murphyle BSN, RN

Emergency, Critical Care (CEN, CCRN)

Member

  • Content

    279

  • Visitors

    9,127

  • Followers

    0

  • Likes

    10

All Content by murphyle

  1. murphyle

    Critical care drips

    murphyle replied to kc87t's topic in Emergency

    Sometimes dopamine is the only option you have, if your patient is circling the drain, you don't have central access and/or you can't give "peripheral mix" Neo-Synephrine for some reason. Yes, it's...
  2. murphyle

    New Grad Co-worker driving me NUTS!!!!

    murphyle replied to dinah77's topic in General Nursing

    Not every place in the US holds those standards. Most hospitals in this area, my own included, require two to five years' experience and two years in-unit before you can be considered for any...
  3. murphyle

    Why do RNs fail to press TAKE in the PYXIS supply?

    murphyle replied to tahoe77's topic in General Nursing

    Our .9, along with all the other infusion fluids, is kept in the Pyxis, and it's been that way at every hospital I've worked or studied in. I believe it's for cost accounting purposes - even something...
  4. murphyle

    Supplies You Can't Live Without

    murphyle replied to felineRN's topic in Emergency

    On PDA references: In the past I used ePocrates Pro for my drug guide, until they got rid of the IV compatibility checking option. Nowadays I use Lexi-Comp; it's got the compatibility checker...
  5. murphyle

    Supplies You Can't Live Without

    murphyle replied to felineRN's topic in Emergency

    +1 to the previous suggestions, and I'll add one of my own: some form of PDA or smartphone, on which to contain your drug book, clinical references and so forth. Can also take the place of your...
  6. murphyle

    OU ABSN May 2011 Facebook Group

    murphyle replied to bronzemint23's topic in Michigan Nursing

    Hi all - Oakland ASDN grad signing on. I graduated a year and change ago, and occasionally come back for volunteer guest talks. Those of you in the program right now probably know me from chest tube...
  7. murphyle

    ...annoying little BCx pet peeve...

    murphyle replied to 80sNurse's topic in Emergency

    Activity and expense. Neither isopropanol nor povidone-iodine solution have much residual activity beyond the initial microbe kill.* (Povidone-iodine is slightly better, but at least on skin, the...
  8. murphyle

    ...annoying little BCx pet peeve...

    murphyle replied to 80sNurse's topic in Emergency

    Echoing what others have said: you don't know where that bottle top has been or how long it's been sitting OTA in the box or cart. Invariably when our culture contam rate starts creeping up, it's one...
  9. murphyle

    Toradol IM Injection.

    murphyle replied to nursesearl's topic in Emergency

    I've done Toradol (30 mg/mL) in the deltoid on my larger patients (I.e., the ex-football player type with arms the size of most people's thighs) and never had a problem. More minor patients get it in...
  10. murphyle

    ED Nursing Book recommendations?

    murphyle replied to nurseyNJNYC's topic in Emergency

    Second the recommendations for Sheehy's, as well as for the Emergency Nursing Core Curriculum and for the CEN book if you're studying toward that goal. All three are ENA publications, and you get a...
  11. murphyle

    Nurses don't save lives....WHAT?

    murphyle replied to ThePrincessBride's topic in General Nursing

    We have a slightly different perspective in emergency, as we usually have a pretty good idea when we've saved someone; when you receive a patient that's apneic and pulseless on arrival, and that...
  12. murphyle

    What info should be "tattooed" on a nurse's brain?

    murphyle replied to rloh961's topic in General Nursing

    From the emergency side of the tracks... What to do for new-onset or worsening chest pain. (Sit 'em up, 2-4L O2 NC, repeat vital signs and put on the monitor if they aren't already, order 12-lead ECG....
  13. murphyle

    IV Gauge for CT

    murphyle replied to EDrunnerRN's topic in Emergency

    I'd be interested to have a look at that manual, if you don't mind. I've had different technologists tell me different "mandates," "policies" and "licensure restrictions" on multiple forms of imaging,...
  14. murphyle

    This week

    murphyle replied to emtb2rn's topic in Emergency

    Yup, lots and lots of sick people in my neck of the woods too, and I don't think we had one night where we didn't have a department full of holds and every "overflow" unit maxed out. Must be a full...
  15. murphyle

    IV Gauge for CT

    murphyle replied to EDrunnerRN's topic in Emergency

    Our policy is 20ga or better peripheral IV in the AC for CT pulmonary angiography. If you can't obtain that access, the study doesn't get done and the patient goes for V/Q scan instead. By policy,...
  16. murphyle

    Pet Nurse?!

    murphyle replied to Mashira's topic in General Nursing

    I wouldn't get too bent out of shape about it. Clearly she's not handing out human medical advice, nor performing assessment or diagnosis, so neither the role nor the title of "nurse" applies....
  17. murphyle

    calling ALL newly licensed NURSES.......[3yrs<]

    murphyle replied to NURSESrMEAN's topic in First Year After Licensure

    Graduated December 12 2009 (Accelerated BSN) Licensed February 18 2010 Employed March 1 2010 (Bit of a nail-biter on that front: I got my offer letter the day before my NCLEX results... the old saying...
  18. murphyle

    New Grad in ER HELP!

    murphyle replied to TheEmmyRN's topic in Emergency

    I'm going to throw in with TheSquire and hiddencat on this one - new grads can make it in Emergency, but there needs to be a very solid, thorough orientation and training package behind them. 6...
  19. murphyle

    Triage

    murphyle replied to Ciale's topic in Emergency

    We also use a "RN greeter" system as part of a two-phase triage. The RN greeter and registration clerk sit right next to each other at the triage desk, and the RN takes the CC and does an eyeball...
  20. murphyle

    Info for senior students in the ED

    murphyle replied to MesaRN's topic in Emergency

    Good list so far. I'd add a few things: Toxicities - we see tons of EtOH abuse and ASA and APAP overdoses, either intentional or secondary (i.e. pt OD'd on Vicodin and is now combined opioid and...
  21. murphyle

    I Got the ED job!!!

    murphyle replied to Traum-a-Rama's topic in Emergency

    Congrats to you, LisLis!! I'm also a second-degree RN, started as a new grad in Emergency, and now have been out of school a year and in the EC about ten months. I love it down here, and I'm glad...
  22. murphyle

    Shift Wars! Just need to vent...

    murphyle replied to RxOnly's topic in General Nursing

    I can't really say that we have shift "wars" in my department... minor armed conflicts perhaps? In all honesty, a lot of the "war" seems to me to boil down to individual personalities versus a...
  23. murphyle

    Passed CEN!!

    murphyle posted a topic in Emergency

    Exactly what it says on the title line... I took and passed the exam this morning. Nervous wreck that I was, I still did far better than I ever expected to do - 142/150! Happy dancing right now......
  24. murphyle

    Passed CEN!!

    murphyle replied to murphyle's topic in Emergency

    Thanks for all the support! You all are wonderful, as always - thank you. MissERN: No, I normally just sign (murphyle), RN, (ID #) at work. However, I do have a handful of presentations I'll be...
  25. murphyle

    so, today my clinical instructor told me to "move it along" during med admin.

    murphyle replied to amianurseyet?'s topic in General Students

    Interesting... it was always my understanding that one did not need to wear gloves during preparation of a medication unless you could reasonably expect to come in direct contact with the med, and/or...