ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Confidence issues in ICU

    ghillbert replied to AdvocateRN's topic in Critical Care

    You sound like your confidence is pretty well
  2. ghillbert

    Just starting my PhD in nursing education with my only background as an RN is L&D

    ghillbert replied to IsabellaRN2's topic in Doctoral Nursing Degrees

    Why are you committing to a PhD program if you don't know what you want to do when you grow up? That is a lot of time and
  3. ghillbert

    ICU Nurse Practitioners in teaching hospitals

    ghillbert replied to ff_king2001's topic in Nurse Practitioners, NP

    I work in a SICU which is primarily cardiothoracic. I am an ACNP. "Autonomy" is in the eye of the beholder, and is a limited thing when cardiac surgeons are involved; its an open ICU. I have my own...
  4. ghillbert

    Quit my job

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

    This seems extremely impulsive and unprofessional to me. You didn't get a reply so quit without notice although you have no evidence of incorrect billing because... well... you didnt give them a...
  5. ghillbert

    NP contract? salary with no holiday pay?

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

    Do not even consider accepting a job working for this person! If he's googling the FLSA now and working out ways to screw you over, do you really think he's going to do the right thing by you once...
  6. ghillbert

    Disposable Bronchoscopes

    ghillbert replied to Overtime Mom's topic in Critical Care

    We use them in the ICU. I am not a fan. It's decent for airway placement or quick issues but not too useful for significant pulmonary secretions or lavages/BALs. It gets stuck in the swivel adapter...
  7. ghillbert

    SICU Patients?

    ghillbert replied to ccuRN24's topic in Critical Care

    My unit is called "SICU" but is mostly cardiothoracic surgical ICU. We get: - cardiac surgery (VAD, ECMO, CABG, valves, aortic surgery) - thoracic surgery (VATs, esophagectomies, bronchopleural...
  8. ghillbert

    Anyone disliked ICU?

    ghillbert replied to RNbubu's topic in Critical Care

    Consider surgical ICU if you have med/surg experience. I hate medical ICU but love cardiothoracic surgical ICU. I much prefer 3 x 12's than 5x8 schedule, and like having days off during the week to...
  9. ghillbert

    NP jobs that work 3days

    ghillbert replied to Guest1059175's topic in Nurse Practitioners, NP

    I work in critical care in large hospital. I work 4 x 10's or 3 x 12's, depending on what I see the need for. No nights, weekends or holidays currently, though commonly it's 24/7 rotations for
  10. ghillbert

    NP being used as an RN

    ghillbert replied to Adam18's topic in Nurse Practitioners, NP

    Repeat after me: "No." Find a new job. If worried he would give a bad reference, get your evaluations on paper and keep a copy. Then write "references available on request" on your CV and don't list...
  11. ghillbert

    We Are Not Paying You

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

    Ability to open your own clinic is dependent on your state rules. I don't think being an AG-ACNP is a limiting factor, depending on what type of patients you plan to see. As long as they are "acutely...
  12. ghillbert

    Chatham vs NOVA DNP program

    ghillbert replied to deediaz's topic in Doctoral Nursing Degrees

    I actually withdrew. I did not find my advisor helpful, the amount of reading and paperwork was unmanageable, and it's just not going to work for me right now with my home and work
  13. ghillbert

    Invasive procedures?

    ghillbert replied to francoml's topic in Advanced Practice

    I am in PA. I am a SICU ACNP and do intubation, bronchoscopy, hTee, echo, US, paracentesis, thoracentesis, chest tubes, central lines, PA catheters, dialysis catheters, arterial lines - I do lines...
  14. ghillbert

    Any Interventional Radiology NPs?

    ghillbert replied to LKell's topic in Advanced Practice

    I am surprised that you could do that job as an FNP and not acute care-trained. How will you be trained and privileged for procedures? I guess it depends on your state as to how strict they are about...
  15. ghillbert

    Chatham vs NOVA DNP program

    ghillbert replied to deediaz's topic in Doctoral Nursing Degrees

    Part time is 2 subjects instead of 3, so 6 credits this
  16. ghillbert

    Chatham vs NOVA DNP program

    ghillbert replied to deediaz's topic in Doctoral Nursing Degrees

    Really? Wasn't 500hrs required for your MSN? Are you an NP? Worth calling to ask them - they are advertising and marketing their program pretty heavily so I am sure they would be happy to give you...
  17. ghillbert

    Chatham vs NOVA DNP program

    ghillbert replied to deediaz's topic in Doctoral Nursing Degrees

    I did! I will be doing it part time. My job and toddler are too stressful as is right now to consider
  18. ghillbert

    Job application in terms of international RN 5 years experience

    ghillbert replied to alvinanicole's topic in Critical Care

    I would recommend reading the AACN website as the eligibility for CCRN exam is very clearly described. You can count your hours in Singapore if it was recent and at a facility "equivalent" to a US...
  19. ghillbert

    Nursing versus PA route due to set-backs

    ghillbert replied to Dustin20's topic in General Students

    I feel like coming to a nursing website and asking if we think nursing would be a good step ("down" is implied) since you can't cope with medicine or PA studies is probably unwise. If you feel that...
  20. ghillbert

    Ethical Issues

    ghillbert replied to ShanHK's topic in Critical Care

    DNR and "comfort measures only" are 2 different things. CMO requires actively treating any agitation or discomfort, tachypnea etc and the order set calls for frequent (q15 min) assessment for those...
  21. ghillbert

    Job application in terms of international RN 5 years experience

    ghillbert replied to alvinanicole's topic in Critical Care

    Where was your experience, in Singapore? I would say it should definitely count. If I were you, I would study and get yourself CCRN certified, then there is no question with the employer hospitals...
  22. ghillbert

    ICU in community hospital or Stepdown in academic hospital

    ghillbert replied to SEWRN's topic in Critical Care

    Don't plan on CRNA when you start. That's a good way to annoy your colleagues. Plan on becoming the best stepdown/ICU nurse you can, and gaining skill in managing sick ICU patients. Go where the...
  23. ghillbert

    CTICU vs Neuro ICU

    ghillbert replied to CVVH's topic in Critical Care

    YOu'd have to try CTICU and see how you like it. The specialties are both acutely challenging, just in different ways. I have worked trauma ICU and CTICU and I am totally a cardiac person. I love...
  24. ghillbert

    NMBA and high PEEP relation

    ghillbert replied to nurs1ng's topic in Critical Care

    Do you mean high peak airway pressures? Generally PEEP is something you set, not something patients "have", and it's not really related to NMBAs. More as described above, it's to reduce peak...
  25. ghillbert

    Vent management and sedation/pain management

    ghillbert replied to MaxAttack's topic in Critical Care

    As stated above, this would be a grave disservice to your patients. There are many sedative and analgesic options to make someone comfortable which do not involve "knocking them the hell