murph

murph

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All Content by murph

  1. In the ER we had a Max Cart and it was the policy that any cardiac arrest from the street went on this cart. It weighed a ton, was a huge box shapped thing that had a thumper and a ventillator built...
  2. I moved from a teaching hospital to a rural hospital in the early 80's. We had a spinal cord patient come in. (of course we didn't transfer to a trauma center, there were only a few designated in...
  3. We would give it PO in orange juice in a
  4. After abdominal surgery the patient would get a binder that provided support. It was a piece of cotton with looked like tenticles, the patient would lay on the fabric and the tenticles were braided...
  5. Before pleurovacs we used a series of glass bottles on the floor with the same principle that water would create negative pressure, the same thing with GI suction. For decubutis ulcers we used...
  6. Managers may be personally upset (more work for them to replace you) when you are thinking of leaving but if they are worth their salt they should be happy that they have managed your growth well...
  7. When calling report to the floor: "I'm sorry you are going to have to hold the patient, we are too busy to take report and no one has had dinner yet!" Our hospital NEVER went on divert because we were...
  8. I have been following the thread about new grads in the ICU. I was skimming articles that are out this month. I only read the abstract but you may want toget the article. Hiring and Mentoring...
  9. What's Your Best Nursing Ghost Story?

    I just saw "the sixth sense" again recently. Sounds like you have a
  10. You need to stop thinking about this as something that is a barrier and more that it is good experience and there is a reason why there are policies about experience. There is such a thing as setting...
  11. I am not sure if a seasoned nurse could get into a program, they are hospital specific and all of them are different. There is usually a requirement to work at the hospital for so many years after...
  12. No, it is just the philosephy of the hospital. Some hospitals have strong "internship" programs for ICU and some are really desperate there is no such thing as a track. But on the 2 years of med...
  13. computer charting

    See if the company has an option for redundancy, some systems are dupicated so that if one goes down the other takes
  14. Class Presentation

    Does it have to be on the internet or can it be real life? Help can come from more senior nurses on the floor and sometimes there is a psyc nurse practitioner in the hospital. I worked in one...
  15. scared...

    Not just for this case but for every possible case, get and keep up your malpractice insurance! I see the need for malpractice insurance as a positive thing, the public knows that we do have a...
  16. I miss the times that I know I made a difference for the patient even if no one else
  17. Solution to ADN vs BSN--Revamp Nursing Education?

    First lets look at education, yes it is specific information and skills but it is also the ability to think. Don't mix up education and training (or skills) I agree that it would be nice to pop out...
  18. How do you handle a weak stomach?

    If you put enough Vick's under your nose you can't smell anything but the Vicks! And it is OK to gag everyone has. My trick in the ER was to concentrate on ABC patient's airway, breathing etc....
  19. What's Your Best Nursing Ghost Story?

    Back in the 70's when paramedics were in their infancy the local Community collage would have ER nurses work with paramedic students on IV's, assessment, reading monitors etc. One night on 3-11 I had...
  20. What's Your Best Nursing Ghost Story?

    I would want to comfort someone in any way that I could. I would talk to her, find out about her beliefs. Ask her if she believes John Edward (the guy that talks to dead people), does she believe in...
  21. Post-grad. GPN

    I wanted to make things change, back then we did not have triage, there were no trauma centers except University of Maryland and only burn patients went by helicopter. There was so much that we could...
  22. Post-grad. GPN

    My master's degree is in Burns Emergency and Trauma. The ED is the most challenging because you have to know the acute phase of everything from MI to preterm labor and what to do about it. But my...
  23. Post-grad. GPN

    I still see my roommate from college, she is a diabetic educator, very different from my choice but we are still close, You don't have to let go of all of your family. And if you are smart you will...
  24. What's Your Best Nursing Ghost Story?

    That was a good one, I worked in a hospital where it was part of a post code to open the window a crack. As a new manager I had never heard of it but there was no changing
  25. Doctors who used to be nurses...?

    I give very high marks to my nurse who became a Dr. She sits down with the patient's at the bed side, she speaks gently to them and talks about how this will affect their life. She is able to...