ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Am I screwed?

    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
  2. ghillbert

    Fake Nursing School Scammed Me

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

    ICU advice

    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...
  4. ghillbert

    Adult Acute Care Online Masters

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

    ECG reading help?

    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
  6. ghillbert

    Amiodarone vs. Lidocaine

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

    Nurse Practitioner Credentialing

    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...
  8. ghillbert

    Acute Care NPs - To do a residency or not?

    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...
  9. ghillbert

    DNP but still a staff nurse?

    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...
  10. ghillbert

    VIP Patient Demanding His Drugs

    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...
  11. ghillbert

    RNs Replacing Registered Respiratory Therapists?

    94002 or 94003
  12. ghillbert

    IV gtts and arterial line

    Drips run through veins. Art lines are in arteries. There is no contamination and you certainly shouldn't stop them to draw arterial blood
  13. 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
  14. ghillbert

    Impella Heart Pump

    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...
  15. ghillbert

    RNs Replacing Registered Respiratory Therapists?

    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,...
  16. ghillbert

    FNP or WHNP

    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...
  17. ghillbert

    Australian nurse wanting to work in America

    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
  18. ghillbert

    Any Cardiothoracic Surgery NPs here?

    Feel free to ask questions, I have worked in CT surgery or CTICU for >20
  19. 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
  20. ghillbert

    Calls and Weekends

    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
  21. ghillbert

    Spring Arbor vs Walden

    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
  22. ghillbert

    ACUTE CARE NP and private practice

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

    Schools That Provide Preceptors

    U Pitt provided clinical rotations, or you can choose your own if you have
  24. ghillbert

    Spring Arbor vs Walden

    Both terrible. I do not precept nor hire Walden U students because I found them lacking in preparation and knowledge. I personally know one who was instructed to watch a Youtube video as their lecture...
  25. ghillbert

    Australian nurse wanting to work in America

    This is not a problem if you present it properly to the HR departments. First get your license in the state that you want to work, then contact HR at hospitals - all are short staffed and desperate...