ghillbert MSN, NP

ghillbert has 26 years experience as a MSN, NP and specializes in CTICU.

ghillbert's Latest Activity

1. 

   Acute Care NP Preceptor

   ghillbert replied to Shelley Tipps's topic in NP Students

   Local professional associations you can join as a student to network with NPs is the best, if your school doesn't provide preceptors.
2. 

   Australian nurse wanting to work in America

   ghillbert replied to Aussienurse123's topic in Immigration

   I was referring to the poster above me. I know what NY BON requires, but I think they have the terminology confused.
3. 

   Feeling Lost As An NP

   ghillbert replied to plantmom4lyfe's topic in Advanced

   Are you a physician or medical student? Just about every post of yours is crapping on NP preparation and professionalism. Who refers NPs to the "noctor" reddit?
4. 

   Australian nurse wanting to work in America

   ghillbert replied to Aussienurse123's topic in Immigration

   CGFNS is a company. What do you mean, NY BON doesn't require CGFNS?
5. 

   Full Practice Authority of Nursing

   ghillbert replied to matthewandrew's topic in Doctoral

   I think you sound very naive and defensive. It's quite ironic that you are advocating for further education in the form of doctoral degrees "advancing the profession", but can give no evidence for such opinion. The whole point of doctoral study is to...
6. 

   Physician Giving Sedation Without Nurse

   ghillbert replied to Udmert's topic in Emergency

   I disagree. Nurses can't control physicians. They can control the substances they remove from secure storage and leave on their computer. If it wasn't there, it wouldn't have happened. The nurse's job is to safeguard the patient by following procedur...
7. 

   RVU’s

   ghillbert replied to Rebecca12345's topic in NP

   Depends on your contract
8. 

   How Do You Handle Patients That...

   ghillbert replied to DrCOVID's topic in NP

   Have a written agreement and if she comes up short, she doesn't get extra meds. If it's repeated, you can discharge her from your care. Getting an early refill due to a holiday, and independently changing her own dosing are two different things.
9. 

   How does the clinical project work?

   ghillbert replied to MentalKlarity's topic in Doctoral

   Read the website or orientation for the programs you're thinking of doing - it is not standard across the board, but program-specific.
10. 

    Physician Giving Sedation Without Nurse

    ghillbert replied to Udmert's topic in Emergency

    Why was sedation sitting around unattended? I feel the nurse made the error there.
11. 

    Wide complexes not ventricular?

    ghillbert replied to canoehead's topic in CCU

    Not discounting your clinical judgement, obviously SOB on 100% isn't stable, but WCT with normal BP is a "stable" rhythm per ACLS with regard to need for DCCV/defib. Shocking someone has it's own obvious risks, and there are a lot of things to try be...
12. 

    Wide complexes not ventricular?

    ghillbert replied to canoehead's topic in CCU

    "Unstable" in reference to rhythms means hypotensive, in which case you could cardiovert. I work in cardiac and very, very, VERY frequently a WCT is not VT but an SVT with BBB.
13. 

    Lactate

    ghillbert replied to saraclark62's topic in Critical

    Seen it dozens of times. Sometimes they did, sometimes they didn't. Depends on the reason for the lactate elevation. A postop cardiac case who's hypotensive and hypovolemic is a lot more likely to survive than someone with a dead gut.
14. 

    Australian nurse wanting to work in America

    ghillbert replied to Aussienurse123's topic in Immigration

    No, I actually didn't do any OBGYN placements.
15. 

    Australian nurse wanting to work in America

    ghillbert replied to Aussienurse123's topic in Immigration

    So far I have been licensed in Vermont, Pennsylvania and West Virginia without issue.