ghillbert MSN, NP

ghillbert has 26 years experience as a MSN, NP and specializes in CTICU.

ghillbert's Latest Activity

1. 

   Swan Ganz Catheters

   ghillbert replied to saraclark62's topic in Critical

   Only in a cath lab
2. 

   RNs Replacing Registered Respiratory Therapists?

   ghillbert replied to LonghornChic's topic in Nursing

   94002 or 94003 🙂
3. 

   IV gtts and arterial line

   ghillbert replied to Kate96's topic in Critical

   Drips run through veins. Art lines are in arteries. There is no contamination and you certainly shouldn't stop them to draw arterial blood samples.
4. 

   Do you work with PA lines often? Are they really a thing of the past?

   ghillbert replied to BeatsPerMinute's topic in Critical

   We use swans all the time in my SICU. Not so much for routine open hearts, unless they are known low EFs. More for cardiogenic shock, cardiac support devices, CTEPH, liver transplants.
5. 

   Impella Heart Pump | Knowledge is Power

   ghillbert replied to BuckeyeICUNurse's topic in Critical

   Important to note that only the Impella 5.5 LVAD which is a surgically implanted device can provide up to 5.5L of flow, and is therefore often required for cardiogenic shock or end stage heart failure to provide adequate output. The Impella CP is gen...
6. 

   RNs Replacing Registered Respiratory Therapists?

   ghillbert replied to LonghornChic's topic in Nursing

   Wouldn't bother me, because I trained in a country that doesn't have RTs and the ICU nurses manage everything to do with the ventilator. Now, as an ICU NP I also make ventilator changes as necessary, but I have privileges to do so. I would be concern...
7. 

   FNP or WHNP

   ghillbert replied to pjpmpkn11's topic in NP Students

   It really depends on your area and what they use - call some OB offices and ask what they are looking for, or check out job ads in your area. Don't assume FNP is good for OR either, depending on the area - some places prefer ACNP/AGACNP for inpatient...
8. 

   Australian nurse wanting to work in America

   ghillbert replied to Aussienurse123's topic in Immigration

   You need the visa screen certificate, although I must say in all the time I had it, not one single person ever asked for it. But in theory yes, you need it.
9. 

   Any Cardiothoracic Surgery NPs here?

   ghillbert replied to jljucovic's topic in Advanced

   Feel free to ask questions, I have worked in CT surgery or CTICU for >20 years
10. 

    Any APRNs that also enjoyed bedside nursing?

    ghillbert replied to JBMmom's topic in Advanced

    I loved ICU nursing. I am an ICU NP. If you want to work as an ICU NP and you are ACNP trained with ICU nursing experience, why not apply directly for ICU NP jobs? There are lots.
11. 

    Calls and Weekends

    ghillbert replied to integrativenurse's topic in Advanced

    Depends on the job. I'm in critical care which usually includes weekends and nights, but we have inhouse docs currently so I work Mon-Fri 3 x 12s
12. 

    Spring Arbor vs Walden

    ghillbert replied to Jlower1's topic in NP Students

    OK. If having standards and requirements is being an arrogant snob, I'm okay with that. I have not had any interaction with the school or its students, so no opinion.
13. 

    ACUTE CARE NP and private practice

    ghillbert replied to Sun1's topic in Advanced

    Incorrect. Acute care specifically refers to the patient population, not the location. You can work anywhere, if you're seeing acutely ill patients.
14. 

    Schools That Provide Preceptors

    ghillbert replied to beeker's topic in NP Students

    U Pitt provided clinical rotations, or you can choose your own if you have contacts.
15. 

    Spring Arbor vs Walden

    ghillbert replied to Jlower1's topic in NP Students

    Both terrible. I do not precept nor hire Walden U students because I found them lacking in preparation and knowledge. I personally know one who was instructed to watch a Youtube video as their lecture for one topic, in an acute care NP Program. There...