ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    What's the least saturated specialty in APRN?

    ghillbert replied to soljhs's topic in Advanced Practice

    This seems such a strange requirement to me - especially when PA's can work in NICU as a provider without prior experience. Surely a great adult ICU NP who wants to switch to NICU would be better than...
  2. ghillbert

    Tips to impress your preceptor?

    ghillbert replied to kevinm23's topic in Student Nurse Practitioner

    If they ask you something and you don't know it, ask them to ask you again the next day - and know it then. Nothing more irritating than going over something and then next time it comes up, the...
  3. ghillbert

    Lost New NP

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

    This is not true at all in my experience, and I have worked both systems. UPMC are very specific about the need for ACNP certification/training for many/most inpatient roles. AHN less so, because they...
  4. ghillbert

    Acute Care NP Schedule?

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

    I work CTICU, I do 3 x 12's, 6a-6p. Most days I get out around 6:30, at times I am there til 8pm. It was my choice to switch, I used to do 4 x 10's and did 6a-4p. No call. No holidays. No weekends....
  5. ghillbert

    Any tips for preparation of Adult Gerontology Acute Care NP ?

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

    Enjoy your free time
  6. ghillbert

    Lost New NP

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

    That makes no sense to me as someone who hires APPs in Pittsburgh. I've never heard of such a thing. Both the major health systems here have an Office of APPs - call
  7. ghillbert

    What do you call a SICU NP? ICU/Critical Care/Surgical NP?

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

    Surgical PAs typically go to the OR. Critical care NPs just work
  8. ghillbert

    Lost New NP

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

    I'm confused. You have a job as a new grad FNP in inpatient cardiology for which you feel unprepared? You applied and interviewed for this position? Have you had any performance reviews so far? What...
  9. ghillbert

    Stepdown or PACU for pre-ACNP school experience

    ghillbert replied to NurseNelly24's topic in Advanced Practice

    Just answering your question as someone who has completed the program. I would not consider either stepdown or PACU as adequate experience, which I thought is what you were
  10. ghillbert

    Can't decide between Maryville, Walden or La Salle Nurse practitioner programs

    ghillbert replied to LJewelsAPN's topic in Advanced Practice

    Pick a school that: - is accredited - has admission standards beyond "can you write a check?" - provides clinical experiences for you - provides evaluation of your clinical experience - has prior...
  11. ghillbert

    Stepdown or PACU for pre-ACNP school experience

    ghillbert replied to NurseNelly24's topic in Advanced Practice

    Having done ACNP, I would not consider it without ICU
  12. ghillbert

    Where are NPs most/least in demand?

    ghillbert replied to Aliens05's topic in Nurse Practitioners, NP

    I am in Pittsburgh and it depends on the type - we can't hire enough AG-ACNPs, although FNPs are having a harder
  13. ghillbert

    Defense date set

    ghillbert replied to TiffyRN's topic in Doctoral Nursing Degrees

    Congratulations, TiffyRN,
  14. ghillbert

    Will you get your DNP

    ghillbert replied to DannyBoy8's topic in Advanced Practice

    Nah, I think I'll get a PhD. The DNP is too variable between
  15. ghillbert

    Question re APP billing

    ghillbert posted a topic in Advanced Practice

    Question re critical care. Since critical care time provided by a PA/NP should not be attested/billed under collaborating physician but under the provider who did the work - what happens with critical...
  16. ghillbert

    Question re APP billing

    ghillbert replied to ghillbert's topic in Advanced Practice

    I knew you'd know, you're the best. Thanks
  17. ghillbert

    ACNP - Will I be missing out?

    ghillbert replied to Apple2020's topic in Advanced Practice

    If I knew I wanted to work trauma/ED, even if I was a nurse, I would apply to PA school. As an NP, you are reliant on either being adult or pediatric, acute or primary care etc. There are some dual...
  18. ghillbert

    Is 6 weeks too long to give resignation notice?

    ghillbert replied to TheNoviceNurse's topic in Nursing Professionalism

    I would give the minimum required. I have given more in a previous job, and lived to regret it as they were mad about it and made my life miserable for the 6 weeks - I would never do it
  19. ghillbert

    Question re APP billing

    ghillbert replied to ghillbert's topic in Advanced Practice

    Is there any CMS/legal guidance as to the fact that licensed/credentialed NP/PAs cannot bill procedures under the collaborating doc? I think I will need cold facts to address this internally. I hate...
  20. ghillbert

    Australian nurse wanting to work in America

    ghillbert replied to Aussienurse123's topic in Immigration Advice

    I am an Australian-trained BN RN who now works as a nurse practitioner in the US. I went to Deakin initially for my nursing degree. Deakin did offer standalone units for Paeds and OBGYN nursing but it...
  21. ghillbert

    Can't get ACNP job

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

    UPenn is a well regarded program. This baffles me, because I am in Pittsburgh and I can't hire enough ACNPs. I have FNPs applying to my critical care jobs often. Are you getting interviews and not...
  22. ghillbert

    Fulltime or part time PhD? Share experiences please

    ghillbert replied to PediatricRNTX's topic in Doctoral Nursing Degrees

    Depends - what do you want to do with your PhD when
  23. ghillbert

    First job woes

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

    I hire ACNPs for critical care. HR controls the pay offer, based on experience, but I ALWAYS tell candidates to negotiate! Never accept the first offer! There is always a range, and room to move with...
  24. ghillbert

    Terminal diagnosis

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

    I probably would have told the patient, because I usually think about how it would feel to find out "accidentally" with a less-tactful clinician reading off a chart - because I have seen it happen....
  25. ghillbert

    Intubation turning into a code blue

    ghillbert replied to ICUisLife's topic in Critical Care

    - Inadequate paralytic dose or time - Inadequate bagging/mask seal - Need for jaw thrust Multiple reasons it could be that you weren't able to oxygenate patient adequately with BVM. Was it an...