I consider this a new issue after reliable proficiency. I was doing fine, just going about my days as an ER RN and then "bam," now I think I am on a weird streak. I also am trying not to overthink it,or become timid because I know that a lot of medical professionals go through streaks. I will try and take into consideration everything you said! Thank you. I have been taking more time to make sure the chamber is filling and not rushing, that has helped. I will make myself more aware of my angle and see if I have been going in too steep. Thank you so much!!