ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Question for NPs working in Acute Care Setting

    ghillbert replied to Troll_Patrol's topic in Nurse Practitioners, NP

    This is interesting - I am surprised you guys don't intubate independently. Then again, having seen how fast it can go south, I'd be glad for the
  2. ghillbert

    Experienced CRNA...ask me anything

    ghillbert replied to 06crna's topic in Certified Registered Nurse Anesthetist, CRNA

    I mean, do you not drive in case you have an accident? Do you not fly in airplanes or cross the road in case something happens? All of life is risk vs reward, and that's a pretty low risk-reward right...
  3. ghillbert

    Question for NPs working in Acute Care Setting

    ghillbert replied to Troll_Patrol's topic in Nurse Practitioners, NP

    Me too - I worked for surgeons at my last job and the experience working with CCM physicians is VERY different and I find much more
  4. ghillbert

    Can I be a NP and still have a good family life?

    ghillbert replied to aobrien728's topic in Nursing Career

    I work Mon-Thurs, 6a-4p. Sometimes I get home late but usually not. I may move to 3 x 12hr shifts later in the year. I have a husband and a 2yo and have a 3-day weekend every week so I'd say being an...
  5. ghillbert

    Question for NPs working in Acute Care Setting

    ghillbert replied to Troll_Patrol's topic in Nurse Practitioners, NP

    I work in critical care. I round with my attending, present my patients, we come up with a plan of care. I outline my plan for the day and he may/may not have changes or suggestions to add. After...
  6. ghillbert

    Swan-Ganz Usage

    ghillbert replied to Cvepo's topic in Critical Care

    Well, that's your opinion. Surveys tend to show that a majority of cardiac surgeons continue to use them in certain patients; apparently they
  7. ghillbert

    CMC exam study materials

    ghillbert replied to icuCCRNurse's topic in CCU, Coronary, Cardiac

    The handbook lists very clearly what info is covered. I didn't really study as I had many years in cardiac when I took it, but I recall many questions about STEMI, NSTEMI, IABP, PA cath readings,...
  8. ghillbert

    Understanding IABP values

    ghillbert replied to Catticus11's topic in CCU, Coronary, Cardiac

    The IABP is reading correctly. If however you used a NIBP cuff for a BP reading in a patient with 1:1 IABP, yes it would read the augmented diastole as "systolic" bc it's the highest number in the...
  9. ghillbert

    Swan-Ganz Usage

    ghillbert replied to Cvepo's topic in Critical Care

    I don't know that this is true. There are many pathophysiologic changes after cardiac surgery that are ameliorated within 12 hrs postop. My large tertiary center CTICU and our CCU uses pa catheters...
  10. ghillbert

    Advice?? Having trouble finding NP job.

    ghillbert replied to seibeb2012's topic in Nurse Practitioners, NP

    I think adult-gero primary NP is limiting - its very specific, and most outpatient primary care clinics want FNP. You could try long term facilities or home visits to get some experience. I see a ton...
  11. ghillbert

    DNP Touro Nevada

    ghillbert replied to JENURSE03_RN's topic in Post Graduate Students

    From what I recall when I checked it out, the Touro DNP program is more executive than clinical, isn't
  12. ghillbert

    Critical Care NP/PAs

    ghillbert posted a topic in Nurse Practitioners, NP

    I am the first APP hired into critical care in my hospital. Now that they see the benefits, the docs are all about hiring more. I currently work 4x10s, weekdays, no weekends or nights. Obviously as we...
  13. ghillbert

    Critical Care NP/PAs

    ghillbert replied to ghillbert's topic in Nurse Practitioners, NP

    Makes a lot of sense, thanks for the
  14. ghillbert

    FNP vs AGACNP? Need help deciding.

    ghillbert replied to jwirth.rn's topic in Advanced Practice

    Sounds like you should be a good fit for AG-ACNP all the way! I am an ACNP who works in critical care - I am not sure what you mean about being superfluous. I prepare for rounds, present my patients...
  15. ghillbert

    Hospital NPs & Lounge Access

    ghillbert replied to wyld~heart's topic in Advanced Practice

    Ooh I never even thought to ask if my new hospital HAS a providers' lounge... now I must find out. I think it's very petty of the physicians to vote to keep NPPs out... very childish. What are they...
  16. ghillbert

    Reported to the BON

    ghillbert replied to SoundofMusic's topic in Advanced Practice

    Thank you for sharing your experience. I often think about what incredible responsibility is on my shoulders in my work position. It does not take much at all to make an error, especially with an...
  17. ghillbert

    Critical Care NP/PAs

    ghillbert replied to ghillbert's topic in Nurse Practitioners, NP

    After six months in the role, I am still amazed by those of you with no MDs on at night etc - we have such a high acuity with people crashing onto ECMO and having chests opened, difficult airways for...
  18. ghillbert

    Nurse Practitioner

    ghillbert replied to urp007's topic in Nurse Practitioners, NP

    There is no $130k salary requirement for the H1b visa. Salary will depend on the area you plan to work in - it varies widely across the
  19. ghillbert

    Critical Care NP/PAs

    ghillbert replied to ghillbert's topic in Nurse Practitioners, NP

    Thank you so much for the detailed responses, I appreciate your time! These numbers amaze me, given that we have a total of 1 APP lol. Our unit is 24 bed SICU, mostly cardiac surgery, vascular,...
  20. ghillbert

    Visascreen certificate checked in USA?

    ghillbert replied to Peter84's topic in Nurse Registration

    To be honest, I was never, not even once, asked for my VSC during the time that I was employed on a working
  21. ghillbert

    Compensation for Call Pay

    ghillbert replied to Alicia777's topic in Nurse Practitioners, NP

    For reals. I am not one of those that take call
  22. ghillbert

    Case Review: 77 y.o. with acute respiratory failure previously discharged with PNA

    ghillbert replied to Catticus11's topic in Critical Care

    Mostly but depends what they are looking for. They can evaluate intraparenchymal tissue and lesions also with transbronchial lung biopsy, especially if less invasive testing is preferred prior to...
  23. ghillbert

    Case Review: 77 y.o. with acute respiratory failure previously discharged with PNA

    ghillbert replied to Catticus11's topic in Critical Care

    Why biopsy? Because you ruled out cardiac causes of acute respiratory failure with an acceptable LVEF on echo and low filling pressures (CVP 1, WP 15). Mind you this was after aggressive diuresis with...
  24. ghillbert

    Neurocritical care for the non-neurocritical care provider

    ghillbert replied to NeuroNP's topic in Nurse Practitioners, NP

    For basics - - immediate stroke management, when to anticoagulate vs not - EVDs and ICP management - Fundamentals of which strokes need higher BP goals and which need lower etc in the acute phase...
  25. ghillbert

    Compensation for Call Pay

    ghillbert replied to Alicia777's topic in Nurse Practitioners, NP

    My last hospital pays surgical NPs like $3.50/hr for on call so good luck with $1000/weekend! Also, once you accept it, this won't go away every again, so be prepared for that. My new hospital just...