murphyle BSN, RN

Emergency, Critical Care (CEN, CCRN)

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All Content by murphyle

  1. murphyle

    Triage

    Funny you mention that - our EC is about the same size as yours, and we just completed a comprehensive "lean" redesign of our triage flow about six months ago, which I've been studying since we're...
  2. murphyle

    Help for medical Arabic?

    Hi everyone-- I'm at a hospital that sees a pretty good percentage of Arabic-speaking patients, and I'd like to start learning some basic Arabic to be able to communicate. To that end, I'm hoping some...
  3. murphyle

    Nursing Superstitions?

    Emergency corollary: the less you talk about frequent fliers, the less they show up. On the other hand, saying "Hey, we haven't seen Stan the Wino lately..." will guarantee that Mr. S. Wino will...
  4. murphyle

    Help for medical Arabic?

    (Reposted from "Michigan Nurses" forum r/t lack of traffic. Moderators, please feel free to move or delete as you see fit. Thanks!) Hi everyone-- I'm at a hospital that sees a pretty good percentage...
  5. murphyle

    Short Questionaire

    I'm in the Detroit, MI area (Windsor, ON is just a bridge or tunnel away), and I'm a recent grad RN. I'd be happy to fill out the questionnaire as well. Best of luck to
  6. murphyle

    Nursing School Must Haves??

    I've had good luck with L.L. Bean backpacks. The Super Deluxe is currently my workhorse of choice: two compartments plus a laptop sleeve, and all kinds of front and exterior pockets. I use it as my...
  7. murphyle

    What's in your pockets?

    Good call about the Kelly clamps. Some of our EC techs carry them, and swear by them. Might have to look into getting a pair of
  8. murphyle

    What's in your pockets?

    Seconding what NBMom said - I'm in Emergency, so if we have five minutes to sit down in a shift it's a miracle, and the fewer trips you have to make to "Wal-Mart" (our huge supply storeroom) in a day,...
  9. murphyle

    What's in your pockets?

    Inside badge holder: $20 and Starbucks Card. Left breast pocket: Penlight, pens x2, op-site marker, lip balm. Rear pocket: Report sheets, trauma shears. 1st thigh cargo pocket: Palm PDA. 2nd thigh...
  10. murphyle

    Charting every 2 hours?

    In our EC, you only have to do the big narrative note on initial assessment and if the patient experiences a major status change. Other than that, it's chart by exception. Our policy calls for rounds...
  11. Hello, everyone! I am a recently graduated RN (BSN) working in emergency and orienting to my first employed unit. I am struggling with a bit of difficulty in my orientation, and would appreciate any...
  12. murphyle

    Things you would like the ICU to understand

    Our ICUs and Progressive Care Units have a policy in place that they will refuse report on any patient called up within one hour of shift change (changes for them are at 0700 and 1900, so you can't...
  13. murphyle

    Recent grad, orientation issues - advice request

    Quick update: The educator allowed me to switch preceptors, and was actually the first to bring it up - she said to me "We believe in a self-motivated orientation process, so if you feel that there's...
  14. murphyle

    Mandated scrub colors

    We're color-coded, but thankfully our colors are pretty benign (ciel blue for nurses, royal blue for licensed others, hunter green for techs and burgundy for ancillary staff). Most of the nurses were...
  15. murphyle

    Describe the Ugliest Scrubs You Have Seen!

    A nurse on my peds rotation in school had this shiny polyester brown, pink, orange and white floral print scrub top, with a kind of scalloped-looking gathered detail just under the bust. Looked like...
  16. murphyle

    Which penlight do you use? Incandescent or LED?

    I have two: the big fiber-optic illuminator head that fits on my Welch Allyn otoscope/ophthalmoscope set (lab use only), and the little pocket LED light I carry in the department. The overhead lights...
  17. murphyle

    Good Press Ganey for ER. Possible??

    My department has 40 beds and sees around 70-80K patients a year, and our PGs run in the high 80s (our last was 86%). Yes, we just got a shiny pretty new facility, but the scores actually predate...
  18. murphyle

    Scary story I heard from some nursing students

    On the subject of barcodes/nurse's codes required to operate the FSBS system: In my department (Emergency), there is an override mechanism by which you can "freehand" enter a blood sugar on a patient...
  19. murphyle

    Scary story I heard from some nursing students

    *head on fire* If this had been my student: Step #1: Fail the kid on the spot. Confiscate student ID and any school-issued equipment, and escort out of the hospital. Consider calling Security if I...
  20. murphyle

    What color are your school uniforms?

    In lecture: Traditional BSNs wear whatever they want. Accelerated Second Degree BSNs wear lab coat over professional attire. ASD cohorts may occasionally purchase a "casual Friday" with donations to...
  21. murphyle

    Recent grad, orientation issues - advice request

    Thank you all for your advice! I will be asking the educator about switching preceptors. I still have to work out how I'm going to phrase it (as satisfying as it might be in fantasy, I can't just...
  22. murphyle

    My Aching Feet

    I have the lightweight Danskos (I think Kelsey is the style name; the Professionals were far too heavy for 12 hours of running, let alone having exceptionally hard footbeds). Love them to pieces -...
  23. murphyle

    10 drugs every nurse should know?

    The answer to that question completely depends on your unit and specialty. For example, we dealt with all kinds of drugs in CV-SICU that I never saw on Med/Surg, likewise floor meds that I've never...
  24. murphyle

    Accelerated Nursing Programs

    Another ASD-BSN graduate and educator reporting in. My program was 12 months straight through, and while it was probably the toughest year of my life, it was also by far the best. I'd echo what...
  25. murphyle

    Question about scrubs

    Don't be fooled by the "Can't See Through Me" advertising - ALL student whites are see-through to varying degrees! In school, I always wore white light-weight baselayer tights (Patagonia Capilene,...