ghillbert MSN, NP

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? Many providers have sliding scale costs for therapy ...

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 with your time off, and what has to change to enab...

No. I finished school in April and it took until Jan the next year for my position to be approved through admin etc. I stayed at my old job until it was ready.

How did they scam you? What did they tell you writing that is not true? Start there.

I would also add while you are in a lower intensity unit, perhaps gather experience and take the time to look up patients' disease processes, perhaps study for your CCRN certification so that when you are ready to move on to higher acuity unit, you a...

I've had preceptees doing AGACNP via Drexel and Thomas Jefferson and both were great.

ECG reading is a systematic process. Regular or irregular? Vent rate? Atrial rate? P wave before every QRS? P positive in lead II? Calculate the intervals. etc. You were on the right path.

Yes, pubmed.gov or UpToDate have lots of updated literature, I'd start there.

If I had no contract and therefore no terms of terminating, I'd give 2 weeks notice and leave. Yes, it's annoying to train and credential and privilege someone who leaves soon, but you can't recoup that money.

Necessary, no. Beneficial, yes. All of the NP resident/fellows that I have experienced were far better prepared than others at the same career stage. Of course, you have to be able to afford the lower pay for a year.

FYI - Capella is a private for-profit school, so all you will get from enrolment advisors is good feedback - their job is to get students signed up. I wouldn't do the doctorate unless it's going to help you in some way.

Wow- you're really recommending someone knowingly administer the wrong medication and falsify charting? You don't think that would set them up for an opioid diversion situation? This is the worst "advice" ever.

Only in a cath lab

94002 or 94003 🙂

Drips run through veins. Art lines are in arteries. There is no contamination and you certainly shouldn't stop them to draw arterial blood samples.

We use swans all the time in my SICU. Not so much for routine open hearts, unless they are known low EFs. More for cardiogenic shock, cardiac support devices, CTEPH, liver transplants.

Important to note that only the Impella 5.5 LVAD which is a surgically implanted device can provide up to 5.5L of flow, and is therefore often required for cardiogenic shock or end stage heart failure to provide adequate output. The Impella CP is gen...

Wouldn't bother me, because I trained in a country that doesn't have RTs and the ICU nurses manage everything to do with the ventilator. Now, as an ICU NP I also make ventilator changes as necessary, but I have privileges to do so. I would be concern...

It really depends on your area and what they use - call some OB offices and ask what they are looking for, or check out job ads in your area. Don't assume FNP is good for OR either, depending on the area - some places prefer ACNP/AGACNP for inpatient...

You need the visa screen certificate, although I must say in all the time I had it, not one single person ever asked for it. But in theory yes, you need it.

Feel free to ask questions, I have worked in CT surgery or CTICU for >20 years

I loved ICU nursing. I am an ICU NP. If you want to work as an ICU NP and you are ACNP trained with ICU nursing experience, why not apply directly for ICU NP jobs? There are lots.

Depends on the job. I'm in critical care which usually includes weekends and nights, but we have inhouse docs currently so I work Mon-Fri 3 x 12s

OK. If having standards and requirements is being an arrogant snob, I'm okay with that. I have not had any interaction with the school or its students, so no opinion.

Incorrect. Acute care specifically refers to the patient population, not the location. You can work anywhere, if you're seeing acutely ill patients.