Dempather

Dempather RN

Emergency Room, Cardiology, Medicine

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About Dempather

Dempather is a RN and specializes in Emergency Room, Cardiology, Medicine.


Latest Activity

  1. Difficulty finding contract

    Hi all, Just wanted some advice from y'all about the difficulty I've had finding a new position in the ER. I have a couple assignments already under my belt + 5 yrs nursing experience (almost 4 in the ED). Is anyone else having difficulty finding p...
  2. Feeling terrible, first med error... (long)

    ::sigh:: Five years into nursing and I found that we have plenty things to blame ourselves for (i.e.: our OWN mistakes, how we respond to certain things, etc) and we work hard to control how often they happen and how we can do better next time (ofte...
  3. Sedation and Hypotension

    "The fact that a lot of us have to do our learning on the job, in the moment, is unfortunately the nature of the beast. Better clinical education would help immensely! " I agree with this! I spoke with a couple nurses from the hospital regarding...
  4. Sedation and Hypotension

    This forum is a great educational tool for the person presenting the case, as well as the people contributing to the discussion. I feel compelled to add that identifying what's "wrong" serves absolutely no purpose, and is quite frankly, irritating. ...
  5. Sedation and Hypotension

    Hi, I had a large male patient (~120kg) with a dx. of PNA/sepsis who went into respiratory failure. He was on a dopamine drip prior to this episode for hypotension. Normal RSI took place and he was intubated. Once his respiratory status was stabilize...
  6. ER and strange phenomena

    Somethings just have to go unexplained... we went three months without one motorcycle accident off I-95 and then separate incidents three show up in one shift. For the full moon theory, I had a well-seasoned ER doc explain it to me in such a matter-o...
  7. You know what? Once you're a nurse, your patients and colleagues won't respect you less for it. You sound solid, so do whatever you have to do to finish with little worry about what you need to do to get it done -- as long as you feel confidant in ...
  8. What your mind does when you let it wander.

    Great-- thanks for the advice and laughs! :)
  9. In the most impressive show of verbal diarrhea that I can recall in recent history, I thought I'd share this-- So I was trying to fuzz up my cover letter and was brain-storming things to throw in. I asked myself what the heck I've learned in the ED ...
  10. Assessments of an OR Nurse

    I'm currently an ER nurse with some experience on tele. I'm considering a shadow experience in the OR or an eventual change over. Can somebody explain some of the tasks one would experience throughout the day? Do you perform assessments (lung soun...
  11. A GI doctor once told me to place an NG tube in warm water for a couple minutes before inserting it. Simple enough, reduced patient discomfort, and made the whole process a whole lot easier. What's yours?
  12. NS through peg?

    When I used to work on the floors, it was free water flush q 6 hrs to lower sodium, like Suzanne said. The amount doesn't seem so concerning - usually they would say 200cc or something of that sort. Think about it. Would you drink normal saline (o...
  13. Coping with a wide-scale trauma..

    We had a patient come to us a while ago who was injured after a particularly gruesome accident. After the incident, word got out and people have called me about it, including well-intentioned family members of mine. What makes this wider-scale for ...
  14. Steroid Protocol

    Thanks much. That's what I needed to know. :)
  15. Steroid Protocol

    Okay, let's talk a bit about this protocol. I had a young patient come into my ER s/p fall approx 20ft with impact to back Upon arrival, pt with no sensation below waist, no rectal tone, absent reflexes. Airway patent. Confirmed damage noted on CT...