ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Australian nurse wanting to work in America

    No, I actually didn't do any OBGYN
  2. Question out of interest for PMHNPs in Pennsylvania (or in general) - does your collaborating physician have to be in the same specialty ie. psychiatry? I checked the PA code and can find this link...
  3. ghillbert

    Australian nurse wanting to work in America

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

    Can an FNP work as First Assist?

    Depends on your state's practice act and hospital bylaws. If you mean a hospital OR, then technically no, because FNPs aren't trained or educated to work in acute care at
  5. ghillbert

    OR RN to NP or PA

    Some surgeons want PAs because they do standardized, multiple surgical rotations in school and come out more ready to work in an OR. You will certainly have an easier path to scrub if you are a PA....
  6. ghillbert

    Australian nurse wanting to work in America

    I had 80 hours of each mental health and paeds placement and that was sufficient for CGFNS and my states
  7. I did my BN at Deakin in mid-1990s and was able to become licensed in Vermont, Pennsylvania and West Virginia so
  8. Do it where you want to spend the majority of your
  9. ghillbert

    Student HIPAA violation?

    You really need to ask your school, rather than us. Depends on their
  10. ghillbert

    Australian nurse wanting to work in America

    Yes, I worked in Melbourne ICUs and then came to the US many years ago now. I did it myself without an agency. As it's fairly simple for an Australian citizen to get an E-3 working visa, it's not...
  11. This is a horrible idea overall. NEVER push through vasopressor or inotrope ports. I would rather pause sedation and push a drug, or just put another IV in. I can't imagine any ICU preceptor advising...
  12. ghillbert

    DNP Project Idea

    Do a pubmed search - is there a basis in the literature that this is a problem? Probably yes. Is there evidence to implement an intervention for this problem? Usually for admission essays, they want...
  13. Hello, can anyone who has completed a distance DNP program advise who you got to be your onsite preceptor for DNP clinicals? Did you already know someone in your workplace, or contact someone and ask...
  14. Your schools should provide clinical placements since you are paying them for your
  15. ghillbert

    Hiring Manager Question

    Guess I know where you went to school ? Worry not about my facility - my hires have worked out well. I have personally observed how certain schools work, how they vet/don't vet their...
  16. ghillbert

    Hiring Manager Question

    I hire NPs. I certainly would not hire people that are educationally unprepared for practice. That would include certain schools. There is a saying "Even a broken clock is right twice a day". Students...
  17. Age lower limit for AG-ACNP depends on state - in my state, it's over 16. I hire NPs for the ICU and certainly only consider acute care NPs, regardless of nursing experience in the ICU. An ICU...
  18. ghillbert

    Kindred ICU

    ICU is a bad choice if you don't want to work nights - critical care goes 24/7/365. Kindred is not an ICU. It's an LTAC. Their "ICU" patients may have higher care needs but it's not a true
  19. ghillbert

    Credentialing

    *delete*
  20. ghillbert

    New Grad Endocrinology NP

    I didn't, but as an experienced APP, endo is very mysterious and complex to me LOL. I will say the experience will be useful whatever you move to after
  21. Also depends on the payer - some 3rd party payers do not credential APPs in my state, for example, so that gets kicked to the attending for billing. For most patients, I do my own
  22. ghillbert

    Moderate sedation/ pharmacology question

    Lorazepam lasts a lot longer, so that policy makes no sense. Raise the question in your
  23. I'm a supervisor of APPs in an ICU, and this is not usual in any ICU in my institution, or any local ones that I have heard of. I've actually only had to have 1-2 official meetings with someone who...
  24. ghillbert

    Mental Breakdown part 3

    That's a lot of big questions. I would urge you not to make big decisions while you are in a state of depression/anxiety. Do you have a mental health provider? Medication or non-medication support?...
  25. ghillbert

    FMLA for Stress/Mental Health

    What you need to provide or prove depends on your state, and your employer's leave administrator. You would need generally to see a mental health provider and also think about what you're going to do...