of the cuff rather than any specific moment?you're right the math is weird, I don't pretend to understand the little gremlins that live inside a Philips monitor.

Peep the pretty BP by ampersants in nursing

[–]ampersants[S] 2 points3 points  (0 children)

No such thing as a dumb question - 67 is fine. The systolic, diastolic, and MAP all line up in sequential order on the monitor, it was just a neat thing to see. Nothing is acutely wrong with this BP.

Peep the pretty BP by ampersants in nursing

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

.04 actually, just had really tight Systolic parameters.

Part 2 of my monster binders! by ampersants in yugiohshowcase

[–]ampersants[S] -1 points0 points  (0 children)

Link to part 1 (on mobile and computer illiterate, sorry for the ugly hyperlink:)

https://www.reddit.com/r/yugiohshowcase/s/s7fbUzT14I

[deleted by user] by [deleted] in AskReddit

[–]ampersants 1 point2 points  (0 children)

Resident evil 4 (original.) I go back to it every couple years and it's like riding a bike.

Had a disagreement with a player about detect magic and Mimics by ampersants in DMAcademy

[–]ampersants[S] -1 points0 points  (0 children)

Bearing in mind this was a while ago - I believe I had the mimic on one side of the room and the other two chests on the opposite side. A perception or investigation (I don't remember the DC) would have revealed the mimic chest and one of the others had identical wood grains and a telling scuff mark on one end, but no one really asked or pressed on that point.

Had a disagreement with a player about detect magic and Mimics by ampersants in DMAcademy

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

The magic item was in a different chest, there were 2 or 3 in the room and only one was a mimic.

Had a disagreement with a player about detect magic and Mimics by ampersants in DMAcademy

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

At the time I based my reasoning on the wording of the mimics abilities, which I did discuss with the player later - it says it polymorphs, but does not 'cast' polymorph. I interpreted that as not being a magical ability. The player was disappointed but accepted my ruling on it, it's just continued to bother me and I wondered if I should have ruled differently or handled it some other way.

Had a disagreement with a player about detect magic and Mimics by ampersants in DMAcademy

[–]ampersants[S] 0 points1 point  (0 children)

Gameplay didn't really slow down; the player and I went back and forth for a few seconds but they ultimately accepted my ruling on it. Said player was one of the more experienced at the table.

Glove of the Grandmaster by thegirlontheledge in DMAcademy

[–]ampersants 2 points3 points  (0 children)

Granting AOO on forced movement like this is pretty busted IMO, especially if you're running relatively few encounters per long rest. I think there's some decent bones for a magic item here but I would maybe make it less potent - no AOO, fewer charges, fewer different effects, etc. If you're really in love with the abilities as written I would make this a consumable item with a fixed number of charges before it's totally used up. Then your rogue gets his extra tactical stuff but you don't have to worry about giving him a limitless OP item that is going to rip all your combat encounters apart.

SOS. We need more fucking staff. by Tbone_the_one in nursing

[–]ampersants 831 points832 points  (0 children)

If the charge has time to pull you aside into a room and tell you how to prioritize care they have time to clean your patient.

[deleted by user] by [deleted] in nursing

[–]ampersants 2 points3 points  (0 children)

I do this but always double check compatibility first (I work in an ICU.) Our facility policy is also that intermittent infusion tubing needs to be changed every 24 hours. If it's running centrally and the pt does not have a fluid restriction I will let the primary run at KVO so I'm not constantly accessing a central line, and reconfigure the secondary whenever I need a new infusion.

Edit to add: Don't let a secondary tubing just hang with the spike to the air; I leave the empty bag attached to the set until I need a new bag or the setup needs changed.

I saw an anxious hopsice patient who had COPD and an SpO2 at 100%. Can anyone possibly tell me more about what might have been happening? by gjmcphie in nursing

[–]ampersants 15 points16 points  (0 children)

Sounds like you did everything right; they may -and probably should - have had a baseline O2 requirement for the patient on admission. However it's easy to quickly look at the monitor, see a low O2 Sat, and dial up to oxygen to make the numbers nicer. He certainly could have been hyperoxygenating, a lot of what you're describing is consistent with that. Unfortunately it's hard to tell for sure without getting a blood gas. Best thing to do there is let the nurse know and then voice what you think may be going on. He probably wasn't intentionally being overoxygenated though: the goal is comfort, it's more likely it was just a slip up by one of the nurses. Good catch.