ghillbert MSN, NP

CTICU

allnurses Guide

  • Content

    3,796

  • Visitors

    46,612

  • Followers

    1

  • Likes

    198

All Content by ghillbert

  1. ghillbert

    IABP blood pressure question

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

    Yes use the IAB console. The monitor labels the highest point in the waveform as "systole", which of course in a balloon pt is the augmented diastole. You can still use the mean perfusion pressure....
  2. ghillbert

    heart failure

    ghillbert replied to sugarsweet21612's topic in Cardiac

    Well as I said I was giving a very basic explanation. Systolic heart failure is what is generally known as "heart failure" by the beginner. The consequence of either SHF or DHF is that inadequate...
  3. ghillbert

    Is the hiring freeze/retrogression of foreign RNs over?

    ghillbert replied to rn4ever?'s topic in International Nursing

    There is no hiring freeze/retrogression "of foreign RNs". The retrogression is a visa issue for everyone in the 3rd preference employment visa category. There are many ways they could have got there -...
  4. ghillbert

    I need help from anyone who got into a new graduate program in NZ or Aus

    ghillbert replied to SamZ's topic in First Year After Licensure

    It's too long ago for me to
  5. ghillbert

    Anyone heard of Diastolic BP being higher than Systolic???

    ghillbert replied to WSU_Ally_RN's topic in General Nursing

    This makes no sense. Flow = delta P/R. Pressure in vessels DOES vary according to the diameter... hence why we dilate people vascularly to reduce BP. Both the neural and hormonal systems primarily...
  6. ghillbert

    CLINICAL HOURS for LICENSING..WHAT TO DO!?

    ghillbert replied to jdizzle2's topic in International Nursing

    I didn't think I had enough obstetrics/obgyn but when I got my CES report, it said I did. I was happy as I was SURE I was going to have to do
  7. ghillbert

    America to Australia

    ghillbert replied to jessnurse2007's topic in International Nursing

    I find the work is relatively similar, although there are of course some differences. We have a lot of UK nurses here, not so many US nurses that I have known in Australia. I am Aussie working in the...
  8. ghillbert

    heart failure

    ghillbert replied to sugarsweet21612's topic in Cardiac

    In general terms, the heart is pushing against a high blood pressure (afterload) and the muscle wears out and gets weak (low ejection fraction). Because it's big and floppy then, it needs to get a lot...
  9. ghillbert

    cardiac arrerst caused by systemic infection Complicated care plan HELP!!

    ghillbert replied to anangelsmommy's topic in General Students

    Why on earth was someone with metastatic ca resuscitated, is all I can
  10. ghillbert

    How many months before you earned back the money you spent for bridge course in AU?

    ghillbert replied to rebekah_ash's topic in International Nursing

    You can work it out if you look at the award wage for the state you're planning on working in if you know your
  11. ghillbert

    ANF Student Membership

    ghillbert replied to gogirlgo's topic in International Nursing

    This is the one affiliated with the RCNA: http://www.guildgroup.com.au/nursesinsurance Of course, you never know how good they are until you need
  12. ghillbert

    Have you ever cheated?

    ghillbert replied to JustYouWait's topic in General Students

    Hang on, are you suggesting the people who admitted cheating are the "honest people"? Hell no, I wouldn't cheat because it's more work than just studying... I don't need to
  13. ghillbert

    US RN AAS degree gaining RN license in Australia

    ghillbert replied to nyaussie's topic in Immigration Advice

    Congrats! Are you a dual citizen? Do you mind me asking why you did your nursing degree in the
  14. ghillbert

    Is a 3:1 patient ratio safe for LVAD patients?

    ghillbert replied to iLOVEbees's topic in Cardiac

    Depends on the type of device and the type of patient. I have many years experience at many VAD centers in ICU and I have only ever seen 1:3 used with VERY stable pts awaiting transfer to the floor....
  15. ghillbert

    ANF Student Membership

    ghillbert replied to gogirlgo's topic in International Nursing

    ANF are useless when you need them anyhow - I did once and they were no help. Get your own professional indemnity insurance. Just mail a letter stating that you resign your membership as of xxx
  16. ghillbert

    Co-worker eats like a cave woman...

    ghillbert replied to Born2BWild's topic in General Nursing

    I was just going to ask what the BSN has to do with it. OP, honestly I think you should stop critiquing your colleagues and worry about going to work to work and mind your own business. We all have...
  17. ghillbert

    H1b Visa for nurses under FY 2010

    ghillbert replied to LemuelRN's topic in Immigration Advice

    They cannot legally make you pay the visa or petition fees, that is an USCIS rule. They can however make you pay the legal fees which can be a few thousand dollars. I would NOT pay to get a
  18. ghillbert

    Is it ok for your work to call you after you called in sick?

    ghillbert replied to RNforLongTime's topic in General Nursing

    This thread makes me feel very lucky - I've been off work for 3 months so far to care for my terminally ill mother in another country. I check in with my boss and say I feel bad being off so long, and...
  19. ghillbert

    retrogression and status

    ghillbert replied to bsnwnab's topic in International Nursing

    No. Retrogression means there are no visas available to adjust your status. So you must leave when your B visa I-94
  20. ghillbert

    Nurse in training: Any Male Nurses at the Alfred Hospital Melbourne?

    ghillbert replied to mpolo's topic in International Nursing

    I worked at the Alfred about 7 years, there are definitely plenty of male nurses there (although I'm not sure how or why that would influence whether you go there...). Of course, nursing is...
  21. ghillbert

    Gentamicin Question

    ghillbert replied to AussieKylie's topic in General Nursing

    Gentamicin can be dosed once-daily or even at a larger dosing interval, up to 7mg/kg dose. I have often given 320mg doses in ICU
  22. ghillbert

    Gentamicin Question

    ghillbert replied to AussieKylie's topic in General Nursing

    The dose is 320mg and you need 1mg/ml. So you need 1 ml per 1mg. ....then you need 320ml,
  23. ghillbert

    US License Requirements

    ghillbert replied to smuggy's topic in International Nursing

    Read the VT website.
  24. ghillbert

    Something I have noticed during clinicals re: Dr's and privacy

    ghillbert replied to ~Mi Vida Loca~RN's topic in General Nursing

    I just don't understand the reluctance to enforce rules and/or decency. We are all members of the healthcare team. If a doctor or a cleaner doesn't put on the isolation gown I have the same discussion...
  25. ghillbert

    Working Full-time and MSN

    ghillbert replied to Finally2008's topic in Post Graduate Students

    You won't have a life, but it's only a short time. Gotta do what you gotta