ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    RNs running ECMO on adult patients

    With all due respect, it IS just like a VAD. They are both pretty mechanical circulatory support devices. I have worked with ECMO, IABP, VAD etc for 15 years +. VAD and ECMO both require the same...
  2. ghillbert

    Critical Care, that bad?

    If you think you couldn't handle the stress of working in ICU, anesthesia is possibly not the specialty to be going for... best way to see is to shadow staff in both
  3. If there's a higher cost of living (like CA), then there are also higher salaries. Like everyone said, anyone can live on a reasonable wage but you have to choose what "living comfortably" means to...
  4. ghillbert

    Heparin and anemia

    Yes it totally depends. For example the patients I work with have end stage heart failure and are generally all anemic with Hb 7-9. We run them all on heparin for their atrial fib/valves/artificial...
  5. I just graduated in PA as a ACNP. My background is 15yrs of cardiothoracic critical care and transplant. I am certified as CCRN-CSC-CMC. I haven't decided on job yet but the options are with critical...
  6. ghillbert

    Initial CRNP License in Pennsylvania

    Update on the timeline.. 4/28: Graduated 5/24: Transcript received 5/24: Sent ANCC application 5/29: Board received application 6/13: "Authorization to test" email received 6/26: Exam passed 6/27:...
  7. ghillbert

    Heparin and anemia

    Because heparin increases bleeding tendency. The most common cause of anemia is iron loss, often due to GI
  8. You do not need to leave to switch to F1, you can change visa categories in-country. NP jobs are eligible for EB2 green card visas also because they require a masters degree as a minimum requirement....
  9. Yes every NP program requires you to have a local license so that you can do your clinicals in that state. Agree that it's worth asking about being admitted to non clinical courses though. You can...
  10. ghillbert

    CMC Cardiac Medicine Subspecialty Certification

    I have been CT surgical ICU all my career, and I was worried about the CMC when I took it last year.. in the end I found that it was easier than the CSC for me, weirdly. Just really know your...
  11. Which program was your first choice? It's hard for others to advise given the personal nature of the decision - both are great schools and you'll do great with either, so choose the one your gut says...
  12. ghillbert

    Initial CRNP License in Pennsylvania

    6/26: Passed!
  13. ghillbert

    Anyone had a Tdap shot?

    No probs. Measles was painful but TDap was
  14. My ACNP application was received by ANCC on 5/29. I got ATT on 6/13. Tested
  15. ghillbert

    Future U Penn ACNP Student!! :)

    Congrats, it's a great school! Enjoy your free time before you start
  16. You'd have to contact the university and ask - I think you'd have to submit your transcripts so they can see what you covered before. Their website most likely would be a good place to start....
  17. ghillbert

    ICU nursing Australia vs The US

    Agree that it very much depends on the specific unit - a great reason to remember when interviewing for jobs that you need to find out the culture of that unit as much as possible in detail as to what...
  18. ghillbert

    Initial CRNP License in Pennsylvania

    Update on the timeline.. 4/28: Graduated 5/24: Transcript received 5/24: Sent ANCC application 5/29: Board received application 6/13: Authorization to test email received 6/26: Exam scheduled!! I did...
  19. ghillbert

    Initial CRNP License in Pennsylvania

    Update on the timeline.. 4/28: Graduated 5/24: Transcript received 5/24: Sent ANCC application 5/29: Board received application ... now the wait for authorization to take
  20. "Increasing patient volumes have prompted University of Pittsburgh Medical Center officials to raise their estimate of new jobs that will be created this fiscal year at the region's largest employer....
  21. ghillbert

    Visa Screen

    The NCLEX is just an exam, you don't need a SSN to take the test. However you may need one to be issued a license. The best thing would be to take and pass it, then have your exam results transferred...
  22. ghillbert

    Uncontrolled Afib

    If someone's been in sustained afib for that long, the chances of synchronized cardioversion converting him are slim. The risks are that you're going to make him throw off another clot when you do...
  23. I worked fulltime (M-F 8-4 plus on-call duties) during NP school but I was lucky to have a flexible employer who let me rearrange my schedule at times to go to class or do clinicals. I used a lot of...
  24. ghillbert

    PA-C or NP? What would you do?

    The clinical education advantage of PA seems to be that they do more hours and more varied rotations, but I did extra clinical hours in my MSN (more than required) and was able to choose a variety of...
  25. ghillbert

    Initial CRNP License in Pennsylvania

    I need to get a new work visa and need the actual license in hand before I can even apply for that, so it's going to put me a little behind my classmates in terms of starting the NP job. Thanks for...