OAR - Then and Now: II

O.A.R. - Austin Music Hall - Austin, TX, 2.5.2009

Source Information

------------------------------------------------------------
Disk 1(CD)
01. Intro
02. Love and Memories
03. One Shot
04. Organ Intro > City On Down
05. This Town
06. Dareh Meyod
07. Wonderful Day
08. So Moved On
09. Dinner Last Night
10. About An Hour Ago
11. Chatter
12. War Song
13. Crew Thanks

Disk 2(CD)
01. Heard The World
02. Bongo Intro > Black Rock > Freestyle > Blackrock
03. Anyway > Radio Freestyle > Anyway
04. Date Into > Hey Girl
05. With A Little Help From My Friends #
06. Encore Crowd
07. Shattered (Turn The Car Around)
08. I Feel Home
09. Freestyle Intro > That Was A Crazy Game Of Poker

Notes:
--- Entire show with Mikel Paris on keys, vocals and percussion.
--- # Beatles cover
--- Special thanks to JP and Jeff from Austin Music Hall for their accommodations!!
------------------------------------------------------------
.....of a revolution. (O.A.R.)
February 5th, 2009
Austin Music Hall
Austin, Texas, U.S.A.
Opening act: Eric Hutchinson
Taper: J.Steed (jsteed8@hotmail.com)
Source: AKG 535 > Marantz PMD670
Location: Directly above front of house. Dead Center. Mics at approximately 20 feet off GA floor.
Conversion: J. Steed (jsteed8@hotmail.com)
Date of Conversion: February 4th, 2009
Equipment: DYNEX DX-CR121 > Dell Latitude D620 > Audacity 1.3.5 > FLAC

OAR - Then and Now

O.A.R. - Stubb's - Austin, TX, 5.1.2008 - My first OAR show in 3 years!! Will see them again in Austin on 2.5.2009

Source Information:
------------------------------------------------------------
Disc One(CD):
01: The Wanderer
02: About Mr. Brown
03: About An Hour Ago
04: Heard The World
05: Delicate Few - Crowd Sings while Mark Teases that Crowd is doing his job
06: Lay Down
07: Program Director
08: Night Shift
09: One Shot - "Austin Texas Streets"

Disc Two(CD):
01: City On Down
02: I Feel Home - Redemption Song Tag +++
03: That Was A Crazy Game Of Poker - Black Rock Interlude
04: Destination - "Texas, I'm already there!"
05: Hey Girl
06: Whose Chariot?
07: Love And Memories
------------------------------------------------------------
O.A.R. (.....of a revolution.)
May 01, 2008
Stubb's - Austin, TX
Taper: Mike Sarnovsky (mike@oarfans.com)
Source: Neumann km-184s -> Apogee Mini-MP -> Sound Devices 722
Location: FOH
Conversion: Mike Sarnovsky (mike@oarfans.com)
Equipment: 722 -> PC -> FLAC

Psychoactives in Experience by Prescription

Psychoactives in Experience by Prescription
(Alphabetically by Category and Substance)

Opioids:
Buprenorphine (Suboxone, active metabolite Norbuprenorphine; stronger Mu agonist and full nociceptin agonist)
Butorphanol
Codeine Phosphate
***Dextromethorphan (aka DXM, Dextro-Methyl-Ethyl enantiomer Levorphanol / stereoisomer Levomethorphan)
***Dextrorphan (aka DXO, active NMDA antagonist metabolite of Dextromethorphan – strong NMDA antagonist)
***NOTE: DXM / DXO are *not* opioid analgesics; have been shown to increase opioid analgesic effect & are NMDA antagonists)
Diphenoxylate
Hydrocodone
Meperidine
Methadone
Oxycodone
Propoxyphene
Tramadol


Opioid Antagonists:
Naloxone (Low-zero bioavailability due to sublingual administration with Buprenorphine [Suboxone])


Sedatives/Hypnotics:
Alprazolam [BZP]
Carisoprodol (skeletal muscle relaxant, active metabolite Meprobamate)
Clonazepam [BZP]
Clorazepate [BZP]
Diazepam [BZP]
Lorazepam [BZP]
Midazolam [BZP]
Nitrazepam [BZP]
Oxazepam [BZP]
Promethazine (sedative antihistamine)
Propofol (IV anesthetic; lipid)
Temazepam [BZP]
Triazolam [BZP]
Zolpidem [Non-BZP Hypnotic}


Stimulants:
Amphetamine Salts (Adderall IR)
Methylphenidate ER (Ritalin)
Methylphenidate LA (Concerta)

Syringe/Needle vs. Syringe/WingedVacutainer IV Set

I've decided that as a phlebotomist and medication administrator, I strongly prefer Vacutainer/Angel Wing/Butterfly tubing with a winged needle set compared to a direct blood draw/medication administration with a standard syringe/needle (standard luer lock) directly connected. The winged administration/collection set is much easier to handle, safer, and can be taped with Transpore, paper tape, or similar to secure in place once venipuncture is obtained making the administration or draw far less prone to a missed access attempt (or extravasation during administration) and much more stable during the process of the procedure. This is especially important in avoiding care provider needle sticks (due to the tubing and needle not being directly attached to the syringe/collection vial; non flexible syringe/collection vial/needle sets can easily lead to an accidental needle stick if the patient flinches, moves, is uncooperative, etc). Once venous access is obtained, the hazard of a direct syringe/needle stick is almost negated by the remote needle attached to the tube, which is then attached to the collection vial or syringe.

This is of course all assuming the patient does not have current patent IV access via a saline/hep lock or continuous infusion line with a Y site allowing administration through the infusion line. It is also helpful when an infusion line is delivering an incompatible medication with a new medication ordered for a single administration, or when a fresh blood draw is needed and can not be obtained via an infusion line or lock (which is most often the case).

This is not news to most phlebotomists as winged collection sets are considered standard procedure by many. It is however a consideration for IV access intended for medication administration on an infrequent basis or single administration. In these cases, more often a syringe/needle is used to acquire venous access and the risk of accidental needle stick is greater. It is these types of situations where a winged infusion/collection set with tubing might be considered a safer alternative in my opinion...

IF YOU SUSTAIN A NEEDLE STICK, FOLLOW THESE STEPS AT ONCE:

1. Discontinue patient treatment immediately
2. Wash affected area with soap and water thoroughly without delay
   
3. If Chlorhexidine or a comparable antiseptic is available, use as directed
4. Report exposure to supervisory personnel without delay
5. See Occupational Health in less than two hours for further treatment

And of course, ALWAYS use *Universal Precautions* when potentially interacting with ALL patients, regardless of whether or not there will be expected exposure to bodily fluids. For a more extensive listing of Universal Precautions and Isolation Techniques (Barrier Gowns, Masks, Face and Eye Shields, Gloves, etc) see Wikipedia: Universal Precautions.

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