ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Need to vent about manual BP

    ghillbert replied to OrthoFNP's topic in General Students

    It doesn't matter if it can fluctuate that much (although it can - if you wonder, go look at an ICU patient with an arterial line measuring direct BP and watch the variation). It would be unusual for...
  2. ghillbert

    CA NCLEX passer now with SS number

    ghillbert replied to TinkerBelle81's topic in International Nursing

    CA has no money - they have less staff and less contact hours so I'm sure it's become harder than before to contact
  3. ghillbert

    HELP Resident calling baby "stupid" What to do!!!??

    ghillbert replied to WittleOnesRN's topic in General Nursing

    It's unclear from the OP if they said this in the break room, at the bedside, within earshot of anyone else etc. I wouldn't hang them before finding out the circumstances. I also think your original...
  4. ghillbert

    Higher H1N1 flu risk after receiving seasonal flu vaccine

    ghillbert replied to lamazeteacher's topic in Disaster Preparation

    Yeah, that doesn't really "validate"
  5. ghillbert

    Green Card Question

    ghillbert replied to Diana Busjra, RN's topic in International Nursing

    On what visa are you currently
  6. ghillbert

    I'm tired of the unacceptable CGFNS Study Guide!!!

    ghillbert replied to travleur's topic in International Nursing

    There's no point contacting CGFNS - they don't care. They don't care if they overcharge, or make errors that cost you time and money etc. They don't care that they have crap service and refuse to put...
  7. ghillbert

    CA NCLEX passer now with SS number

    ghillbert replied to TinkerBelle81's topic in International Nursing

    Any USC can petition immediately for an immediate relative... and of course someone can petition immediately for their
  8. ghillbert

    What are the components of Lactated Ringers Solution?

    ghillbert replied to mlbdestined's topic in Patient Medications

    The bolus is not to "flush the lactate out" but to improve cardiac output and intravascular volume so oxygenated blood can get to the tissues and restore aerobic metabolism. LR doesn't contain enough...
  9. ghillbert

    CA NCLEX passer now with SS number

    ghillbert replied to TinkerBelle81's topic in International Nursing

    Ask the CA BRN. None of us can tell you. Are you planning to leave your H1B employer and move to CA? Do you have a contract? BTW, as far as I know there is no "not good for work" SSN card - only one...
  10. ghillbert

    fiberoptic IABP

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

    Hang on, so you do or don't? Or are you saying the arterial port doesn't? You need the flush bag to offset the arterial pressure, not to measure pressure,
  11. ghillbert

    What State in Us does not require CGFNS?

    ghillbert replied to rhain3's topic in International Nursing

    CGFNS is a company. They have several services, including CGFNS exam, CES appraisal, and CVS appraisal. New York requires CVS service. Most states require CES appraisal report. Only about 5 states...
  12. ghillbert

    new MICU job, pregnancy, and swine flu

    ghillbert replied to rnto?'s topic in MICU, SICU

    1. It's not an "experimental" vaccine. 2. You're probably better off in ICU than a lot of places, since people will mostly be intubated and not breathing all over you. 3. Don't live "what if's". Do...
  13. ghillbert

    California ATT confusion.....really needs urgent help.

    ghillbert replied to sephine's topic in International Nursing

    If you post late at night US time, you need to be patient until someone replies. My answer would be that although you're right and your eligibility will time out, it doesn't matter in any case, since...
  14. ghillbert

    tourist visa granted but went home to the philippines

    ghillbert replied to gracielle86's topic in International Nursing

    Sorry if you don't like it, but I would tell the truth. I am not judging you - I just said lying to immigration officials is not smart. It
  15. ghillbert

    2009 On-Call Pay Scales

    ghillbert replied to openheartmary's topic in Operating Room

    Pittsburgh: $3.30/hr for call. Salaried, so I don't get anything else when I get called/called
  16. ghillbert

    Changed my schedule 3 days before I work it...

    ghillbert replied to jeslynhatRN's topic in General Nursing

    I would play dumb and say "you know I was surprised when you called so I didn't say anything, but I would really like to find out if I misunderstood the unit policy - it was my understanding that I'd...
  17. ghillbert

    dressing changes for OH patients

    ghillbert replied to Francesca RN's topic in CCU, Coronary, Cardiac

    PS: If you want a great antibacterial dressing that also has excellent healing properties, try
  18. ghillbert

    dressing changes for OH patients

    ghillbert replied to Francesca RN's topic in CCU, Coronary, Cardiac

    You take the silverlon down to wash the incision with CHG? Why?? The silverlon itself is bactericidal. You really only need to re-wet when it dries out. Secondary dressing depends on how much the...
  19. ghillbert

    How to do Atrial ECG

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

    Agree with
  20. ghillbert

    CPR on bed.

    ghillbert replied to Katie5's topic in General Nursing

    Are you trying to work out what you should do in future? If so, check your facility's P&P manual. It doesn't really matter what we tell you, you should go by what the employer tells you in order...
  21. ghillbert

    Have you experienced bias from being a left-handed Nurse?

    ghillbert replied to Hopetoheal's topic in General Nursing

    Apart from being told how awkward I look when I do stuff, and having to figure out which hand I prefer doing injections/drawing blood/inserting IVs etc, no real problems. I'm so used to using R handed...
  22. ghillbert

    Do I really hate nursing?????

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

    How many staff are in the facility overnight? I've been an RN for 13 years and there is no way I could care for 56 (or even close to that number!) patients safely. You, as a new grad, should find it...
  23. ghillbert

    fiberoptic IABP

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

    I will preface by saying I am more familiar with the Arrow than the Datascope. What you don't need to do with the fiberoptic is the zeroing of the manual transducer. You zero the fiberoptic to...
  24. ghillbert

    Wondering Where In the U.S. I Should Work??

    ghillbert replied to PianoGirl20's topic in First Year After Licensure

    You're in one of the places that has the best specialties and job market at the moment :). Maybe get some experience here in Pgh and then move
  25. ghillbert

    Patient education

    ghillbert replied to Malijadje's topic in General Nursing

    What are you looking for, you didn't say? Did you want someone to do your assigment for you? Why don't you give us your thoughts and people will, I'm sure, be happy to