djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. VA PACT RN vs Nurse Manager

    djmatte replied to JerseyGirl1213's topic in Government, Military

    At the VA, I believe veterans preference only helps you in getting in the door at the interview stage. Speaking from someone who did some RN interviews, not a word was mentioned about veteran status...

  2. Ethics and patient follow up

    djmatte posted a topic in Nurse Practitioners, NP

    Posting this here more for discussion than anything. At what point do providers get concerned about the frequency of patient follow up as we weigh the bottom line against the necessities of the...

  3. Ethics and patient follow up

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

    No doubt! I was a care manager when I was an RN at the VA. But you won't see them spending the coin on it.

  4. Ethics and patient follow up

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

    There is a form of "care management", but it is an ancillary program sponsored by ACOs geared toward specific patient populations. It's essentially a back-side kick back to the company with the...

  5. Genital exams at school physicals and well-child check-ups?

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

    Are you talking testicular cancer screening or hernia screening (eg sports physicals). To my knowledge the latter USPSTF recommendations don’t exist. Something to consider, I had a double hernia...

  6. Genital exams at school physicals and well-child check-ups?

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

    "Standards of care" vary broadly throughout specialties and is very prominent in primary care. There are a range of guidelines we try to follow while others are often willfully downplayed unless...

  7. Air Force nursing FY2021

    djmatte replied to tabmeechie's topic in Government, Military

    Still a ways away from that. Will know more once everything is

  8. Air Force nursing FY2021

    djmatte replied to tabmeechie's topic in Government, Military

    Got word from my recruiter yesterday I have officially been board selected as a family nurse practitioner. Need to finalize some things and get my MEPS re-certified (expires next month), but past...

  9. What are the low stress nurse practitioner specialties?

    djmatte replied to Future MSN's topic in Student Nurse Practitioner

    You just named the reasons you probably shouldn’t. “Don’t want a doctors schedule” for one. That reads to me you want the autonomy and respect without the ownership. As noted there is an...

  10. Seeking NP mentor

    djmatte replied to Lisa Stein's topic in Nurse Practitioners, NP

    Your local NP advocacy group might be a place to start. Many states have them and they often meet

  11. Air Force nursing FY2021

    djmatte replied to tabmeechie's topic in Government, Military

    I've had my stuff in process for so long, I can't remember half the steps I've gone through. I started with a Navy package. Cleared MEPS 1 year ago this past March. Navy dropped NPs for 2020 (and...

  12. Air Force nursing FY2021

    djmatte replied to tabmeechie's topic in Government, Military

    I have a FNP package I was told just got cleared to go to board. Been working at this for a year. Finally was taken over by someone who could get things moving. New recruiter said mine are going to a...

  13. New grad FNP - Health Risk Assessments?

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

    Absolutely agree. My wife was a hospice RN for years before she moved on to senior living. It is an area in need of providers and while it is a tad niche, it will still get you some solid assessment...

  14. New grad FNP - Health Risk Assessments?

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

    As others have noted, Medicare wellness exams give you absolutely no clinical experience. At most you get adept at getting detailed histories. But those companies only goal is to make a quick buck...

  15. Prescription "cookbooks?"

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

    5 minute clinical consult is my standard quick reference. But occasionally go deeper with other

  16. Air Force initial rank

    djmatte posted a topic in Government, Military

    Hey all. I am finalizing my package for the next board. I have not had the most confidence in my recruiter through this process. There are a myriad of things I have sent him over the past few weeks...

  17. Maryville University Online NP Program

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

    I tell most people who are looking online to find something that has a solid culture of learning. Be it a brick and mortar school that is venturing to online options or schools that are have a solid...

  18. Can you take the boards while still in NP school?

    djmatte replied to dana16's topic in Nurse Practitioners, NP

    All of it is school dependent. Frontier had a mandatory board prep as a last term outside of clinical. You were able to sign up for boards and in theory take them during this period. Most didn't,...

  19. Layoffs - FQHC and others

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

    Anything with a browser. You can send a link to their text or

  20. Layoffs - FQHC and others

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

    We have a quest lab on site at most of our clinics. So don't technically do our own draws. What I push my MA to do is pick up the slack on what scheduling should be doing as it is only run by two...

  21. Layoffs - FQHC and others

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

    If you’re incorporating telehealth, I would get on the horn with as many patients you previously saw who are in for regular chronic conditions at the intervals they would normally come into the...

  22. COVID 19 Pay rates

    djmatte replied to guest416560's topic in Nurse Practitioners, NP

    So far everything seen in Michigan only wants RNs. Kick me their info though because of my clinic starts firing with our low census, I’ll be looking into

  23. Full practice authority only bills for 85%?

    djmatte replied to nurselove757's topic in Nurse Practitioners, NP

    State doesn't set those up from my understanding. Federal law and insurance company policy does. Adjust your expectations and move on. Or just don't bother with insurance and go with a direct...

  24. Medication Coverage--NP student question

    djmatte replied to AGPCNP20's topic in Nurse Practitioners, NP

    Epic has some functionality to say what is and is not covered. But even that’s limited and often inaccurate. Many EMRs don’t. All insurance companies I’ve worked with post their formularies

  25. How do you write your credentials after graduating but waiting to take the boards?

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

    First step is acknowledging your mistake. Second step is fixing your mistake. The third step Is moving on. It isn’t going on explaining why your mistake is or isn’t valid. we have some honor...