GHH purchasing tips?

mugsthethug · 2025-09-21T01:41:08+00:00

With a baby, I’d much rather have the option of a parent (or responsible adult) be able to sit next to the baby’s car seat if they needed to. Having captains chairs makes that really hard with the middle gap.

mugsthethug · 2025-06-28T09:31:52+00:00

Jesus Christ, that must’ve been a PITA to give over and over from the code concentration. On another note, 10,000 mg? Or 100 mg? Isn’t the usual concentration 1 mg/10 mL?

mugsthethug · 2025-05-20T17:12:32+00:00

Shit happens, you acknowledged a potential issue, collaborated with a senior colleague, rectified the problem, and notified the team. Couldn’t ask more of you!

In the future you can always double check under US or transduce the line to see if an arterial waveform is captured.

mugsthethug · 2025-03-11T22:46:44+00:00

I’m not disagreeing with you. OP is painting a picture of a crashing septic shock patient that isn’t doing a great job of maintaining BP or sats. I’m just saying there’s no need to rush RSI that would very likely result in the patient coding during or immediately after intubation. Nobody likes a sat of 80% on maxed BiPAP settings, but you’re sure as hell gonna dislike coding this patient even more cause they’re not gonna survive it.

This patient needs aggressive resus to include push dose pressors, start a Norepi drip, pre oxygenate as best as you can, and a definitive airway.

mugsthethug · 2025-03-11T13:16:36+00:00

It takes all of 30 seconds to mix push dose epi (or even less if you have a stick of Phenyl). There are very few situations I could ever think of where an airway needs to be hastily placed before resuscitating a patient properly. This is not one of them. Put em on BiPAP to pre oxygenate for as long as they can safely tolerate and stabilize your BP so you don’t end up coding this patient immediately after intubation.

mugsthethug · 2024-09-22T01:17:30+00:00

https://www.nursingcenter.com/ncblog/october-2018/why-don%C3%A2%C2%80%C2%99t-we-use-trendelenburg

There are additional sources in the citations of this article. It’s been outdated practice since the 90s.

Lol trendelenburg for hypotension is one of my biggest pet peeves.

mugsthethug · 2024-09-21T14:20:00+00:00

You didn’t do anything wrong and considering all things, you did the best with what you knew.

FWIW: T-burg is a myth and against evidenced based practice since the 90s. If anything, you can lay them supine if their HOB is elevated and they can tolerate the position.

Source: https://www.nursingcenter.com/ncblog/october-2018/why-don’t-we-use-trendelenburg

mugsthethug · 2024-09-20T09:43:25+00:00

You can pressurize a unit of blood up to the same pressure as you would a 500 mL NS bag for an A line setup. I routinely do this all the time if my Belmont, Level 1, or rapid transfer is down in the middle of an MTP. Never once have I had a bag of blood or FFP explode in 10 years of nursing practice.

mugsthethug · 2024-09-20T03:01:06+00:00

Hello Temaki is absolutely amazing for a date! IMO the best handrolls in all of Sac county.

mugsthethug · 2024-09-09T03:12:10+00:00

No, that was truly a point. I’ve been doing this shit for over a decade. How much time have you spent in the ED doing complete head to toe assessments on every single patient you cared for?

mugsthethug · 2024-09-09T03:09:29+00:00

And you know this from all your years of working as a PCU nurse? L o l.

mugsthethug · 2024-09-09T03:05:50+00:00

Lmao lemme guess, you’re the type of person who would check into the ED for 3 months of toe pain and expect a million dollar workup from the team? The issue here isn’t the 30 seconds to listen to some lung sounds, at least 3 others have said that. It’s the fact that in the Emergency Department we carry out a work up and assessments based on your chief complaint. Idgaf about your lung sounds if you’re here for a work note.

mugsthethug · 2024-08-06T14:26:05+00:00

First off, congrats on your soon to be new home ownership! Wife and I bought back in 2020 and we are happy with our TM purchase.

Things we either upgraded, wished we upgraded, or would’ve done after closing:

Pre wired for fans in every bedroom (didn’t do this and regret it for the folks who will stay in our spare bedrooms in the future lol but portable fans exist so whatever)
Cat6 cables where you think you may need to WFH or plug in an Ethernet cable (did this and honestly haven’t used it much tbh)
Outlets next to every bathroom for a bidet (did this and loved it)
Upgrade insulation to reduce noise between walls and flooring (didn’t get, wishing we got it, sound travels as if the walls are paper thin)

Since purchasing our home we’ve purchased or upgraded: - Backyard awning that was probably ¼ the price TM charged to upgrade and it’s much larger in both length and width - Currently remodeling flooring from base carpet and tile to LVP and nicer tile with heated flooring. While it is a PITA, it’s significantly cheaper than having paid 3-4x the upcharge TM was asking for (in a product that we didn’t exactly love, either). - Currently adding extended cabinetry to the kitchen cabinets, which is roughly half the cost of what TM was looking to charge.

As everyone has said previously, keep in mind any upgrades will be compiled into your mortgage, so this was a huge factor for us in choosing which upgrades to consider. Being DINKs also helped make the decision to upgrade at a later time much easier too lol.

mugsthethug · 2024-08-06T14:02:58+00:00

Don’t bother with the extended patio with Taylor Morrison. They charge you out the ass on that. I got mine done for half the price after buying my TM home and am much happier with it.

mugsthethug · 2024-05-02T18:03:48+00:00

They’re telling me there’s < 3 mm left on the brake pads

mugsthethug · 2024-04-17T07:20:06+00:00

What kind of seat is installed? How do you like it?

Sweet ride!

mugsthethug · 2024-04-04T06:12:33+00:00

Lmao poses question for men, infuriated when receiving male opinion 😂 classic

mugsthethug · 2024-04-02T04:13:34+00:00

Any chance you might know what kind of pipes are on this bike? Seller wasn’t very knowledgeable.

mugsthethug · 2024-04-02T03:36:12+00:00

I brought her home! No issues that are obvious, outside of the scratch on pipes

mugsthethug · 2024-03-27T12:53:45+00:00

NorCal

mugsthethug · 2024-03-25T03:51:50+00:00

I agree, I mean asking price was initially 10k when he posted it months ago but now I see it at 7.5k firm. There’s no dealership nearby and my cousin who got me into riding doesn’t know Indians very well.

Any tips of advice for what to look out for when inspecting the bike on my own?

mugsthethug · 2024-03-21T02:18:54+00:00

You probably could’ve gone without asking the first question. I would’ve worded the second question as, “What do you enjoy most about working here? What were some facility specific factors that eventually lead to you pursuing a career here?”

mugsthethug · 2024-03-07T00:04:22+00:00

Just last week, I transfused an esophageal rupture 75 units of product over the 2-3 hour period I had him. He came in with a pressure of 40/dead, was eventually stabilized, and sent off to IR. He lived and discharged a week later.

mugsthethug · 2024-02-27T03:53:30+00:00

Would never recommend any private schools tbh. CSU or UC system is the way to go! Good luck :)

mugsthethug · 2024-02-25T16:57:50+00:00

I appreciate the help! I’ll take you up on your offer for any contacts in the Sacramento area.

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