pencilbutter:

Quick gift art for my awesome friend whose wonderfully insane packages always give me smiles. And also sold me all her old school tria markers that I like to use for sketching.
Danny belongs to orneryjen

<3

pencilbutter:

Quick gift art for my awesome friend whose wonderfully insane packages always give me smiles. And also sold me all her old school tria markers that I like to use for sketching.

Danny belongs to orneryjen

<3

Reblogged from pencilbutter
Tags: route 15

Cintiq fail update again

See here and here first

Ok, So I found out that there’s different kinds of DVI to HDMI cables and the one that actually works is a DYNEX DVI-D to HDMI (single link). Unlike the previous DVI to HDMI cables, this one doesn’t have all the pins present like the 5 + 24 pins (Do not panic!) but after plugging it in, my computer recognizes it, no problem. Aaaaand, yes! The high pitched noise has stopped (coming from my DVI-A to VGA connections).

More info here on DVI cables and stuff

As for the digitizer, I’m still screwed with that weird distortion field but I guess I’m going to have to live with that and see if maybe it’ll straighten itself out or something. I think as long as I’m making really fast strokes with coloring and shading it’ll be tolerable, but it will definitely hinder the way I ink on the computer unless I keep actively moving the image around to the unaffected parts of the screen.

Cintiq Fail Update

So the guy who said he was going to buy back my cintiq with issues hasn’t replied in weeks.The 19 inch P active pen still spazzes every once in a while (I don’t think its the CPU but SOMETHING is conflicting with it, even with every tablet driver before it) so I gave up on trying to fix that problem.

In the meantime, I noticed some people had some luck hooking up a DVI to HDMI cable with their 22HD cintiq. I said to myself… “Okay, maybe its the VGA causing some interferrence”. So I propped up my 22HD Cintiq monitor once more and stuck a Standard DVI to HDMI cable and for a while, it displayed okay until Windows 7 loaded (where it stopped getting a signal and went to sleep). It did however, start displaying in Safe mode (Although 1280x1024 made it really made things on my screen all stretched and fuzzy fat. But…no high pitched ear rupturing squeaking (yesss!)

I realized that my DVI to HDMI cable is a standard cable and might not support the resolution my cintiq has (It supports the display for my 19 inch P active…that cable really is working) . Will buy and test out if a high speed DVI to HDMI cable will do the trick with the high resolution display. For now I ended up disabling my Intel (R) HD graphics on my computer and the cintiq is now running on 1280x1024 resolution until I get my high speed cable (I’m too tired switching these damn monitors again). I haven’t tested out the digitizer yet.

My web behaved P-active 17 inch still sits nearby.

Stay tuned…

Qtips

My schnauzer has a sneaky habit of sneaking into trash cans and nibbling on Qtips…

Trivial cases worth listening to…

Me: You got stung by a bee?
Guy: I was at the park and I got angry.
Me: At the bee?
Guy: No I got angry at my four year old trying to throw his ball at my face and when I went to swat it away, I knocked a bee into my shirt and it stung my nipple.

MOAR TABLET MONITOR FAIL

So after succumbing to my tablet monitor woes, I bought myself a 22HD Cintiq for 15 hundred, then bought a DVI-A Adapter to VGA today (Too Lazy to install a new video card…working to build a computer for next year maybe). This tablet monitor is awesome except…

1. It’s consistently making this weird horizontal distortion section of my screen that skips my cursor or makes my straight lines curved on all programs (for some reason, my previous two monitors have been also been doing that (The P-active 17 inch seldomly, my Pactive 19 inch often ). sat my cintiq both on my floor and on my table, tested both pen and eraser and the results were the same.

image

2. It’s also making a faint but very high pitched whining noise that’s making my ears ring. WTF.

>___>

Preview panels for the next pages on my webcomic. This club scene&#8217;s gonna be a bitch to draw!

Preview panels for the next pages on my webcomic. This club scene’s gonna be a bitch to draw!

Anonymous said: Do you have any suggestions for nurses managing their time in the ED?

nurseeyeroll:

The only experience I have in an ED was in a really, really small ED.  So small that even when they were full, they’d have less patients than I did at one time working nights at my first job.  I don’t have any time management tips for that speciality.  Sorry!  Are there any phenomenal ED nurses out there with good time management skills!?

I do both ER and Floor nursing. The ER I work is a trauma hospital that can hold around 70 people (Including urgent care/first aid people and psych holds). Unlike your set assignment on the floors, The ED is like a game of Diner Dash on hyper mode: you’re flipping newly arrived patients like hotcakes, there are newly ordered tasks you need to stay on top of and prioritize, there are noises and distractions that come in your way, you will get into situations that will singe your comfort zone, and the routine and the flow can change unexpectedly. The ER is one overwhelmingly messed-up dangerous microcosm of humanity. Some days are super easy and other days super hard. But you will come up with the craziest stories on Thanksgiving dinner and you will make a difference to those who really need your services.

1. A report from ER nurse to ER nurse takes around 1-3 minutes depending on the acuity of the patient. Best way to say it: Patient’s name, sex, age, allergies, why are they here, important/recent health history (i.e. that right carpal tunnel surgery is irrelevant unless patient came in for right wrist swelling), important objective findings, what’s been done already, what needs to be done, what we’re waiting for, and IV site.

Don’t give or expect an extensive floor-style report - it uses up time, it annoys your coworkers, and it’s your job to assess your patient anyway. The exception to the rule is if the patient is moving to the floor in the next hour (where the ER nurse will thank you later because the receiving floor nurse will butcher him/her on the telephone for all those nice juicy details we don’t bother about).

By the way, I like saying the words “walky talky” a lot (The jargon really caught on in my ER) for someone who’s very low acuity, walks around, AAOX4, all that good stuff.

2. Prioritize your tasks. You don’t have the time to do full head to toe assessment the moment the patient lands on your gurney. Stick with the chief complaint, the vital signs and keep the person alive first. Get the EKG, the monitor, the oxygen, and the urine dip, and the allergies next if indicated. Give the treatments/meds when they’re ordered and chart your vitals and a small blurb of your observations every two hours when your shift pans out. The cozy comfort and hygiene measures, the more detailed health history and and the sob stories can be done later. If you’re drained and drowning, take that needed two minute break or you will drag the rest of your shift to the ground. And don’t sit idly unless you’re caught up with everything or have an open gurney.

3. Lay down the ER routine to patients early so they don’t feel like they’re ignored. “Labs will take a while. Xrays will take a while. CTs will take a while…because we want to make sure that everything is read thoroughly and we don’t want to miss anything.”. “We’re keeping you here for a while longer just to make sure you don’t have another seizure/chest pain before you go home.”  “You can’t eat or drink anything because food can mess up your diagnostic tests or delay surgery if it’s needed.”. “The Doctor needs to see you first before he orders the proper pain medication for you, not me”. “Your nephew’s stable, but California privacy laws prohibit me from giving information over the phone unless you’re the power of attorney or you’re a visitor of the patient.” \ “So that means the Doctor doesn’t care about me?” -  “He’s obligated to check back on you and your tests,  but he’s hung up on a trauma code right now.” 

Is all of this stuff I say above true I say? Mayyybe. But that’s the art of persuasive BS. I do it both on my patients as well as the ER docs (although the ER docs pull off persuasive BS back to me. Grrr.) Make it sound good and make it sound like their best interest.

4. Know your psych stuff. Know which patients are truly genuinely needing your help, and which ones are bullshitting you (This is an intuition you learn on the job where you pick up with your ability to read body language). There are times which you feel like you want to do more for some patients, and times where you feel like you want to not want to do anything with the patient, but ALWAYS keep your emotions in check and script your words carefully. Stick with the necessities and don’t let the person go emotionally nuts and steal valuable time that you need to take care of other people.

5. If you have that window of opportunity, you can eavesdrop on the doctor talking with the patient and use his assessment as yours. You get some good pointers on assessing patients, plus you have a good idea what the Doctor will order next. 

6. Know your Medsurg stuff that lands people into the hospital. Know your ER Workups by heart (Cardiac workup. Sepsis Workup. Respiratory Workup, GI workup, etc). Keep an eye out on the results of tests and labs. Even if the complaint sounds minor, the tests and labs can warn you that the patient is going to be admitted. 

7. Take advantage of your resource people. The CNAs, the ER Techs, the volunteers, the pharmacist or floor charge nurses on the phone. Get the family members proactive in the patient’s care. Also, if a family member of a stable patient needs to step out to do an errand, warn them to do it now (and get the patient’s home med list too) because it will take a while for the Doctor to run tests and figure out if the patient will be admitted or not. 

8. If supplies are disappearing like hotcakes or changing locations to the point where you can’t find them anymore, I suggest finding a hiding place in the department to stash your surplus. Especially from volunteers!

9. Help your coworkers (doctors, techs, RTs, nurses) out and they WILL help you. Ask for help when you need it because there are times where you can’t do it alone. There will, however, be times when you or your coworkers will say “No, I can’t. I’m busy”. That’s okay. Things can go batshit crazy in here and we understand. 

10. Always 20 gauge needles and bigger. You’ll never know if there’s a CT ordered that needs contrast.

Also for you ER veterans….

11. DO. NOT. EVER. EVER. EVER. EVER. SAY “Oh I know this patient. He/she’s here for the same thing.” You’re going to jinx it big time and before you know it, something in the CT scan lights up and now that problem patient is going to get admitted for the not-so-same-thing. With their god-knows-how many-expired-dilaudid bottles in the Walmart grocery bag.

Reblogged from Nurse Eye Roll
This kind of sums it up.

This kind of sums it up.