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ghillbert MSN, NP

CTICU
Guide Guide Expert Nurse
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ghillbert has 20 years experience as a MSN, NP and specializes in CTICU.

ghillbert's Latest Activity

  1. ghillbert

    Examples of Nursing Leadership

    ghillbert replied to Alexandra26's topic in Professionalism

    Sounds awfully like a homework question.
  2. ghillbert

    Where are NPs most/least in demand?

    ghillbert replied to Aliens05's topic in NP

    I am in Pittsburgh and it depends on the type - we can't hire enough AG-ACNPs, although FNPs are having a harder time.
  3. ghillbert

    Defense date set

    ghillbert replied to TiffyRN's topic in Doctoral

    Congratulations, TiffyRN, PhD!
  4. ghillbert

    Will you get your DNP

    ghillbert replied to DannyBoy8's topic in Advanced

    Nah, I think I'll get a PhD. The DNP is too variable between institutions.
  5. ghillbert

    Question re APP billing

    ghillbert replied to ghillbert's topic in Advanced

    I knew you'd know, you're the best. Thanks David!
  6. ghillbert

    ACNP - Will I be missing out?

    ghillbert replied to Apple2020's topic in Advanced

    If I knew I wanted to work trauma/ED, even if I was a nurse, I would apply to PA school. As an NP, you are reliant on either being adult or pediatric, acute or primary care etc. There are some dual programs aimed at ED but PA would give you more clinical time. It really depends where you live and intend to work - some places prefer NPs and some prefer PAs. Know your market.
  7. ghillbert

    Is 6 weeks too long to give resignation notice?

    ghillbert replied to TheNoviceNurse's topic in Professionalism

    I would give the minimum required. I have given more in a previous job, and lived to regret it as they were mad about it and made my life miserable for the 6 weeks - I would never do it again.
  8. ghillbert

    Question re APP billing

    ghillbert replied to ghillbert's topic in Advanced

    Is there any CMS/legal guidance as to the fact that licensed/credentialed NP/PAs cannot bill procedures under the collaborating doc? I think I will need cold facts to address this internally. I hate to just lose the revenue.
  9. ghillbert

    Question re APP billing

    ghillbert posted a topic in Advanced

    Question re critical care. Since critical care time provided by a PA/NP should not be attested/billed under collaborating physician but under the provider who did the work - what happens with critical care procedures at other places? I have always billed my own critical care procedures, but now we have APP 'fellows' coming through and I was told to have them sent to the collaborating physician to bill ... is this permitted and it's just critical care time that can't be split/shared? I can't find any CMS guidance on the separately billable procedures done in critical care.
  10. kismetRN

    HI sir!

    I'm searching for the prevailing wage by level and would like to pick ur brain on dis. I am a Pinay Nurse and currently on DQ stage. I was wondering what is the gauge of the staffing agencies/direct hire for awarding level 1 or level 2?

    1. ghillbert

      ghillbert, MSN, NP

      I'm sorry I do not understand the question or know the answer

       

  11. ghillbert

    Australian degree nurse wants to work in the US

    ghillbert replied to aussienurse345's topic in International

    First look at NY state licensing requirements and go from there.
  12. ghillbert

    First job woes

    ghillbert replied to ArmaniX's topic in NP

    I hire ACNPs for critical care. HR controls the pay offer, based on experience, but I ALWAYS tell candidates to negotiate! Never accept the first offer! There is always a range, and room to move with hours etc. All bonuses and raises are based on salary so go for the highest you can. They can only say no and give you the change to accept or decline. Always ask about signing bonus - they won't offer if you don't ask! I have had candidates in same position with a $15K/yr pay difference, merely based on their negotiation, or not. It's also smart to go to the physician in charge and thank them for the interview opportunity and mention that you are interested in the position but may not be able to agree on terms. They can often put pressure on HR/admin if they really want you.
  13. ghillbert

    Terminal diagnosis

    ghillbert replied to NervousNP's topic in NP

    I probably would have told the patient, because I usually think about how it would feel to find out "accidentally" with a less-tactful clinician reading off a chart - because I have seen it happen. You don't need to get into the specifics, it's okay to say that you felt they should know so they can start to deal with it, and that the specialist will follow up with further information. It's good to reflect and learn for the future, so you're doing a good job.
  14. ghillbert

    DNP programs that do not require clinical component

    ghillbert replied to Cindy-20's topic in Post Graduate

    Why do DNP at all if you arent interested in further clinicals?
  15. ghillbert

    Intubation turning into a code blue

    ghillbert replied to ICUisLife's topic in Critical

    - Inadequate paralytic dose or time - Inadequate bagging/mask seal - Need for jaw thrust Multiple reasons it could be that you weren't able to oxygenate patient adequately with BVM. Was it an experienced provider attempting the intubation? Probably could have grabbed the Glidescope or bougie with the first difficulty. Your best shot at intubating is the first one.
  16. ghillbert

    Confidence issues in ICU

    ghillbert replied to cindyz01's topic in Critical

    You sound like your confidence is pretty well intact.
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