murphyle BSN, RN

Emergency, Critical Care (CEN, CCRN)

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All Content by murphyle

  1. murphyle

    In my ER, we're required to do preg tests before giving Toradol. Does anyone else do this?

    murphyle replied to ReWritten's topic in Emergency

    Lunah and babynurse: Oh, we've been burying the lab in concern audits, and so has all the rest of the house (lack of STAT lab service goes over just as badly in the ICUs, OR and Labor & Delivery...
  2. murphyle

    Intraosseous Infusions- anyone using it yet?

    murphyle replied to GinaCat's topic in General Nursing

    We have the EZ-IO setup in our department, but I've never seen our people place one (the IOs I've seen have all come from EMS or transferred from other hospitals). Interestingly, our staff nurses and...
  3. murphyle

    In my ER, we're required to do preg tests before giving Toradol. Does anyone else do this?

    murphyle replied to ReWritten's topic in Emergency

    We generally wait for the HCG to come back before giving Toradol, but recent events have started to make the rules a little more... bendy in certain cases. For example, you're caring for a 55 y.o....
  4. murphyle

    In flight Emergency with the proper equipment

    murphyle replied to Robublind's topic in Emergency

    I still had my stethoscope in my work bag when I flew to Tampa, and I always keep a handful of Tegaderms and silk tape in my toiletries kit for blister emergencies, but otherwise no. I'm not licensed...
  5. murphyle

    ENA Convention

    murphyle replied to SweetsMcnursey's topic in Emergency

    You may have seen me and not known it. What booth were you
  6. murphyle

    ENA Convention

    murphyle replied to SweetsMcnursey's topic in Emergency

    ...So now that we're all home from sunny (and occasionally stormy) Tampa, how about a bit of a debrief? Tell us what your favorite and least favorite sessions were, and why! My faves: Beyond...
  7. murphyle

    Joining nurses associations/subscribing to journals

    murphyle replied to nrse20's topic in Cardiac

    Lots of journal subscriptions come free with your membership to a given specialty society. (AORN Journal, Journal of Emergency Nursing and Journal of Trauma Nursing are the three I receive that way;...
  8. murphyle

    IV Pumps--have you used Baxter's Sigma Spectrum??

    murphyle replied to AKav8trix's topic in Emergency

    I had to deal with the Baxter pumps on one rotation in nursing school, and wasn't a fan. They errored "Upstream Occlusion" if you so much as sneezed, and we frequently had problems with a very poorly...
  9. murphyle

    ENA Convention

    murphyle replied to SweetsMcnursey's topic in Emergency

    I'm going. First time, too - looking forward to it.
  10. murphyle

    Reglan and Compazine IV push policies?

    murphyle replied to MollyMel's topic in Emergency

    We don't do a whole lot with Reglan; our go-to medication for nausea is Zofran, followed by Phenergan if that doesn't work. Migraineurs usually get the Benadryl/Compazine/Toradol cocktail, along with...
  11. murphyle

    What supplies do you carry on you?

    murphyle replied to Nire83's topic in Emergency

    This. So very
  12. murphyle

    Ordering aspirin tied into a part of ER MD salary ??

    murphyle replied to MassED's topic in Emergency

    ASA for any chest pain patient is part of core measures, which drives insurance reimbursement (i.e. you get more money if all the core measures are met, and less if they aren't). Some insurers are now...
  13. murphyle

    Theme music

    murphyle replied to LegzRN's topic in General Nursing

    A few themes from us midnighters in the ED: http://www.youtube.com/watch?v=yVA-xTBeHyM Perfect for those hot summer nights when you pull up the hospital driveway, see half a dozen ambulances in the...
  14. murphyle

    What supplies do you carry on you?

    murphyle replied to Nire83's topic in Emergency

    On sleeve: Penlight and pen. (I have an old drug-company freebie that I loaded a Space Pen refill into - distinctive enough that nobody steals it, and writes on anything, including lab labels. Cheap,...
  15. murphyle

    different types of ICU

    murphyle replied to meghan91's topic in General Nursing

    CV-SICU: cardiovascular surgical (post-op hearts: CABG, valves, heart and heart-lung en bloc transplants,
  16. murphyle

    Not the new grad problem I expected..

    murphyle replied to MInurse.st's topic in First Year After Licensure

    I had a very similar choice when I graduated school (and I'm in Metro Detroit also): full time nights on a neuro floor at a large, prestigious teaching hospital, or full time nights in the emergency...
  17. murphyle

    Useful student placement areas for future Emergency Nursing

    murphyle replied to AntigenicShift's topic in Emergency

    Second the recommendations for Cardiology and Respiratory. I'd also tell you to focus on Neurology and Internal Medicine. Stroke care is one of the big "in" things in emergency as of late, and Int Med...
  18. murphyle

    M/S RN to ER?

    murphyle replied to #1ME's topic in Emergency

    I'd have to agree with altra and Fancypants: in my unit, we generally don't care where you came from, be it med-surg, critical care, peds or new grad. All we ask is that you're willing to learn, take...
  19. murphyle

    What are clinicals all about????

    murphyle replied to BucklandRN's topic in General Students

    Coming from a second-degree program that's relatively well known for rigor, I found that there wasn't a great deal of difference between school and "the real world" except the lack of written...
  20. murphyle

    The Nursing Math Thread

    murphyle replied to Tweety's topic in General Students

    don't worry about it, we're glad to help out. :) all infusion-rate problems have a similar setup; the trick is picking out which numbers you need to plug in where. the common formula is: (vtbi x df)...
  21. murphyle

    CPOE Computerized Physician Order Entry

    murphyle replied to triageguy's topic in Emergency

    We use Epic oneChart as well, system-wide, though ours comes in two flavors: the standard "floor" view, and the "trackboard" view that you only get if you're signed into the Emergency Center. Epic for...
  22. murphyle

    How do you treat headaches?

    murphyle replied to Anagray's topic in Emergency

    Another vote for the 15L NRB fix. My dad gets cluster headaches, for which he actually keeps tanked O2 in the house. 3-5 minutes on the mask breaks the vasospasm and stops the headache. The one time...
  23. murphyle

    CEN vs CCRN

    murphyle replied to fmAtoZ&backagain's topic in Emergency

    Do be aware that you can't sit for the CCRN exam unless you've worked full-time ICU for the last two years (the AACN's Website states "Practice as an RN or APRN is required for 1,750 hours in direct...
  24. murphyle

    Difficult access: Would you go for EJ or pedal?

    murphyle replied to Murse901's topic in Emergency

    We would've put in an EJ or an IO, no question. (RNs have long been able to do EJs in our department; however, new policy states that one of the MDs has to check you off on the procedure before you...
  25. murphyle

    4th of July in the ER

    murphyle replied to tk88's topic in Emergency

    Boy, our 4th was completely benign in the Department, so much so that we were all commenting on it. One drunk, no fireworks injuries, no drownings, no traumas, no bad-picnic-food gastro, even... we...