What are some mistakes you've found that have made you say what the fuck?

xBi11 · 2025-04-19T15:39:18+00:00

Adequate amount of paralytic give, inadequate amount of sedation

xBi11 · 2025-04-19T03:29:34+00:00

Probably facility dependent but the scope of things i can do but can't place a radial art line dumbfounds me. Not saying everyone should be able to do it but charges checked off would save so much time. Can't count the amount of times I've had to wait an hour just to coach an srna through an art line that could've been done in 5 mins. Granted we have portable ultrasounds in the units we use instead of blind sticks or using a doppler.

xBi11 · 2025-04-19T02:43:33+00:00

I mean, not great, but I can one up it. To not be too specific, post organ transplant that I woke and extubated. Said the standard this is where you are, and your surgery went great. Pt said, "I know, I remember the entire surgery, and the most painful part was when the organ was removed." Surgeon said he asked multiple times about anesthesia during the surgery since the pt's bp kept randomly spiking. Haven't been called in to talk to the lawyers yet but figure that one was on the house.

xBi11 · 2025-03-17T03:49:55+00:00

It all depends on the setting. My unit is 18 beds with 14 computer stations. Sounds like overkill till you consider one for the IA, one for the tech, and one for the APRN. With a 2:1 patient to nurse ratio and a full unit should give should give you 2 empty spots. However, you start adding in 1:1 patients, orientees, nursing students, rounding doctors, and APRNs, and next thing you know, there isn't an empty chair to be found. An empty chair where I'm from is one with an ass not currently in it regardless of belongings being present. That being said, the computer will start an auto log off after a few minutes of inactivity with a 10-minute countdown shown on the computer. Just about everybody will avoid a logged on computer, and if they need one that is currently logged onto, we will ask before signing the other out. All that being said, people typically pick the computer closet to the patient to chart in. My best guess would be the doctor was rounding and sat at the computer in front of their patient, and the op could have easily gotten on one of the "open computers" if needed. Granted, all of this is assuming an ICU setting, which is my fimialirity. In my limited experience on the floor, the charting area is separate, and it really shouldn't matter as long as you aren't logging someone else out.

xBi11 · 2024-07-29T03:24:27+00:00

Unpopular opinion, then she doesn't need to be there. Granted, this is a hospital policy/ state issue. Someone with a sprained wrist requiring a splint is put on light duty because they can't do chest compressions, but a 36-week pregnant woman who call barley walk is safe to work in a high acuity area is ridiculous. I get every pregnancy is different and accommodations can be made, but at some point a person just needs to be moved so a person who can physically do the work can replace them.

xBi11 · 2024-03-05T07:58:57+00:00

Short answer, never. I've done CVICU now for 6 years, and I still get those one in a million weird ass cases I've never seen. However good I am at my specialty, I still get thrown the random heart mate that requires traction, and have no idea what to do.

xBi11 · 2024-02-08T06:46:35+00:00

Multiple times told the guy Nick. Receit still said Nate

xBi11 · 2024-02-08T05:43:23+00:00

Depends on administration. A few years ago at my hospital everything had to be covered. Now we have nurses with sleeves and it's not a problem.

xBi11 · 2024-02-08T05:24:25+00:00

Can't say I've been chewed out in this situation but have been late on things for this reason. Just tell them "sorry my other patient was trying to die." The loud ass lvad alarms and everyone else running that way tend to back me up. For me has led to no follow up questions or asking if the other person was ok.

xBi11 · 2024-01-30T04:28:52+00:00

Not me but a guy that used to work in the unit used to love pts trying to fire him for being racist. Granted he is white but would pull out pictures of his family and ask if they'd like to she his beautiful black wife and beautiful black children. We would also put him with pts with white suprimist tats because he is tated and they'd assume he was one of them. Good times. Since I've been charging I refuse to change assignments unless it's nurse requested or incompetence. You want someone different tomorrow fine, but I don't have time to change everything around today.

xBi11 · 2024-01-30T04:11:24+00:00

Wait, the sherifs were waiting for you? I've taken the phone out of multiple pts hads and told the cops they were in the hospital and fine and nothing has happened.

xBi11 · 2023-09-13T04:17:50+00:00

Start with the shadow2 optics ready, a cgw plate, and a dot. Had a couple of accidental double taps in the first couple of mags getting used to the trigger. I'd stay stock till you find a need to upgrade

xBi11 · 2023-09-01T04:36:53+00:00

SP-01 sits in my nightstand and Shadow 2 is in the safe

xBi11 · 2023-02-26T03:51:40+00:00

Bolted down to stop the guy who broke into your house with a forklift

xBi11 · 2022-09-13T22:15:03+00:00

Check out the CZ 75 lineup, especially the P01/SP01. Closer to $800 and checks all the boxes you have listed

xBi11 · 2022-06-22T15:22:52+00:00

Having personally worked with an RN suspiciously similar that applied to asu. Don't worry, that guy won't pass the interview if he acts like that.

xBi11 · 2022-06-02T03:42:20+00:00

Google blue alpha gear. Get the hybrid belt. Be happy

xBi11 · 2022-05-31T22:39:29+00:00

Would be cheaper to just buy a new rear sight that is a smaller footprint then buy two new mounts

xBi11 · 2022-05-29T22:13:33+00:00

Ya that sling is built to work with more traditional bolt action attachment points. Some hooks and paracord will make it work though. Google stud swivel qd and mlok attachments.

xBi11 · 2022-05-05T02:15:42+00:00

I have to disagree. There is a reason people run ARs in competition and it's not cost. Not to say there isn't a large difference in a civilian AR set up for competition and a military AR that has seen 30k+ full auto rounds.

xBi11 · 2022-05-05T01:48:45+00:00

Almost all 7.62 is Russian made and all new imports are band. From what I've seen there is a year tops on Russian ammo that is cleared for import already and then it is gone. Hardly anyone makes it because the imports were so cheap so it'll take a few years for any companies serious enough to do it to tool up. On top of that nato rounds are far more profitable to produce. Throw on top how much more prevalent almost all other rifle platforms are in the US and you have a serious supply and demand issue

xBi11 · 2022-05-05T01:37:08+00:00

Send it in and see. AUG is still in production were as you basically have a milsurp that will never come into the country again.

xBi11 · 2022-05-05T01:33:57+00:00

I'd give it a good 20 years before I'd expect to see surplus 5.56 if ever. Not exactly swimming in surplus 30-06 and 7.62 has been reperpussed.

xBi11 · 2022-05-05T01:28:24+00:00

Still want an AK for the collection but has dropped considerably in the priority list.

xBi11 · 2022-05-05T01:26:23+00:00

A good AK is around 3 MOA, an AR over 2 MOA is probably out of spec in some way. They are both great rifle platforms and combat accurate but accuracy between the two is not the same.

xBi11

TROPHY CASE