I'm with you on the Notepad/Word thing!

As for SSMS, I have two instances of that open at once. One is setup for browsing around databases, jobs, SSIS packages etc, and the other is setup as basically a glorified Query Analyser. The QA version sits on my left-hand side monitor, while the other one is on my right-hand side monitor. This mimics how I used to work with Enterprise Mangler and Query Analyser back before we upgraded to 2008.

Not sure that really answers your question though.