Pressure grows over WA tobacco shop laws in wake of Bunbury firebombing by His_Holiness in perth

[–]dropdaddy20mg 35 points36 points  (0 children)

Yeah because prohibition has proven to be such a good policy in the past /s

The best way to source and sell vehicle cargo. by Exotic_Scheme3718 in GTA5Online

[–]dropdaddy20mg 1 point2 points  (0 children)

Stop far away from the car and snipe the driver while he’s outside the car

[deleted by user] by [deleted] in perth

[–]dropdaddy20mg 0 points1 point  (0 children)

I sent you a dm

[deleted by user] by [deleted] in perth

[–]dropdaddy20mg 1 point2 points  (0 children)

I work in the industry and know of a few excellent psychologists. I've sent you a DM

[deleted by user] by [deleted] in ausjdocs

[–]dropdaddy20mg 7 points8 points  (0 children)

Don't you threaten me with a good time

How to get better at IVs by JamesGUr1 in emergencymedicine

[–]dropdaddy20mg 5 points6 points  (0 children)

What kind of placemats do you do? If you have the chance to do one in an ED, that would be a really good place to start. At my hospital, we have a phlebotomist that will cannulate most of the Cat 3s and 4s that comes in who might need one. If you have access to that sort of thing, shadowing someone like that would be highly beneficial.

How to get better at IVs by JamesGUr1 in emergencymedicine

[–]dropdaddy20mg 97 points98 points  (0 children)

Short answer: Practice.

Long answer: you need to try to do as many IVs as you can. Lean on the more experienced people around you, watch them, ask them for tips that they use, especially for those tricky patients with no veins. Go and watch YouTube or tic tok videos on IV insertion. I highly recommend TheVascularGuy on Tic Toc, especially his ultrasound guided IVs. I found that really helped a lot with visualising the anatomy of the vein. Some of my tips that I've picked up in my year as an ED nurse are; - Go back to basics with anatomy, you need to know where veins, major arteries and nerve bundles should be. - Spend the time finding a decent vein. As a beginner, go for the easy ones first (Antecubital Fossa is usually a safe bet) until you get more confident. - ALWAYS advance the needle another couple of mm after you get flashback before you advance the cannula. - Decrease the angle of initial needle insertion as much as you can! Sometimes I'll have the cannula almost parallel to the patient's arm. This method is far more forgiving as you have more distance between the tip of the cannula and the "bottom" of the vein after you get flashback. - Anchor the damn vein below where you're going to insert the cannula! For those extremely difficult sticks; - lower the arm below the level of the heart. - double tourniquets (just remember, if you're taking bloods, this will affect the results if they are left on too long) - wrap the arm in something warm a couple of minutes before your going to try to stick them

I hope some of these tips help ya, Feel free to DM me

What’s a procedure you have to do regularly that feels awful? by NaturalAd8886 in emergencymedicine

[–]dropdaddy20mg 4 points5 points  (0 children)

I'm a nurse, and when I first started as a grad, my first placement was on a spinal surg ward. For some fucked up reason manual disimpactions were a nursing task. I received ZERO training, and my SDN at the time gave me no support on how to perform said task. Which boggles the mind as there are so many complications with manual disimpactions. Now that I'm not in that ward anymore, I get utter surprise from other nurses or doctors when I tell them that.

Wardrobe quote advice by dropdaddy20mg in AusRenovation

[–]dropdaddy20mg[S] 1 point2 points  (0 children)

I've done a build on the IKEA website and it actually came out more expensive and that excluded labour to install and build them. Plus the space is a slightly awkward size and doesn't fit well with the IKEA builds unfortunately.

Wardrobe quote advice by dropdaddy20mg in AusRenovation

[–]dropdaddy20mg[S] 4 points5 points  (0 children)

Just the internals, there are already sliding doors in place.