ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Bradycardia during surgery

    ghillbert replied to Jenna07's topic in Certified Registered Nurse Anesthetist, CRNA

    Per the website TOS, no medical advice can be given. You should talk to your medical team if you have questions about your operation or postoperative
  2. ghillbert

    IABP waveform clarification

    ghillbert replied to Catticus11's topic in CCU, Coronary, Cardiac

    It also depends what his LVEF was. Often with a high grade lesion plus a bad EF, preop CABGs will get an IABP. If your actual balloon waveform was abnormal, you check your balloon placement first -...
  3. ghillbert

    Meds

    ghillbert replied to Sweetie2017's topic in Critical Care

    There are many websites and books to practice medication calculations. If you are not good at mental mathematics, then it's just a matter of repetition and practice to be able to work it out on the...
  4. ghillbert

    ICU NP/PA schedules

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

    Thanks guys, you always have answers for me! For now I haven't even given the bosses the option of weekend or night coverage until I have more FTE's. Between the 2 of us, I am planning to cover...
  5. ghillbert

    Calling all educators and NP's!

    ghillbert replied to Emm_RN's topic in General Specialties

    You can become an NP and also teach! Some programs permit you to do a minor in Nursing Ed, otherwise if you do a masters you can teach undergrads or a DNP you can be faculty teaching undergrad or grad...
  6. ghillbert

    Acute Care NP without ICU experience?

    ghillbert replied to MasterNursinator's topic in Student Nurse Practitioner

    I hire ACNPs for critical care, and I do not think I would hire a new grad with no ICU experience. I would have the same problem with a new grad PA with no ICU experience, although they do more...
  7. ghillbert

    Any Thoughts on why Orthopedics Hire PA more than APN

    ghillbert replied to Sandybear's topic in Advanced Practice

    Honestly, I think more PAs are interested in working OR/surgery than NPs are. People that are interested in operating probably gravitate more to the PA model than to becoming a nurse/NP. I know I work...
  8. ghillbert

    Swan-Ganz Usage

    ghillbert replied to Cvepo's topic in Critical Care

    Nice
  9. ghillbert

    What would you do? Selecting the right job!

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

    I would only take Job #2 if you plan to do a post-masters in acute care. FNP does not train you for that
  10. ghillbert

    Ohio Atty Gen opinion on non-ACNP working inpatient

    ghillbert replied to DizzyJ DHSc PA-C's topic in Nurse Practitioners, NP

    An acute care NP can work anywhere the patient population is acutely ill adults. So yes, if you are taking care of patients with acute issues in an outpatient clinic, that is permitted. Many ACNPs...
  11. ghillbert

    Australian Nurse wants to work in USA

    ghillbert replied to ChelseaE92's topic in International Nursing

    Start with CGFNS. Submit your transcripts there and they will evaluate and tell you what deficiencies you have in theory or clinical. You have to be made eligible to take NCLEX. You do need to decide...
  12. ghillbert

    Foreign educated nurse passed NCLEX first time

    ghillbert replied to Alberto73's topic in International Nursing

    Congrats. Passing NCLEX is a big step. The bigger hurdle is that you don't have a visa, from what you said. Until you have a way to immigrate to the US, there's little point looking for a
  13. ghillbert

    Is it realistic...?

    ghillbert replied to EliApril's topic in Immigration Advice

    What nationality are
  14. ghillbert

    From Tele to CSICU - lacking the "ICU hustle"?

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

    Ask for more specific feedback. "Get faster" is not helpful. Do they have specific concerns as to how quickly you are putting things together, or reacting to an emergency, or is it charting issues,...
  15. ghillbert

    Interesting Situation (Thoughts?)

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

    - What were patient's baseline numbers? It is hard to interpret numbers in isolation without a frame of reference. - What is baseline EF, RV function, PA pressures? - Preop meds? - Agree I may place...
  16. ghillbert

    Understanding Inotrope Indications

    ghillbert replied to Catticus11's topic in CCU, Coronary, Cardiac

    Overall, you want to maintain adquate end-organ perfusion. To that end, you will treat their disease etiology and comorbidities. Cardiogenic shock with end organ malperfusion, low EF, low CI -you...
  17. ghillbert

    New NP student...help!

    ghillbert replied to RNICU09's topic in Student Nurse Practitioner

    Depends what NP role you are seeking. ACNP? I would stay in ICU. FNP? May be worth trying for an outpatient role. i don't really see why you'd go to meds surg. Why would someone suggest that? How...
  18. ghillbert

    Job opportunities for a newly licensed international RN

    ghillbert replied to alvinanicole's topic in Pennsylvania Nursing

    I would recommend taking the CCRN certification exam so you can prove equivalence since your ICU nursing is from out of country. I know my hospital is always hiring SICU nurses, including new grads so...
  19. ghillbert

    Acute Care Nurse Practitioner Preceptors... where are you?

    ghillbert replied to rethier's topic in Student Nurse Practitioner

    I precept ACNP students. It is very tiring and exhausting, and makes my day take twice as long as I have to explain everything, check their notes and orders, examine their patients also to make sure...
  20. ghillbert

    Nursing Student work in ICU or ER before becoming ACNP?

    ghillbert replied to LexSavDav's topic in Student Nurse Practitioner

    Another vote for critical care - you just get a more thorough, systems based approach to patient care with multi-system organ failure which will stand you in good stead during ACNP school. Much of...
  21. ghillbert

    New Grad NP Salaries - PA, NJ, NY

    ghillbert replied to ICURNPA92's topic in Student Nurse Practitioner

    ACNP. Pittsburgh. 40hrs, 4 x 10hr days. No nights, weekends or holidays. >100k. I have a lot of varied experience and work in a specialty. Most of the ACNPs I hired as new grads for surgical...
  22. ghillbert

    DNP vs MD

    ghillbert replied to healthstar's topic in Doctoral Nursing Degrees

    It's not a competition.. SDN is arrogant little baby doctors. They will learn. Healthcare needs both, and needs mutual respect between both professions. We do different things, not better/worse...
  23. ghillbert

    Writing the Prescription to Fix Broken Nurse Practitioner (NP) Education (Pt. I)

    ghillbert replied to cjcsoon2bnp's topic in Advanced Practice

    We need more clinical across the board throughout NP education. More hard science - patho, pharm etc. Less letters after our name - not so much super specializing... it really limits our careers...
  24. ghillbert

    Which field of nursing is the most technically hard?

    ghillbert replied to Guest878640's topic in General Nursing

    The hardest depends on you - I work in critical care and love it, but psych nursing is impossibly hard to me because it just doesn't suit my personality. I also hate the ER work because I don't have...
  25. ghillbert

    DNP Touro Nevada

    ghillbert replied to JENURSE03_RN's topic in Post Graduate Students

    The program actually looked pretty decent, but it's available to Pennsylvania residents so no Touro for