ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    ECMO Ethics

    ghillbert replied to Kettek53's topic in CCU, Coronary, Cardiac

    I specialize in mechanical circulatory support. It's a tough arena. There are a lot of people that we "save" who end up dying later on after a miserable long hospital stay. Then again there are young...
  2. ghillbert

    ECMO and Anticoagulation

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

    There is a lot of published data about this. What exactly do you not
  3. ghillbert

    Indian nurse in us

    ghillbert replied to deepu245's topic in International Nursing

    If you have nursing license, are you authorized to work in the US or are you on a student visa? If work-authorized, getting a job as an RN would be your best bet to get clinical experience and then...
  4. ghillbert

    Working in Aus from the US

    ghillbert replied to mo16's topic in International Nursing

    You don't apply to the state you'll be working in - there is national registration by AHPRA now. Decide where you want to work and contact hospitals there directly via their
  5. ghillbert

    Declaring death - a question...

    ghillbert replied to Fyre522's topic in Critical Care

    I find it difficult to participate in explaining things when posters are clearly deceptive from the first post and conceal important facts. But one FYI - warfarin does not lower your PT/INR, it...
  6. ghillbert

    Chest tube flush

    ghillbert replied to sallyranisme's topic in Critical Care

    NPs or MDs instil the TPA/dornase into tubes in my
  7. ghillbert

    RN experience helpful and essential to be a NP

    ghillbert replied to apostolic4eva's topic in Student Nurse Practitioner

    Absolutely, no question. Just the practicalities of med administration, and care coordination alone save a ton of time, let alone the health
  8. ghillbert

    Australian wanting to work in USA

    ghillbert replied to JessBalson's topic in International Nursing

    1. No you do not need an agency if you are willing to do the legwork yourself. 2. Apply for licensure to the state you want a license in. Taking NCLEX is just one of the licensure steps. They will...
  9. ghillbert

    Nurse Practitioner in Australia?

    ghillbert replied to ShalomRN's topic in Australia, New Zealand

    Someone posted the 2 pathways to become endorsed as an NP. I don't know why someone keeps saying you have to have 3 yrs experience as an APN before doing the masters in NP in Australia - it's a) not...
  10. ghillbert

    CVICU Machines and Staffing

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

    It is a Joint Commission requirement that nurses caring for VADs (at least with a Destination Therapy program) have documented training on the devices they care for. We do not ever have non...
  11. ghillbert

    NP Specializing in Cardiology - Out of Scope?

    ghillbert replied to Plbe's topic in Advanced Practice

    Depends on your state of licensure. You are supposed to work in areas for which you've been appropriately trained, educated and licensed. What that means still varies a lot between states. I work in...
  12. ghillbert

    What do you fellow NP's think of this?

    ghillbert replied to ruralmed's topic in Advanced Practice

    Our hospital changed to "Advanced Practice Providers". Definitely can't stand "physician extender"..
  13. ghillbert

    OZ Nurses in E3 visa

    ghillbert replied to Virginepgirl's topic in International Nursing

    If you have a specific question about E3 visas please post it. I started on E-3 status back in 2008 and have been in the US with E-3 renewals since
  14. ghillbert

    Is the CVICU for open hearts the most acute ICU?

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

    Cardiac patients most often have longstanding, multisystem disease and are very fragile. When excrement hits the fan, it happens fast. This is possibly why this idea that CTICU is "more acute"... but...
  15. ghillbert

    Are NPs and PAs "Interchangeable"

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

    I would not. I post them as NP/PA and then take the applicants on individual experience and training. I have had great NPs and PAs and not so great NPs and PAs. It entirely depended on the individual....
  16. ghillbert

    Suction event

    ghillbert replied to psychRN-PMHNP's topic in Cardiac

    Renardeau - excellent explanation! Dysrhythmias are difficult because it's a case of chicken or egg - VT causes decreased preload to the VAD so in a fixed speed device you can have suction events...
  17. ghillbert

    Please explain fluid shifts post-op vascular surgery

    ghillbert replied to bella14k's topic in CCU, Coronary, Cardiac

    Also look at CPB sequelae for procedures done on
  18. ghillbert

    How do you learn it all?

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

    You don't remember it all. School is meant to make you a safe beginner practitioner. Thereafter you learn on the job, and learn a lot more in your specialty and forget a whole bunch in other...
  19. ghillbert

    Heart transplants and high risk cards, oh my

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

    A lot of your questions will be answered by any literature on pre and postop heart transplant. ABTC has a course that leads to CCTN certification that has a good book about transplant. Re VADs:...
  20. ghillbert

    H-1B visa for ICU RN at magnet status hospital?

    ghillbert replied to Superman_RN's topic in Immigration Advice

    Did you ask your employer? I wouldn't base your decision on message board replies. The only ones who can tell you how likely it is are your employers. And no you cannot work fulltime while studying...
  21. ghillbert

    Nurse Practioner on H4

    ghillbert replied to Anna Mark2014's topic in Immigration Advice

    She doesn't need an F1 visa if she has a valid H4 visa-you're allowed to study on an
  22. ghillbert

    Inpatient NPs - what is your patient load?

    ghillbert posted a topic in Nurse Practitioners, NP

    As the title says, if you work inpatient acute facility, what is your patient load? Are you able to round and see people then write notes in an office and be done, or are you on the floor for your...
  23. ghillbert

    acute care nurse practitioners?

    ghillbert replied to tonyaaroca's topic in Student Nurse Practitioner

    I work with a cardiothoracic surgery team in inpatient heart transplant/mechanical support program. I am mainly based on the stepdown floor taking care of patients once they are transferred up from...
  24. ghillbert

    Clots related to fast afib

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

    I'd have to know the patient's history to determine the correct treatment - if they have heart failure, which wouldn't be surprising in an 80+yo, they may be fluid overloaded and giving more fluid...
  25. ghillbert

    Do you ever hold Lantus?

    ghillbert replied to SleeepyRN's topic in Diabetes, Endocrine Nursing

    I wouldn't order it held because of the scenario you mentioned because as others said, it's not going to affect the sugar right away, it's going to have its peak effect the next early morning. I have...