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Article Contest - The New Normal: What Do You Think It Will Look Like?

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

    What happens if you quit?

    ghillbert replied to ghillbert's topic in Disasters

    "If you are a nurse with health insurance" was what that poster stated, to me.
  2. ghillbert

    What happens if you quit?

    ghillbert replied to ghillbert's topic in Disasters

    I am not quitting to "avoid possible patients with COVID" - I look after patients currently with all kinds of pathologies. However, that is with appropriate PPE. I am someone who performs emergent intubations and airway management, and I am concerned that the PPE is running out and I see nurses at other facilities using garbage bags over their heads etc. I expect my employer to provide equipment to permit me to do my job with a reasonable risk. I just didn't know if there was some mandate about having to work during a state of emergency if needed. I could not find any info on the state website. I certainly would not be abandoning patients during a shift. Not sure what my health insurance has to do with the question.
  3. ghillbert

    What happens if you quit?

    ghillbert posted a topic in Disasters

    Are you allowed to quit during a pandemic/state of emergency? Are there licensure ramifications? If my employer is not able to supply appropriate PPE does that change anything?
  4. ghillbert

    What's the least saturated specialty in APRN?

    ghillbert replied to soljhs's topic in Advanced

    Are you a neonatal NP?
  5. ghillbert

    What's the least saturated specialty in APRN?

    ghillbert replied to soljhs's topic in Advanced

    Yes I understand all that, and by no means intend to minimize the super-specialty-ness (?!) of NICU and neonates. I wasn't comparing a trained adult NP's competence in a NICU to a trained NNP. I was saying for admission to an NNP program, I would think an adult critical care NP would be at least as well-prepared as an RN with NICU experience.
  6. ghillbert

    What's the least saturated specialty in APRN?

    ghillbert replied to soljhs's topic in Advanced

    This seems such a strange requirement to me - especially when PA's can work in NICU as a provider without prior experience. Surely a great adult ICU NP who wants to switch to NICU would be better than or equivalent to a new grad NICU NP with only RN experience?
  7. ghillbert

    Examples of Nursing Leadership

    ghillbert replied to Alexandra26's topic in Professionalism

    Sounds awfully like a homework question.
  8. 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.
  9. ghillbert

    Defense date set

    ghillbert replied to TiffyRN's topic in Doctoral

    Congratulations, TiffyRN, PhD!
  10. 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.
  11. ghillbert

    Question re APP billing

    ghillbert replied to ghillbert's topic in Advanced

    I knew you'd know, you're the best. Thanks David!
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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

       

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