djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Best schools

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

    Alabama all day. You’ll have a degree that people will actually respect. Phoenix is OK for someone who just needs a promotion related terminal degree. We saw this often in the military where someone...

  2. Help Choosing FNP Program

    djmatte replied to kmf205's topic in Nurse Practitioners, NP

    Frontier has its own prestige. Especially for nurse midwives. It may not be the other schools, but it’s dedication to nursing practice and family medicine is exceptional. While granted I am biased...

  3. Scared of being successfully sued

    djmatte replied to nursing90504's topic in Nurse Practitioners, NP

    A few things I would have done different. Since you previously filled these meds, you now technically have a working relationship with them. Under circumstances where there’s a controlled substance...

  4. NP's how are you these days?

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

    We started telehealth for patients too afraid to come in last week. I did full telehealth recently when I self-quarantined and got a test for some subacute symptoms and my wife having more acute...

  5. 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

    I would argue until those boards are passed, you never use the FNP. You are an MSN only. “NP-C” or “FNP-BC” are only conferred when certified. FNP Is not a college degree type and shouldn’t...

  6. Strange how things come around

    djmatte posted a topic in Nurse Practitioners, NP

    A few years ago as a new grad FNP, I interviewed at a clinic about an hour away. I vividly remember how the owner was planning to do concierge medicine while his son and another DO were hiring NPs and...

  7. Are you supposed to check a boy's foreskin during a physical?

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

    Did you actually read the conclusion? “A significant number of cancers would have been missed if cbe had not been performed. Compared with cancers detected by mammography alone, those detected by...

  8. Are you supposed to check a boy's foreskin during a physical?

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

    Well woman exams 25 and over per ACOG guidelines should have a breast exam offered every 1 to 3 years. Breast exams are pretty standard of practice in my clinic and one of my precept locations were...

  9. FPA in Florida passed today!

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

    I'd call inability to write schedule 2 with full practice authority a win. In an environment where clinics and clinicians are being scrutinized for writing controlled substances, having the legal up...

  10. Are you supposed to check a boy's foreskin during a physical?

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

    Again, why are we resurrecting two year old threads? You're new to these forums as of a month ago. But every post you've made has been regarding gender diversity and personal issues with seeing the...

  11. Are you supposed to check a boy's foreskin during a physical?

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

    Why are you crusading on these

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

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

    There is some clinical rationale for checking for hernias and specifically focused on boys over girls. I don't have online guidelines, but my physical exam texts suggest that inguinal hernia...

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

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

    Our clinic group has multiple sites. This one specifically has mostly male providers who are here regularly while the females are here less days a week. Other sites have females there everyday and...

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

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

    It’s a female MA (actually all of our MAs are female At the moment). I’m less concerned about double standards. I do this to protect myself for sure in an environment of litigation. Albeit there...

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

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

    I’ve probably only had a handful in two years of practice. I typically get those wishes when establishing care as new patients. Or if I’m seeing an established patient for something else and they...

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

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

    To be fair, there is an accommodation that can and should be afforded for any such issue. I’m a male NP and have had male teens in for sports physicals that are equally reticent to the exam. I do...

  17. What can I do with my MSN-FNP that doesn't require much patient contact

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

    We need nurses able to do those things. We don’t need to waste the time and resources of nurse practitioner certification to do any of those. Most nurses can do those things with an RN, MSN, or PhD...

  18. Biased opinion for own child?

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

    Exactly. I wouldn’t go that far. But I’d be a bit concerned about the things you’re seeing. Something to discuss with the child’s provider. Consider this, children can use these excuses as a...

  19. What can I do with my MSN-FNP that doesn't require much patient contact

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

    There are better ways of wording anything, but to be fair it isless about shaming and more about being forthright and honest about what you do. You are family nurse practitioner. Your training and...

  20. Strange how things come around

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

    Not sure there is a moral to this story. I guess it reinforces that just because you weren’t a good fit for something (For whatever reason) at one point doesn’t mean you won’t be an asset at a...

  21. How to maximize income for an FNP?

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

    that’s a good idea to do something both contributors and also enhances your own practice as it forces you to continue to evaluate New ideas and continued education. Sometimes I feel with all the...

  22. 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

    You aren't a NP until you pass those boards. MSN, RN is probably the most

  23. Is it an ethical violation to quit a job before you start?

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

    I’m sorry, but at this stage, are you trying to justify walking away from a job you committed to, justify to us why you’re keeping a job, or asking something else? Because the initial question of...

  24. Air Force Nurse Boards Jan 2020

    djmatte replied to joepro7's topic in Government, Military

    Individual ready reserve. Something that I had after my first enlistment. Apparently my application is on a” rolling board “. Said it’s reviewed when submitted vs on a schedule. At this point...

  25. Air Force Nurse Boards Jan 2020

    djmatte replied to joepro7's topic in Government, Military

    Well my amazingly on top of it recruiter failed to account for the fact that I had irr at the end of my last enlistment. Not having that info put my whole package on hold while we wait for the Air...