murphyle BSN, RN

Emergency, Critical Care (CEN, CCRN)

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All Content by murphyle

  1. murphyle

    Funny Sign In Slips

    murphyle replied to TraumaInTheSlot's topic in Emergency

    It's a fact of life in Emergency that very few of our patients actually know "the facts of life." As a result, we see a nonstop parade of genitourinary complaints, most of which aren't urgent or...
  2. murphyle

    Top 10 Myths of the "MURSE"

    murphyle replied to mikethemurse's topic in Nursing Humor

    This was fun to read, as I'm heading off to work with my own team of mostly murses... From this (female) nurse's perspective, the "mursing students" in my nursing-school cohort were some of my best...
  3. murphyle

    Not properly trained for ER?????

    murphyle replied to bassadict69's topic in Emergency

    I'm a recent grad who started straight in the EC (we're a Level 2 center - we don't see a lot of trauma, but we do get tons of major medicals), and also a graduate of an accelerated BSN program....
  4. murphyle

    Brand new grad starting in ER next week- help!!

    murphyle replied to mandababy0326's topic in Emergency

    Funny, I've noticed a lot less isolationist behavior (clique-forming, gossiping, etc) on the night shift than I did in my first half of orientation, when I was on days. Then too, nights in my...
  5. murphyle

    difference between a Graduate Nurse and an experienced Nurse...

    murphyle replied to Michelle.'s topic in Nursing Humor

    Too funny! I'd probably put myself somewhere in between Graduate and Experienced - which makes sense as I've been at it for about six months now. Adding a few for the emergency folks: A Graduate...
  6. murphyle

    Brand new grad starting in ER next week- help!!

    murphyle replied to mandababy0326's topic in Emergency

    From one "newbie on nights" to another, welcome to Emergency! Echoing what's already been said about preceptors: You'll be assigned to work with an experienced nurse for your first few weeks (6 or...
  7. murphyle

    Novice ER Nurse needs help please

    murphyle replied to Lunar's topic in Emergency

    Excellent! Glad it worked out for you! Preceptor issues can be notoriously thorny. I had a close call with that myself - got about ten days into orientation and realized that my preceptor was serious...
  8. murphyle

    Novice ER Nurse needs help please

    murphyle replied to Lunar's topic in Emergency

    So let me understand this... you're brand new to EC, straight out of school, everyone knew this going in, and you're being put on a remediation plan (which, at least in my hospital, is the step...
  9. murphyle

    Nursing School FBI Background check

    murphyle replied to jamieusmc_17's topic in General Nursing

    We did a two-part background check for school - Michigan State Police for criminal record (civil infractions* not included), and FBI for fingerprints. In any case, all they want is criminal background...
  10. murphyle

    New Grad starting ER

    murphyle replied to almosthere87's topic in Emergency

    I was recommended to Emergency by one of my old clinical instructors, who works in the department as a night-shift case manager when she's not teaching. (This occasionally has unintended amusing...
  11. murphyle

    Oakland University 2nd Degree GPA

    murphyle replied to cderitz's topic in Michigan Nursing

    It's been a few months since I sat on an interview committee, but I can tell you that when a candidate walked in to us with a 4.0, the first thing we asked ourselves was "Why didn't this person apply...
  12. murphyle

    New Grad starting ER

    murphyle replied to almosthere87's topic in Emergency

    Congratulations to you! I am also a recent grad, nine weeks into my own straight-from-school EC job, and absolutely loving it. Here are a few pearls I've picked up so far: * Soak up as much knowledge...
  13. murphyle

    Funny Sign In Slips

    murphyle replied to TraumaInTheSlot's topic in Emergency

    A classic laugher from last night's triage shift: "Chest pain started two hours ago; had sex and it went away, but now it's back." --Sorry, sir, we don't provide that service
  14. murphyle

    Best ER Nurse quotes

    murphyle replied to JennyAS's topic in Emergency

    I've done that before too. Works like a charm. I've also used the reverse trick on patients who want to be cathed for, ahem, reasons of personal gratification. "It's our department policy that...
  15. murphyle

    Best ER Nurse quotes

    murphyle replied to JennyAS's topic in Emergency

    Elderly diabetic dementia patient came in via EMS for ALOC r/t hypoglycemia (why the nursing facility staff couldn't have attempted some oral glucose before calling 911, I have no idea). When she...
  16. murphyle

    ED/trauma shadow last nite... should i transfer??

    murphyle replied to niteowlrn29's topic in Emergency

    I'm reminded of a case I dealt with as a first-aid volunteer, where a patient at a college sporting event developed foodborne illness from a bad stadium hot-dog. A single bout of diarrhea and...
  17. murphyle

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    murphyle replied to Blackheartednurse's topic in General Nursing

    Two statements don't seem to go together - yes, the AHA has published a lot of papers on ACS and CVA/TIA, but none stating that oxygen is harmful when SpO2 is greater than 95%. Currently (as of 2009),...
  18. murphyle

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    murphyle replied to Blackheartednurse's topic in General Nursing

    2L NC, sit 'em up and watch the monitor for 5 minutes is my first intervention. (For some incomprehensible reason, lots of our patients come back from triage with no pillow and HOB at about 5 degrees,...
  19. murphyle

    Patient Etiquette

    murphyle replied to brown252's topic in General Nursing

    In my department, it's unwritten policy that all genitourinary procedures are done by personnel of the same sex as the patient, whether the patient requests it or not. If you have the staff for it...
  20. murphyle

    Funny Sign In Slips

    murphyle replied to TraumaInTheSlot's topic in Emergency

    Patient came in c/o "hives" on her chest and legs. Triage RN inspected, found skin to be clean, dry and intact. When asked, the pt said "The hives are on the inside where you can't see them."
  21. murphyle

    Scribes in the ED

    murphyle replied to whichone'spink's topic in Emergency

    We've got them in our EC as private contractors (they're supplied by a company called PhysAssist) and, I'm sorry to say, by and large they are a horrifying pain in the neck. All of them are some...
  22. murphyle

    Things you only learn on the floor...

    murphyle replied to leonurse's topic in General Nursing

    Along the same lines, Family Members to Watch Out For: * The little old lady with the giant handbag and the "old chick lit" (Danielle Steel, Maeve Binchy, etc) novel. Never leaves the patient's...
  23. murphyle

    ER RN salary

    murphyle replied to newfloridaRN's topic in Emergency

    New grad RN, Metro Detroit: $25.03/hr base, with $2 afternoon and $2 weekend
  24. murphyle

    Is a 12 month BSN too fast to learn the material well?

    murphyle replied to cacurlytop's topic in General Students

    As I've discussed elsewhere in this forum, I am a graduate of a 12-month ASD-BSN program, was a lab TA in school and continue to serve as lab faculty. The 12-month program is not for the faint of...
  25. murphyle

    Triage

    murphyle replied to JOErotorRN's topic in Emergency

    My department isn't too far off the mark - we have 40 beds and average about 250 encounters a day. Each "team" of ten rooms is staffed with three nurses and a tech, and each nurse is responsible for...