murphyle BSN, RN

Emergency, Critical Care (CEN, CCRN)

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All Content by murphyle

  1. I landed a job at my "home" hospital (I'd done three out of six rotations there in school) on the advice of one of my former clinical instructors, who is a case manager there when she's not teaching....
  2. murphyle

    OR rotation

    I come from a long family background of perioperative nursing, so I'm probably a bit biased - but observing OR nursing as a student is absolutely nothing like working in the OR as a nurse. As a...
  3. murphyle

    List of supplies to buy for a new Nursing Student

    Be careful with hand lotions - very few OTC products are CHG-compatible (i.e. they'll inactivate the antimicrobial ingredient in hospital hand soap ). Pretty much every place I've been has had a big...
  4. murphyle

    Nursing School Must Haves??

    Nothing wrong with Blackberry either. That platform has lots of the same apps available through the big companies (Skyscape, ePocrates, etc), and if that's your platform of choice then go for it. I...
  5. murphyle

    Critical thinking, Where is it?

    Acceptingly, of course. Can't be critical of those poor little thoughts - you might damage their fragile self-esteem... Critical thinking, to me, is being able to reason from "first principles"...
  6. murphyle

    Im / sq fail due to teacher misleading

    Sorry to tell you this, but you didn't fail because the teacher misled you. You failed because you weren't paying attention. Nobody is trying to trick you in the real world, either. However, people...
  7. Of course there were; I was one of them! We probably only had 25-30% out of our cohort that were CNAs beforehand, though most of us had some flavor of experience with healthcare, be it volunteering...
  8. ...You learned how to start and D/C Foleys before nursing school? Where? Short answer, you need all the CNA skills as a student, as you will be feeding, ambulating, toileting, bathing and making...
  9. ejcl68: Yeah, that's a pretty good assessment. It's tough to put an "hours per day" calculation on the amount of study required, though, just because every student is so individual with their...
  10. murphyle

    Song lyrics that remind you of nursing...

    "Blood Makes Noise," Suzanne Vega. For those days when you've got a six-bed assignment and a department full of crazies, your charge/ANM/Administration just threw yet another ridiculous paperwork...
  11. Hang on, let me see if I can still remember my ati login... Okay, here are my scores, in order of testing: Teas: 91.2% individual, 98th percentile national, 96th program (means 74.4% national/78.7%...
  12. ATI leveling isn't based off percent score, but percentile - where you are in relation to the national and program mean scores. For example, you might score a 71% individual, but if the national mean...
  13. murphyle

    Song lyrics that remind you of nursing...

    "Goin' Out of My Head," Little Anthony and the Imperials. Could be me or the patients on any given day. Seconding the many votes for "Comfortably Numb" - especially as you're pushing Narcan on your...
  14. +1 to IIg. There are just too many unknowns in the situation to make a definitive call. The staff RN could have been texting an MD, a PA/NP, an ANM or anyone, really. I'm a little concerned if the...
  15. PT and INR (of which INR is just a standardized version of PT) measure the extrinsic pathway of coagulation, which is blocked by Coumadin and accelerated by Vitamin K. Since the PT lab test is done...
  16. murphyle

    Nursing School Must Haves??

    A few recommendations from a recently graduated accelerated-second-degree student: * A dry-erase board large enough to chart a week's worth of assignments. (I got a 22x17" model for $17.99 at...
  17. Disclaimer: I went through from Winter-Fall 2009, so scheduling and rotations may have changed since then. Your first half-semester will be at the Riverview lab entirely. Monday and Friday were our...
  18. murphyle

    Scrub Colors!

    Beaumont just re-standardized their scrub coding a few months ago. Now, all RNs wear ciel blue, excepting OR and L&D where everyone wears hospital-issued surgical green. Licensed patient care...
  19. murphyle

    What do you think about Ebooks?

    As much as I love e-references in the clinical setting, I think e-text in the classroom still has a long, long way to go. I had a chance to pilot an e-text version of Jarvis a few months ago, and as...
  20. Accelerated 2nd Degree, Winter 09 (graduated Fall 09). Quite honestly, I LOVED the program. You'll find yourself alternating between thinking "This will never be over!" (first half-semester) and...
  21. No matter what, your first half-semester (the lab phase) will always be at Riverview. Some cohorts have all their classes there, others go out to Macomb for coursework afterward. As for hospital...
  22. I'm an accelerated 2nd degree BSN (12-month program), and I also teach at my program's nursing lab. Our program is tough, no question, but it produces outstanding nurses - we're currently running a...
  23. murphyle

    Which phone pda or PDA are you using in the ER

    Palm TX here, with ePocrates, 5-Minute Clinical Consult, Fast Facts for Critical Care and RNotes. I swapped out references throughout school (Harriet Lane, Washington Manual of OB/GYN and Saunders'...
  24. murphyle

    Share Your Funniest Patient Stories...

    During my L&D rotation, we had a G1P0 come to the unit with a three-page, single-spaced document detailing, down to the minute, her instructions to the staff for her natural birth plan. The staff...
  25. murphyle

    Nursing School Bloopers

    Most of us have been very lucky individuals in our nursing education; we have rotated through hospitals that are well run, with medical and nursing staff that are committed to excellent patient care....