PiperLambie MSN, APRN

Critical Care

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About PiperLambie

PiperLambie has 6 years experience as a MSN, APRN and specializes in Critical Care.


I left my previous logistics management career to return to school and become a nurse in 2017. I have been a registered nurse since 2018, with experience in the ED, CVICU, and ECMO/MCS spaces, as well as precepting, mentoring, and facility-wide shared governance. I have been a board-certified AG-ACNP since January 2024 and am continuing my nursing journey as a Critical Care Nurse Practitioner for a local academic hospital system.

PS- This profile has a one turkey sandwich tray per person policy.

Latest Activity

  1. PiperLambie

    Vanderbilt 2021 Direct Entry

    I applied AGACNP with three years ED/CVICU experience, and was not offered admission. Congratulations to those who will start the next phase of their education this fall.
  2. PiperLambie

    Vanderbilt 2021 Direct Entry

    Nashville local here also waiting for some news. Could be a little later than today- we had rapid Winter weather come through overnight and jam up the roads, so unless the sender of decision emails is working remotely it's tough to know if they were ...
  3. PiperLambie

    Cleaning patients after bowel movements.

    I'm guessing that "immediately call ED to floor report and let transport take them" is not what we're going for in this thread??
  4. PiperLambie

    Useless Shift Report Information

    ED nurse here. Easiest report I've ever given was just the other day: Had a patient with TONS of stuff to be done after hospitalist finally got to my patient after about five hours of waiting. As I watched the admission orders roll in at 18:20- MRI w...
  5. PiperLambie

    First Emergency RN Job After Graduation?!

    I started in an ED with no prior intern/externships or medical experience, straight out of nursing school. The division of the company I work for has fully transitioned to the nurse residency model for new grads. I know there are some mixed reviews i...
  6. PiperLambie

    Mad props...

    ...to the people that do med/surg nursing. Seriously. We were boarding the other day and my assignment included three admit holds and one room that was going to be "LA" (yeah, like it ever stays LA). All I can say is that I will always hold med/surg ...
  7. PiperLambie

    Surgeon for an instructor

    Most nursing programs, following pre-reqs, will require you to take some terminology, where you will learn that there is no pseudo to his terminology. I think it was in the didactic part of my skills course that we had a separate terminology exam eac...
  8. PiperLambie

    Surgeon for an instructor

    So I had to take Patho online (I was on a satellite campus that had not yet hired an on-site instructor), and the instructor had her doctorate in clinical pathobiology- she also asked the tough questions. For gross anatomy, I had a retired veterinari...
  9. PiperLambie

    Tech falsified vitals

    I completely see the frustration and distrust this has fostered in you based on the post. That said, as someone that has managed large groups of employees at various levels, I want to second the idea that you schedule to meet with your NM and/or dire...
  10. PiperLambie

    MD vs DO

    It is a great question to seek out by visiting osteopathic.org, where many of those types of questions are answered. At the most basic, is is a difference in osteopathic vs allopathic (though this term is often seen as derogatory by some MDs) school ...
  11. PiperLambie

    What is an RN, BAAN?

    psu, that is terrible in and of itself- if she keeps the BSN with the MSN that's even worse! Not to mention that anyone worth their salt looking to hire someone is going to absolutely judge her when they look on the header of the resume and see that ...
  12. PiperLambie

    What is an RN, BAAN?

    Well if it does turn out to in fact be her nursing degree, a noble-minded coworker might be kind and help her to correct the certainly unintentional dyslexia of credentials so that her degree comes first, followed by the license certification. Maybe ...
  13. PiperLambie

    Dropping the "Nurse Card"?

    Nothing so exciting as an RN, but in my previous life I was a manager for one of the big two delivery companies (lots of purple and orange), and was running a wee bit behind one morning, decked out in my glorious work uniform. Cop pulls me over, look...
  14. PiperLambie

    Overtime

    I have been off of orientation since the start of May (nurse residency has ~13 week orientation period), and every day is a toss-up. One thing that we do on my unit (ED) is run the shifts 06:45-19:15 for days and 18:45-07:15 for nights, with a couple...
  15. PiperLambie

    How did she/he get through nursing school?

    In my "previous life" I was a manager for one of the two large delivery companies here in the 'States. Part of my job involved teaching new drivers how to drive the trucks. If I had a dollar for every time I had an employee tell me how nervous they w...