ghillbert MSN, NP

CTICU

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All Content by ghillbert

  1. ghillbert

    Acute Care NP without ICU experience?

    ghillbert replied to MasterNursinator's topic in Student Nurse Practitioner

    Why? You make no sense. You can have acutely or complex chronically ill patients at specialty outpatient clinics just as much as inpatient. Decompensated heart failure with concomitant poorly...
  2. ghillbert

    Acute Care NP without ICU experience?

    ghillbert replied to MasterNursinator's topic in Student Nurse Practitioner

    I am talking about the definition of Acute Care NP, as per the Consensus Model, as I stated. I know many ACNPs who work outpatient specialty
  3. ghillbert

    Acute Care NP without ICU experience?

    ghillbert replied to MasterNursinator's topic in Student Nurse Practitioner

    This is not confusing. Acute care NPs work with acutely ill patients. Family NPs work in primary care. If you want to do a critical care NP fellowship, yes you need acute care NP Program of course....
  4. ghillbert

    Acute Care NP without ICU experience?

    ghillbert replied to MasterNursinator's topic in Student Nurse Practitioner

    This is not correct. Acute care can take care of acutely ill or complex chronically ill patients, regardless of the setting. See: Consensus
  5. ghillbert

    Does RN experience affect NP salary quote?

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

    UCSF is in San
  6. ghillbert

    Does RN experience affect NP salary quote?

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

    More than 50% inpatient = union NP at my system (southwest PA). UCSF, for one is union but there are
  7. ghillbert

    Does RN experience affect NP salary quote?

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

    In a hospital where RNs and NPs are in the union, years of nursing experience absolutely contributes to the starting NP
  8. ghillbert

    Am I crazy?

    ghillbert replied to NICUnLDRN's topic in General Specialties

    I don't think a hiring manager owes you an interview. Perhaps they didn't think it was a good fit once they met you. Perhaps they had another applicant who fit in better. Maybe they got feedback from...
  9. ghillbert

    Clinical tidbits I wish someone would've told me.

    ghillbert replied to Mully's topic in MICU, SICU

    Read the patient, not the chart. Sooooo many times someone tells me something based on what is documented but they didn't check it themselves. Don't go by someone else's assessment - do your...
  10. ghillbert

    MICU to CVICU tips?

    ghillbert replied to mar354's topic in CCU, Coronary, Cardiac

    Also if you'll have fresh postops, make sure you know the consequences of cardiopulmonary bypass and you will understand what you see in your postops a lot more easily. Agree regarding reviewing...
  11. ghillbert

    Resignation and thoughts?

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

    Yes. All you need is please accept my resignation effective xxxx. Check your contract if you have one to ensure you give adequate notice to get any PTO etc paid
  12. ghillbert

    Wilkes University - BEWARE!

    ghillbert replied to jennifer2021's topic in Student Nurse Practitioner

    From memory it was about 770 clinical hours when I did it, they found placements (they are affiliated with a large hospital system), all profs have doctoral degrees but no idea about tenure, academics...
  13. ghillbert

    Wilkes University - BEWARE!

    ghillbert replied to jennifer2021's topic in Student Nurse Practitioner

    Disagree. I went to Pitt in person, and it was entirely not like that at all. I am clinical faculty for other schools that are entirely not like that. I agree that the schools need to be held...
  14. ghillbert

    Acute Care NP Preceptor

    ghillbert replied to Shelley Tipps's topic in Student Nurse Practitioner

    Local professional associations you can join as a student to network with NPs is the best, if your school doesn't provide
  15. ghillbert

    Australian nurse wanting to work in America

    ghillbert replied to Aussienurse123's topic in Immigration Advice

    I was referring to the poster above me. I know what NY BON requires, but I think they have the terminology
  16. ghillbert

    Feeling Lost As An NP

    ghillbert replied to plantmom4lyfe's topic in Advanced Practice

    Are you a physician or medical student? Just about every post of yours is crapping on NP preparation and professionalism. Who refers NPs to the "noctor"
  17. ghillbert

    Australian nurse wanting to work in America

    ghillbert replied to Aussienurse123's topic in Immigration Advice

    CGFNS is a company. What do you mean, NY BON doesn't require
  18. ghillbert

    Full Practice Authority of Nursing

    ghillbert replied to matthewandrew's topic in Doctoral Nursing Degrees

    I think you sound very naive and defensive. It's quite ironic that you are advocating for further education in the form of doctoral degrees "advancing the profession", but can give no evidence for...
  19. ghillbert

    Physician Giving Sedation Without Nurse

    ghillbert replied to Udmert's topic in Emergency

    I disagree. Nurses can't control physicians. They can control the substances they remove from secure storage and leave on their computer. If it wasn't there, it wouldn't have happened. The nurse's job...
  20. ghillbert

    RVU’s

    ghillbert replied to Rebecca12345's topic in Nurse Practitioners, NP

    Depends on your
  21. ghillbert

    How Do You Handle Patients That...

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

    Have a written agreement and if she comes up short, she doesn't get extra meds. If it's repeated, you can discharge her from your care. Getting an early refill due to a holiday, and independently...
  22. ghillbert

    How does the clinical project work?

    ghillbert replied to MentalKlarity's topic in Doctoral Nursing Degrees

    Read the website or orientation for the programs you're thinking of doing - it is not standard across the board, but
  23. ghillbert

    Physician Giving Sedation Without Nurse

    ghillbert replied to Udmert's topic in Emergency

    Why was sedation sitting around unattended? I feel the nurse made the error
  24. ghillbert

    Wide complexes not ventricular?

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

    Not discounting your clinical judgement, obviously SOB on 100% isn't stable, but WCT with normal BP is a "stable" rhythm per ACLS with regard to need for DCCV/defib. Shocking someone has it's own...
  25. ghillbert

    Wide complexes not ventricular?

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

    "Unstable" in reference to rhythms means hypotensive, in which case you could cardiovert. I work in cardiac and very, very, VERY frequently a WCT is not VT but an SVT with