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SFANURSE2011 MSN, RN

ICU, IR, PACU, CCRN, NE-BC

I have over 9+ years experience as a nurse ranging from ICU, home health, med-surg, PACU, IR, and step-down.

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SFANURSE2011 has 10 years experience as a MSN, RN and specializes in ICU, IR, PACU, CCRN, NE-BC.

I am a nurse supervisor in ICU. Hold my Adult-CCRN and have my NE-BC from ANCC. Also I graduated with my MSN back in July 2020. 

SFANURSE2011's Latest Activity

  1. SFANURSE2011

    Daily Staff Management

    We use shift select and is able to handle most what you are looking for.
  2. SFANURSE2011

    Unit Council

    Education items, EBP like Bedrest for angiograms, policy on moderate sedation. Things that nurses deal with in the IR suite everyday.
  3. SFANURSE2011

    Unit Council

    Facility I previous worked at had one. It was a Teaching Hospital 900 beds. 4 fluoroscopy rooms, 1 biopsy room, Pre/post, and day surgery. We were composed of like 10 or so nurses and met once a month.
  4. SFANURSE2011

    Interested in IR nursing

    Exactly. Just enough to get them through the procedure since you are doing moderate (twilight/conscious) sedation. They are suppose to respond to you during the procedure. Any deeper, you might be crossing over into Deep Sedation where you run into airway problems. Not the end of the world if it does happen, but it happens just gotta maintain and if applicable reverse.
  5. SFANURSE2011

    G tube drainage question

    I work in IR where we occasional remove tubes. These are the instructions I give: Change dressing as often as needed if bandage becomes soaked. Nothing by mouth for four hours following tube removal.Use food coloring to dye any food before eating. Eat only very lightly after four hours. Limit the amount of liquids until you are certain there is no leakage from the tube site. If food contents (dye) are seen to leak from the wound site, stop eating/drinking; wait one hour; repeat the trial. Only small meals should be eaten for the first 48 hours to allow the stomach to close. Larger meals may stretch the stomach and prevent closure of the wound. The wound may continue to seep for several days. This is normal and should not be concerning unless food/liquid continues to leak. If so, call your doctor. Change the dressing as often as necessary to keep the wound site dry. Once there is no longer seeping, no dressing is needed. Try a food dye and see if it comes out the wound where the g tube use to be. Also make sure her diet isn't crazy with heavy solid food.
  6. SFANURSE2011

    Drexel DHSc program verses PhD Program

    I recently asked an old professor about getting PhD. This was her response, "I think the big difference is the research focus. I see DNPs as docs in practice who come up with great ideas for evidence-based practice changes and PhDs more as academic researchers. Together, we are a good combination." First, think about what part of the equation you want to be. Were you wanting to teach nurses? Might look at programs that teach the area you really want to be. Had an old classmate start school at Duquesne University Doctor of Nursing Practice. She is more Evidence Based practice than a researcher and still wants to be a nursing educator which won't interfere with her tenure track at the university she works at.
  7. SFANURSE2011

    neuro ICU RN role in neuro IR?

    We use to have them stay if they have a EVD. However things changed and we only call the neuro ICU charge if we have any issues with the EVD. Otherwise, it's only the neuro IR nurse in the room if the patient is intubated, stable, and coiling is happening. We only get anesthesia involved if they weren't already intubated or if they were unstable. Hope that helps.
  8. SFANURSE2011

    Should I finish my MSN

    Sorry to hear about what happened to you. I was kinda in the same boat. Had only 4 classes or so left and left back in 2015. I recently started going back but switch to MSN in Leadership which allowed more room for wiggle (electives) instead of 4 I have technically 6 classes but, much better than starting over from square 1 with someone else. Once you obtain your MSN you can always take additional courses to get your certification for leadership or education if that is the true path you want. Food for thought. Thanks!
  9. SFANURSE2011

    neuro ICU RN role in neuro IR?

    We use to have them stay if they have a EVD. However things changed and we only call the neuro ICU charge if we have any issues with the EVD. Otherwise, it's only the neuro IR nurse in the room if the patient is intubated, stable, and coiling is happening. We only get anesthesia involved if they weren't already intubated or if they were unstable. Hope that helps.
  10. SFANURSE2011

    IR Nurses that deal with outpatient LP Chemo

    IR nurses in my department are also chemo certified not OCN but chemo training is provided. We verify with the the ordering physician and another RN and release the order from the treatment plan for the pharmacy to make then have the radiologist administer the chemo.
  11. SFANURSE2011

    Interested in IR nursing

    My biggest thing when I transitioned from ICU to IR was the call. We ended up taking 7 to 14 days of call a month. This was in due to being part of a teaching facility who was also going for stroke accreditation and we have to have two IR teams one for neuro and one for body. Once I came to terms with that, I love procedural nursing. My IR we take care of critical care patient without the ICU nurse. Manage drips, vents, A line along with providing adequate sedation for procedure is what I was meant to do.
  12. SFANURSE2011

    What's your MRI process like?

    We required the referring physician to prescribed oral medication before their exam. That being said. One group, breast specialist had standing orders for Xanax for their patients before a MRI where we didn't have to call and get the order. If the patient couldn't tolerate oral and do the MRI, I would provide them with locations where they could receive general anesthesia for a MRI. Honestly though, I feel that is always overkill and you may die of the anesthesia than be able to go through 30-40 minutes for a typical MRI exam. To each his own though.
  13. SFANURSE2011

    Workers Comp

    I only had two weeks left on the contract. I was moving a patient back from CT to ICU with a CNA. The bed in route while we were navigating corridors somehow move forward and collided with me and the wall during transportation. I filled the required paperwork per facility and agency that I use and was out of work for 4 days which there are only two days left to work. I have had multiple issues at this facility with various things. My question is has other nurses encountered any injuries while working and how did the facility react?
  14. SFANURSE2011

    Workers Comp

    Has anyone been injured during work on an assignment? If so, what did the hospital do like terminate the contract? Thanks!
  15. SFANURSE2011

    cali in january

    I am probably going to go to the Bay area once my Cedars Sinai contract is up.
  16. Never heard of these type of programs. Very interesting.