djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    Probably wouldn’t be a fit in primary care. As it stands everyone across the board are billing majority 214 patients. The same acuity is seen by the same clinician at every level. 25-30 patients a...

  2. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    Our information is somewhat public. They realease a quarterly report that showes everyone’s total expenses and billing. They just keep names blank. But it isn’t hard to tell who the high dollar...

  3. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    Of course that part might indicate the real evaluation of their residency program and might validate these Reddit residents are the very bottom feeder docs who may not mount too much in their...

  4. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    But that is the level that nurse practitioners generally are up against. The majority of nurse practitioners work in some form of primary or urgent care. Surgeons and specialists(docs at the top of...

  5. Question ENDOCRINE VS GYN

    djmatte replied to TheFuture09's topic in Nurse Practitioners, NP

    At the end of the day, it comes to your comfort level. I have the luxury of supervising docs for many of these problems and had good education and insight by them to work them up and manage these...

  6. Question ENDOCRINE VS GYN

    djmatte replied to TheFuture09's topic in Nurse Practitioners, NP

    I actively treat PCOS, hypo/hyper thyroid, Type 1 and 2 diabetes, and a range of other chronic illnesses that could easily be relegated to a specialty. It's been my experience some specialties are...

  7. Question ENDOCRINE VS GYN

    djmatte replied to TheFuture09's topic in Nurse Practitioners, NP

    Everyone is welcome to punt given their comfort level and expertise, but much of this I can see handling at the primary care level until your own interventions don’t resolve the problem. If...

  8. Question ENDOCRINE VS GYN

    djmatte replied to TheFuture09's topic in Nurse Practitioners, NP

    What’s were the patient complaints? What were the physical exam findings? Why specifically the need to refer? Curious what those specialties could do that you can’t do

  9. Clinical Decision/Documentation Support

    djmatte replied to Gateway's topic in Nurse Practitioners, NP

    What emr? Any smart notes options? On mine m, I created smart notes for about 50+ diagnosis over the first year as a NP. Much of this from gathering information from 5 minute clinical and a few other...

  10. “question bank” you used to pass the board

    djmatte replied to Myec's topic in Student Nurse Practitioner

    I found board vitals to be good, but also to be way harder than necessary and a tad bit overkill. I bounced mostly between Liek and Hollier. Only peppered BV in when those banks got

  11. Full vs Reduced vs Restricted Scope of Practice- Do you feel it?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    I technically work in a restricted state (Michigan). For the majority of my work, I am autonomous in my daily tasks and patient interaction. In actuality my collaborator isn't even in my specific...

  12. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    I probably should have been more clear in my statement. Reference was to the thought that someone would put all that work to become a nurse practitioner only to go to PA school because of...

  13. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    Quite possible the stupidest thing I’ve ever

  14. NP Hates from Physicians?

    djmatte replied to Myec's topic in Nurse Practitioners, NP

    Reddit is a dumpster for of anonymous hate. We can probably find far more cases en mass of poor physician practice and malpractice just by nature of their total numbers. They post those things because...

  15. Virginia rural healthcare status

    djmatte posted a topic in Virginia Nursing

    Hi all. Looking at moving to Virginia from Michigan and was wondering a few things about the region and healthcare needs. I’m a FNP and have a plan to open a direct primary care clinic. Getting my...

  16. DNP: Mirroring the Path of DO?

    djmatte replied to AF2BSN's topic in Nurse Practitioners, NP

    I still maintain if NP education wanted to increase the value of their DNP, they should change the overall curriculum. Use the MSN as a broad NP education level akin to PA education. Allow them the...

  17. NPI

    djmatte replied to 3rdshift098's topic in Nurse Practitioners, NP

    If you are “traveling”, I would use the address of the company for which I work. If you find that you bounce around between companies, it might be prudent to set up a personal llc or something...

  18. Air Force nursing FY2021

    djmatte replied to tabmeechie's topic in Government, Military

    Mine just was submitted and approved. I don’t know the logistics of how this happens though. Sadly I might not get my shot. Air Force surgeon general threw out my meps clearance for some prior...

  19. Iprescribe app...Anyone using it?

    djmatte posted a topic in Nurse Practitioners, NP

    Just ran across it today and am about to give it a whirl. Seems to link through Doximity. Just curious if anyone else has tried this? Any problems or pitfalls with the platform? Not seeing any...

  20. Why do psych NPs make more?

    djmatte replied to spdaydream's topic in Nurse Practitioners, NP

    As noted, supply and demand. Not to mention pure numbers that you can turn over. When patients come to psych, they’ve often had the physiological reasons for their symptoms ruled out. You aren’t...

  21. NP Binder

    djmatte replied to anchorRN's topic in Nurse Practitioners, NP

    Labs we have Epic. So lots of functionality to create my own lists for whatever typical things I see. I really just recommend having go to short cuts wherever possible. A fatigue other diagnosis...

  22. Officer promotion regarding prior service

    djmatte replied to djmatte's topic in Government, Military

    Not in yet. I will either be CPT when I get in or only a few months away from it. More curious about when I go forward given that I start out two-three ranks

  23. Officer promotion regarding prior service

    djmatte posted a topic in Government, Military

    I will be entering the officer corps as an FNP. I have 9 years prior service enlisted and will be an O3E. By most promotion standards, I will need 3 years in grade and 10 years in service to be...

  24. NP Binder

    djmatte replied to anchorRN's topic in Nurse Practitioners, NP

    5minute clinical consult is my general go to. I like uptodate for the nitty

  25. Best RN job experience for FNP

    djmatte replied to stephadler82's topic in Student Nurse Practitioner

    Imo any job where you have experience with the broadest amount of medications and medical conditions is the best experience you can have. Meaning likely a med surg floor or possibly ED. I came from a...